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    22 results match your criteria Circulation: Cardiovascular Quality and Outcomes [Journal]

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    Manual Versus Semiautomatic Rhythm Analysis and Defibrillation for Out-of-Hospital Cardiac Arrest.
    Circ Cardiovasc Qual Outcomes 2017 Jul;10(7)
    From the Department of Research and Evaluation, Ambulance Victoria, Doncaster, Australia (Z.N., E.A., R.N., S.B., K.S.); Department of Epidemiology and Preventive Medicine, Monash University, Prahran, Victoria, Australia (Z.N., E.A., S.B., K.S.); Department of Community Emergency Health and Paramedic Practice, Monash University, Frankston, Victoria, Australia (Z.N., K.S.); Intensive Care Unit, Alfred Hospital, Prahran, Victoria, Australia (S.B.); and Discipline of Emergency Medicine, University of Western Australia, Crawley, Australia (K.S.).
    Background: Although manual and semiautomatic external defibrillation (SAED) are commonly used in the management of out-of-hospital cardiac arrest, the optimal strategy is not known. We hypothesized that SAED would reduce the time to first shock and lead to higher rates of cardioversion and survival compared with a manual strategy.

    Methods And Results: Between July 2005 and June 2015, we included adult out-of-hospital cardiac arrest of presumed cardiac pathogenesis. Read More

    Direct Transport to a Percutaneous Cardiac Intervention Center and Outcomes in Patients With Out-of-Hospital Cardiac Arrest.
    Circ Cardiovasc Qual Outcomes 2017 Jun;10(6)
    From the Duke Clinical Research Institute, Durham, NC (K.K., C.M.H., M.E.D., Y.X., C.T., L.M., C.B.F., E.L.F., J.G.J., C.B.G.); Departments of Cardiology and Epidemiology/Biostatistics, Aalborg University Hospital, Denmark (K.K.); Department of Community and Family Medicine (M.E.D.), Nicholas School of the Environment (B.S.), Duke University, Durham, NC; Department of Neurology, Duke University Medical Center, Durham, NC (Y.X.); Center for Educational Excellence, Durham, NC (C.T.); New Hanover Regional Medical Center, Wilmington, NC (C.C.); Division of Cardiology, University of British Columbia, Vancouver, Canada (C.B.F.); Carolinas Medical Center, Charlotte, NC (D.A.P.); The Heart Center, University Hospital of Copenhagen, Rigshospitalet, Denmark (E.L.F.); Center for Resuscitation Science, Department of Emergency Medicine, University of Pennsylvania, Philadelphia (B.S.A.); Emory University School of Medicine, Atlanta, GA (B.M.); and Rollins School of Public Health, Emory University, Atlanta, GA (B.M.).
    Background: Practice guidelines recommend regional systems of care for out-of-hospital cardiac arrest. However, whether emergency medical services should bypass nonpercutaneous cardiac intervention (non-PCI) facilities and transport out-of-hospital cardiac arrest patients directly to PCI centers despite longer transport time remains unknown.

    Methods And Results: Using the Cardiac Arrest Registry to Enhance Survival with geocoding of arrest location, we identified out-of-hospital cardiac arrest patients with prehospital return of spontaneous circulation and evaluated the association between direct transport to a PCI center and outcomes in North Carolina during 2012 to 2014. Read More

    The Review and Editorial Process at Circulation: Cardiovascular Quality and Outcomes: The Worst System, Except for All the Others.
    Circ Cardiovasc Qual Outcomes 2017 May;10(5)
    From the Department of Neurology, University of Michigan, Ann Arbor (J.F.B.); VA Health Services Research and Development Center for Clinical Management Research, VA Ann Arbor Healthcare System, MI (B.K.N.); Department of Internal Medicine, Michigan Center for Health Analytics and Medical Prediction, University of Michigan Medical School, Ann Arbor (B.K.N.); and VA Eastern Colorado Health Care System and University of Colorado School of Medicine, Denver, CO (P.M.H.).

    Identifying Important Gaps in Randomized Controlled Trials of Adult Cardiac Arrest Treatments: A Systematic Review of the Published Literature.
    Circ Cardiovasc Qual Outcomes 2016 Nov 18;9(6):749-756. Epub 2016 Oct 18.
    From the Department of Internal Medicine, Division of Cardiovascular Medicine, Samuel and Jean Frankel Cardiovascular Center (S.S.S., D.S., J.J.L., V.P., B.K.N.) and Department of Emergency Medicine (R.W.N.), Institute for Healthcare Policy and Innovation (S.S.S., D.S., B.K.N.), Michigan Center for Health Analytics and Medical Prediction (S.S.S., D.S., B.K.N.), and Michigan Center for Integrative Research in Critical Care (S.S.S., R.W.N., B.K.N.), University of Michigan, Ann Arbor; Saint Luke's Mid America Heart Institute, University of Missouri, Kansas City (P.S.C.); and VA Health Services Research and Development Center of Innovation, VA Ann Arbor Healthcare System, MI (B.K.N.).
    Background: Cardiac arrest is a major public health concern worldwide. The extent and types of randomized controlled trials (RCT)-our most reliable source of clinical evidence-conducted in these high-risk patients over recent years are largely unknown.

    Methods And Results: We performed a systematic review, identifying all RCTs published in PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Library from 1995 to 2014 that focused on the acute treatment of nontraumatic cardiac arrest in adults. Read More

    Policies allowing family presence during resuscitation and patterns of care during in-hospital cardiac arrest.
    Circ Cardiovasc Qual Outcomes 2015 May 24;8(3):226-34. Epub 2015 Mar 24.
    From the Department of Internal Medicine, University of Washington, Seattle (Z.D.G., G.N., J.R.C.); Divisions of Cardiology (Z.D.G.) and Pulmonary and Critical Care Medicine (J.R.C.), Harborview Medical Center, University of Washington, Seattle; Harborview Center for Prehospital Emergency Care, University of Washington, Seattle (G.N.); Department of Internal Medicine (B.K.N., C.R.C.), Divisions of Cardiovascular Medicine (B.K.N.), Pulmonary and Critical Care Medicine (C.R.C.), and Center for Healthcare Outcomes and Policy, Institute for Healthcare Policy and Innovation (B.K.N., C.R.C.), University of Michigan, Ann Arbor; VA Ann Arbor Center for Clinical Management Research, MI (B.K.N.); and Saint Luke's Mid-America Heart Institute, Kansas City, MO (P.S.C.).
    Background: A growing number of hospitals have begun to implement policies allowing for family presence during resuscitation (FPDR). However, the overall safety of these policies and their effect on resuscitation care is unknown.

    Methods And Results: We conducted an observational cohort study of 252 hospitals in the United States with 41,568 adults with cardiac arrest. Read More

    Most important outcomes research papers on hypertension.
    Circ Cardiovasc Qual Outcomes 2013 Jul 9;6(4):e26-35. Epub 2013 Jul 9.
    The following are highlights from the new series, Circulation: Cardiovascular Quality and Outcomes Topic Review. This series will summarize the most important manuscripts, as selected by the Editor, which have published in the Circulation portfolio. The objective of this new series is to provide our readership with a timely, comprehensive selection of important papers that are relevant to the quality and outcomes, as well as general cardiology audience. Read More

    Most important outcomes research papers on treatment of stable coronary artery disease.
    Circ Cardiovasc Qual Outcomes 2013 May 14;6(3):e17-25. Epub 2013 May 14.
    The following are highlights from the new series, Circulation: Cardiovascular Quality and Outcomes Topic Review. This series will summarize the most important manuscripts, as selected by the Editor, that have been published in the Circulation portfolio. The objective of this series is to provide our readership with a timely, comprehensive selection of important papers that are relevant to the quality and outcomes, and general cardiology audience. Read More

    Quantifying the effect of cardiopulmonary resuscitation quality on cardiac arrest outcome: a systematic review and meta-analysis.
    Circ Cardiovasc Qual Outcomes 2013 Mar 12;6(2):148-56. Epub 2013 Mar 12.
    Center for Resuscitation Science and Department of Emergency Medicine and the Doris Duke Clinical Research Fellowship Program, University of Pennsylvania, Philadelphia.
    Background- Evidence has accrued that cardiopulmonary resuscitation quality affects cardiac arrest outcome. However, the relative contributions of chest compression components (such as rate and depth) to successful resuscitation remain unclear. Methods and Results- We sought to measure the effect of cardiopulmonary resuscitation quality on cardiac arrest outcome through systematic review and meta-analysis. Read More

    Left and codominant coronary artery circulations are associated with higher in-hospital mortality among patients undergoing percutaneous coronary intervention for acute coronary syndromes: report From the National Cardiovascular Database Cath Percutaneous Coronary Intervention (CathPCI) Registry.
    Circ Cardiovasc Qual Outcomes 2012 Nov 30;5(6):775-82. Epub 2012 Oct 30.
    Cardiology Division, Queens Medical Center, Honolulu, HI 96813, USA.
    Background: Left or codominant coronary arterial circulation may represent less well-balanced myocardial perfusion and thus confer worse prognosis in acute coronary syndrome, especially for culprit lesions arising from the left coronary artery.

    Methods And Results: We related left and codominance, relative to right dominance, with in-hospital mortality in 207 926 percutaneous coronary interventions (PCI) for acute coronary syndromes from July 1, 2009 through June 30, 2010 in the National Cardiovascular Data Registry Cath Percutaneous Coronary Intervention (CathPCI) Registry database version 4. Generalized estimating equations and logistic regression analyses were used in unadjusted and multivariable adjusted models. Read More

    Most important outcomes research papers on anticoagulation for cardiovascular disease.
    Circ Cardiovasc Qual Outcomes 2012 Sep;5(5):e65-74
    The following are highlights from the new series, Circulation: Cardiovascular Quality and Outcomes Topic Review. This series will summarize the most important manuscripts, as selected by the Editor, that have been published in the Circulation portfolio. The objective of this new series is to provide our readership with a timely, comprehensive selection of important papers that are relevant to the quality and outcomes, and general cardiology audience. Read More

    Most important articles on cardiovascular disease among racial and ethnic minorities.
    Circ Cardiovasc Qual Outcomes 2012 Jul;5(4):e33-41
    The following are highlights from the new series, Circulation: Cardiovascular Quality and Outcomes Topic Review. This series will summarize the most important manuscripts, as selected by the Editor, that have published in the Circulation portfolio. The objective of this new series is to provide our readership with a timely, comprehensive selection of important papers that are relevant to the quality and outcomes, and general cardiology audience. Read More

    Most important outcomes research papers in cardiovascular disease in the elderly.
    Circ Cardiovasc Qual Outcomes 2012 May;5(3):e17-26
    The following are highlights from the new series, Circulation: Cardiovascular Quality and Outcomes Topic Review. This series will summarize the most important manuscripts, as selected by the Editor, that have published in the Circulation portfolio. The objective of this new series is to provide our readership with a timely, comprehensive selection of important papers that are relevant to the quality and outcomes and general cardiology audience. Read More

    Most important papers in health costs, cost-effectiveness, and resource utilization.
    Circ Cardiovasc Qual Outcomes 2012 Mar;5(2):e9-15
    The following are highlights from the new series, Circulation: Cardiovascular Quality and Outcomes Topic Review. This series will summarize the most important manuscripts (as selected by the Editor) that have published in the Circulation portfolio. The objective of this new series is to provide our readership with a timely, comprehensive selection of important papers that are relevant to the quality and outcomes, and general cardiology audience. Read More

    Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis.
    Circ Cardiovasc Qual Outcomes 2010 Jan 10;3(1):63-81. Epub 2009 Nov 10.
    Departments of Emergency Medicine and Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
    Background: Prior studies have identified key predictors of out-of-hospital cardiac arrest (OHCA), but differences exist in the magnitude of these findings. In this meta-analysis, we evaluated the strength of associations between OHCA and key factors (event witnessed by a bystander or emergency medical services [EMS], provision of bystander cardiopulmonary resuscitation [CPR], initial cardiac rhythm, or the return of spontaneous circulation). We also examined trends in OHCA survival over time. Read More

    Primer on statistical interpretation or methods report card on propensity-score matching in the cardiology literature from 2004 to 2006: a systematic review.
    Circ Cardiovasc Qual Outcomes 2008 Sep;1(1):62-7
    Institute for Clinical Evaluative Sciences, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M4N 3M5, Canada.
    Background: Propensity-score matching is frequently used in the cardiology literature. Recent systematic reviews have found that this method is, in general, poorly implemented in the medical literature. The study objective was to examine the quality of the implementation of propensity-score matching in the general cardiology literature. Read More

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