Does centralised care improve survival after cardiac arrest?
A nationwide Danish study investigates the impact of centralising post-resuscitation care for out-of-hospital cardiac arrest (OHCA) patients at specialised cardiac arrest centres. The research, published in *Critical Care*, follows a large cohort to determine whether a centralised model, which consolidates advanced interventions like targeted temperature management, early coronary angiography, and neurological prognostication, leads to better patient outcomes compared to treatment at non-specialised hospitals. This follow-up analysis provides crucial real-world evidence on the effectiveness of regionalised systems of care for this critical patient population.
Why it might matter to you: For critical care specialists focused on systems of care for acute life-threatening conditions, this study offers vital data on the potential benefits of centralising post-cardiac arrest management. The findings could directly inform protocols for patient transfer and the development of regional networks, aiming to improve survival and neurological recovery. This evidence supports strategic decisions about resource allocation and the implementation of specialised care pathways for OHCA, a core component of modern resuscitation science.
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