Out-of-Hospital Resuscitation in Winterthur - an Outcome Study

Out-of-Hospital Resuscitation in an Urban Setting in Switzerland - an Outcome Study and Cost Effectiveness Analysis

The investigators will retrospectively examine all patients with out-of-hospital resuscitation by the emergency medical Team (EMT) from the Kantonsspital Winterthur in the year 2013 with a two year follow-up and a structured interview about Quality of life. Furthermore, the costs generated by the local health system are analysed.

Study Overview

• Status: Completed
• Conditions: Resuscitation
• Intervention / Treatment: Other: Interview

Detailed Description

The Primary objective of this study is to evaluate the Quality of out-of-Hospital resuscitation by the ambulance Service from the Kantonsspital Winterthur including a 2-year follow-up of the survivors. In this follow-up we evaluate the Quality of life by a validated questionnaire.

The following endpoints will be retrospectively analysed:

time-to-Response Interval; Initial cardiac rhythm; medications given; number of Defibrillations; return of spontaneous circulation, Overall costs for the local health System

Furthermore length of hospital-stay, survival until Hospital discharge, one-year survival, Quality of life two years after resuscitation and total costs will be analysed.

• Study Type: Observational
• Enrollment (Actual): 151

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 100 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients that were resuscitated out-of-hospital in the year 2013 by the emergency medical team from the Kantonsspital Winterthur.

Description

Inclusion Criteria:

• Patients with out-of-hospital resuscitation in Winterthur in the year 2013 and treatment by the emergency medical team from the Kantonsspital Winterthur
• Written informed consent of patients for structured interview

Exclusion Criteria:

• Patients with resuscitation but death on Scene
• no written informed consent from patients for structured interview

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Survivors; Patients with out-of-Hospital resuscitation and return of spontaneous circulation. Structured interview for quality of life (questionnaire) one year after resuscitation.	Other: Interview; Interview by validated Quality-of-life-questionnaire; Other Names: patient interviews

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Survival after prehospital cardiac Arrest until discharge of Hospital and a one-year follow-up	1 year

Secondary Outcome Measures

Outcome Measure	Time Frame
Evaluation of direct costs of local health care system	1 year
Quality of life one year after resuscitation	1 year

Collaborators and Investigators

• Sponsor: Kantonsspital Winterthur KSW
• Investigators: Principal Investigator: Michael Ganter, director, Sponsor and principal investigator

Publications and helpful links

General Publications

• Ruch R, Stoessel L, Stein P, Ganter MT, Button DA. Outcome, quality of life and direct costs after out-of-hospital cardiac arrest in an urban region of Switzerland. Scand J Trauma Resusc Emerg Med. 2019 Nov 27;27(1):106. doi: 10.1186/s13049-019-0682-7.

Study record dates

Study Major Dates

• Study Start: December 1, 2015
• Primary Completion (Actual): December 30, 2017
• Study Completion (Actual): October 30, 2019

Study Registration Dates

• First Submitted: December 7, 2015
• First Submitted That Met QC Criteria: December 7, 2015
• First Posted (Estimate): December 9, 2015

Study Record Updates

• Last Update Posted (Actual): February 26, 2020
• Last Update Submitted That Met QC Criteria: February 25, 2020
• Last Verified: February 1, 2020

More Information

Terms related to this study

• Keywords: Resuscitation, quality of life
• Other Study ID Numbers: Resuscitation in Winterthur