Change in survival from out-of-hospital cardiac arrest and its effect on coronary heart disease mortality, Minneapolis-St. Paul

The Minnesota Heart Survey

S. J. Tillinghast, K. M. Doliszny, T. E. Kottke, Orlando W Gomez-Marin, G. P. Lilja, B. C. Campion

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Emergency medical services with advanced life support systems were implemented in the Minneapolis-St. Paul, Minnesota, area in the mid-1970s. To assess the impact of emergency medical services on coronary heart disease mortality, the authors reviewed ambulance records and hospital emergency room logs for possible out-of-hospital cardiac arrest cases in the period 1972-1982. Potential cases, and their survival to discharge, were validated by hospital record review and were checked against Minnesota death certificates for the year of cardiac arrest and the year following cardiac arrest. Age-adjusted rates of survival to 1 year after cardiac arrest (per 100,000 population) for survivors of out-of-hospital cardiac arrest aged 30-74 years increased significantly from 1972 to 1982 for men (1.8 vs. 11.7; p < 0.00001) and for women (0.5 vs. 3.5; p < 0.01). Coronary heart disease mortality rates declined in that period by 34.9% for men (from 527.5 per 100,000 to 343.3 per 100,000) and by 41.7% for women (from 168.6 per 100,000 to 98.3 per 100,000). The authors estimate that improved survival from out-of-hospital cardiac arrest contributed 5.4% (9.9 of 184.2) of the mortality decline for men and 4.3% (3.0 of 70.3) of the decline for women. This was a significant contribution to the decline in coronary heart disease mortality, but it explains only a small part of it.

Original languageEnglish
Pages (from-to)851-861
Number of pages11
JournalAmerican Journal of Epidemiology
Volume134
Issue number8
StatePublished - Jan 1 1991

Fingerprint

Out-of-Hospital Cardiac Arrest
Coronary Disease
Heart Arrest
Survival
Mortality
Hospital Records
Emergency Medical Services
Life Support Systems
Death Certificates
Ambulances
Survivors
Hospital Emergency Service
Survival Rate
Surveys and Questionnaires
Population

Keywords

  • Coronary disease
  • Emergency medical services
  • Heart arrest
  • Survival

ASJC Scopus subject areas

  • Epidemiology
  • Geriatrics and Gerontology

Cite this

Tillinghast, S. J., Doliszny, K. M., Kottke, T. E., Gomez-Marin, O. W., Lilja, G. P., & Campion, B. C. (1991). Change in survival from out-of-hospital cardiac arrest and its effect on coronary heart disease mortality, Minneapolis-St. Paul: The Minnesota Heart Survey. American Journal of Epidemiology, 134(8), 851-861.

Change in survival from out-of-hospital cardiac arrest and its effect on coronary heart disease mortality, Minneapolis-St. Paul : The Minnesota Heart Survey. / Tillinghast, S. J.; Doliszny, K. M.; Kottke, T. E.; Gomez-Marin, Orlando W; Lilja, G. P.; Campion, B. C.

In: American Journal of Epidemiology, Vol. 134, No. 8, 01.01.1991, p. 851-861.

Research output: Contribution to journalArticle

Tillinghast, SJ, Doliszny, KM, Kottke, TE, Gomez-Marin, OW, Lilja, GP & Campion, BC 1991, 'Change in survival from out-of-hospital cardiac arrest and its effect on coronary heart disease mortality, Minneapolis-St. Paul: The Minnesota Heart Survey', American Journal of Epidemiology, vol. 134, no. 8, pp. 851-861.
Tillinghast, S. J. ; Doliszny, K. M. ; Kottke, T. E. ; Gomez-Marin, Orlando W ; Lilja, G. P. ; Campion, B. C. / Change in survival from out-of-hospital cardiac arrest and its effect on coronary heart disease mortality, Minneapolis-St. Paul : The Minnesota Heart Survey. In: American Journal of Epidemiology. 1991 ; Vol. 134, No. 8. pp. 851-861.
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abstract = "Emergency medical services with advanced life support systems were implemented in the Minneapolis-St. Paul, Minnesota, area in the mid-1970s. To assess the impact of emergency medical services on coronary heart disease mortality, the authors reviewed ambulance records and hospital emergency room logs for possible out-of-hospital cardiac arrest cases in the period 1972-1982. Potential cases, and their survival to discharge, were validated by hospital record review and were checked against Minnesota death certificates for the year of cardiac arrest and the year following cardiac arrest. Age-adjusted rates of survival to 1 year after cardiac arrest (per 100,000 population) for survivors of out-of-hospital cardiac arrest aged 30-74 years increased significantly from 1972 to 1982 for men (1.8 vs. 11.7; p < 0.00001) and for women (0.5 vs. 3.5; p < 0.01). Coronary heart disease mortality rates declined in that period by 34.9{\%} for men (from 527.5 per 100,000 to 343.3 per 100,000) and by 41.7{\%} for women (from 168.6 per 100,000 to 98.3 per 100,000). The authors estimate that improved survival from out-of-hospital cardiac arrest contributed 5.4{\%} (9.9 of 184.2) of the mortality decline for men and 4.3{\%} (3.0 of 70.3) of the decline for women. This was a significant contribution to the decline in coronary heart disease mortality, but it explains only a small part of it.",
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