Epidemiology of Cardiac Arrests in Airports: Four Years Results of the French National Cardiac Arrest Registry
Joséphine Escutnaire
Public Health Department EA 2694, University of Lille, Lille, France
Philippe Bargain
Roissy-Charles de Gaulle international Airport (ADP) SMUR, Roissy, France
Evgéniya Babykina
Public Health Department EA 2694, University of Lille, Lille, France
Karim Tazarourte
SAMU 69, Lyon University Hospital, University of Claude Bernard-Lyon 1, Lyon, France
Carlos El Khoury
RESCUE (Réseau Cardiologie Médecine d’Urgence) Network, Hussel Hospital, Vienne, France
Christian Vilhelm
Public Health Department EA 2694, University of Lille, Lille, France
Jean-Baptiste Marc
SAMU 59 and Emergency Department, Lille University Hospital, Lille, France
Eric Wiel
Public Health Department EA 2694, University of Lille, Lille, France and SAMU 59 and Emergency Department, Lille University Hospital, Lille, France
Nicolas Segal
Assistance Publique des Hôpitaux de Paris (APHP), Lariboisière Hospital, Paris, France
Pierre-Yves Gueugniaud
SAMU 69, Lyon University Hospital, University of Claude Bernard-Lyon 1, Lyon, France
Hervé Hubert *
Public Health Department EA 2694, University of Lille, Lille, France
On Behalf GR-RéAC
Research Group on the French National Out-of-Hospital Cardiac Arrest Registry, RéAC, Lille, France
*Author to whom correspondence should be addressed.
Abstract
Aims: To describe and analyse cardiac arrests occurring in airports, all chain of survival steps and their survival including a neurological outcome assessment at day 30 and to compare these results between airports staffed with on-site medical teams and those without.
Study Design: National multicentre cohort study on cardiac arrests occurring in airports. Subgroup comparative study between airports staffed with on-site medical teams and those without.
Place and Duration of Study: All cardiac arrests occurring in French airports, extracted from the French national cardiac arrest registry, recorded between July 2011 and September 2015 (50 months).
Methodology: 109 cardiac arrests occurring in 19 French airports were collected. The population characteristics were described by medians and interquartile ranges or frequencies. Comparison of variables between airports staffed with on-site mobile medical team and others were handled using chi-square or Fisher’s exact tests and the Mann-Whitney U test. Survival differences were also compared and explained using odds-ratio.
Results: We recorded 71.4% immediate basic life support if cardiac arrest was witnessed (76.2%) and 52.4% automatic external defibrillator connexion by witnesses. First aid provider response was prompt and mobile medical teams provided an advanced cardiopulmonary resuscitation to a large majority of patients (91.4%). More than 4 victims of cardiac arrests occurring in airports on 10 were alive at hospital admission. Among them, 17.7% (17) survived at day 30. No survival difference between subgroups.
Conclusion: Cardiac arrests occurring in airports are rare events. The survival rates of cardiac arrests occurring in airports are superior to what we found in previous works and literature on general populations. These are related to the first steps of the chain of survival which are particularly strong in airports.
Keywords: Cardiac arrest, airport, emergency, registry, care organisation.