Opportunities to prevent sudden out-of-hospital death due to coronary heart disease in a community

Lambert A. Wu, Thomas E. Kottke, Lee N. Brekke, Mark J. Brekke, Diane E. Grill, Tauqir Y. Goraya, Veronique Lee Roger, Paul G. Belau, Roger D. White

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Intervening successfully to reduce the burden of sudden out-of-hospital death due to coronary heart disease (OHCD) requires knowledge of where these deaths occur and whether they are observed by bystanders. Methods: To establish the proportion of OHCDs that were witnessed and where they occurred, we reviewed the coroner's notes and medical records of a previously-described sample of OHCD cases among residents of Olmsted County, Minnesota. This cohort (n=113) consisted of a 10% random sample of all Olmsted County residents who died out-of-hospital between 1981 and 1994 and whose deaths were attributed to coronary heart disease. Results: Excluding deaths in nursing homes (n=27), 71 (83%) of the deaths occurred in private homes and 15 (17%) occurred in public places. The event was not witnessed in 59% of deaths occurring in private homes and in 20% of deaths occurring in public places. The presence or absence of a bystander could not be established for 10% of deaths in private homes and 7% of deaths in public areas. Conclusions: A significant proportion of OHCDs occur in private homes and are not witnessed. Prevention of unwitnessed deaths will require programs that result in primary prevention and/or calls to first responders at the time of impending cardiac arrest.

Original languageEnglish (US)
Pages (from-to)55-58
Number of pages4
JournalResuscitation
Volume56
Issue number1
DOIs
StatePublished - Jan 1 2003

Fingerprint

Coronary Disease
Coroners and Medical Examiners
Primary Prevention
Nursing Homes
Heart Arrest
Medical Records

Keywords

  • Automated external defibrillator
  • Cardiac arrest
  • Out-of-hospital CPR
  • Sudden cardiac death

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Nursing(all)

Cite this

Wu, L. A., Kottke, T. E., Brekke, L. N., Brekke, M. J., Grill, D. E., Goraya, T. Y., ... White, R. D. (2003). Opportunities to prevent sudden out-of-hospital death due to coronary heart disease in a community. Resuscitation, 56(1), 55-58. https://doi.org/10.1016/S0300-9572(02)00295-2

Opportunities to prevent sudden out-of-hospital death due to coronary heart disease in a community. / Wu, Lambert A.; Kottke, Thomas E.; Brekke, Lee N.; Brekke, Mark J.; Grill, Diane E.; Goraya, Tauqir Y.; Roger, Veronique Lee; Belau, Paul G.; White, Roger D.

In: Resuscitation, Vol. 56, No. 1, 01.01.2003, p. 55-58.

Research output: Contribution to journalArticle

Wu, LA, Kottke, TE, Brekke, LN, Brekke, MJ, Grill, DE, Goraya, TY, Roger, VL, Belau, PG & White, RD 2003, 'Opportunities to prevent sudden out-of-hospital death due to coronary heart disease in a community', Resuscitation, vol. 56, no. 1, pp. 55-58. https://doi.org/10.1016/S0300-9572(02)00295-2
Wu, Lambert A. ; Kottke, Thomas E. ; Brekke, Lee N. ; Brekke, Mark J. ; Grill, Diane E. ; Goraya, Tauqir Y. ; Roger, Veronique Lee ; Belau, Paul G. ; White, Roger D. / Opportunities to prevent sudden out-of-hospital death due to coronary heart disease in a community. In: Resuscitation. 2003 ; Vol. 56, No. 1. pp. 55-58.
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