St. Paul's Hospital
Christopher Fordyce, MD, MHS, M.Sc., FRCPC
Clinical Assistant Professor, Division of Cardiology, UBC
Associate Director, Cardiac Intensive Care Unit, Vancouver General Hospital
Out-of-hospital cardiac arrest: Care gaps and opportunities to improve long-term survival
Cardiac arrest is the sudden loss of heart beating. It can occur in people with or without known heart disease, and affects 40,000 Canadians per year. In British Columbia (B.C.), only 15% of these patients live (50% die before hospital, 35% die in hospital), less than 50% receive bystander cardiopulmonary resuscitation, and only 3% receive bystander automatic external defibrillation. Due to a lack of connected data, little is known about the effect of treatments on long-term survival, brain function, and quality of life after leaving hospital.
We are closing this knowledge gap by having recently developed a new provincial database linking B.C. Ambulance records with hospital charts, prescription data, and post-discharge nursing home and home care information – the first database of its kind in North America. We will evaluate the complete “journey” of each patient from 9-1-1 call, to hospital treatments, to survival and functional status long after discharge. We can now determine if current treatments affect length of survival, brain function, and quality of life, and within this framework, eventually test whether new strategies improve patient outcomes.
Work in Progress (WiP) presentations take place at St. Paul’s Hospital on alternating Wednesdays from 12:00–1:00 PM. These seminars provide investigators with an opportunity to present ongoing research, obtain feedback from colleagues and peers, and make new connections for their projects. Talks are open, and a light lunch is served.
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