Better not to have a heart attack at night or at the hospital weekend

According to one study, survival after cardiac arrest is better in the hospital week, especially during the day.

50,000 people each year are victims of cardiac arrest in France. Survival in cardiopulmonary arrest is strongly related to the speed of management by a health care team.
American researchers have studied survival when it happens in a hospital. It is better during the week and during the day. The results were published in the Journal of the American College of Cardiology.

50% of cardiac arrests in hospitals occur during off-peak periods

Scientists have completed several time categories to better compare survival rates between work periods and peak periods. Work periods are from 7 am to 10.59 pm, Monday to Friday. Outside these hours, these are empty periods.
"About 50% of cardiac arrests in the hospital occurred during" off-peak "hours. By determining how the survival rate has evolved in recent years, we will be able to identify what efforts can be made in terms of quality improvement, "says the lead author of this research, Uchenna R. Ofoma.

Measures to improve the survival rate

They studied 151,071 patients, aged 18 years and over, who had cardiac arrest in the hospital between January 2000 and December 2014. The survival rate during off-peak hours improved by 10 points over the period. But it remains 3.8% lower than hours worked.
The researchers propose several explanations and solutions to improve this survival rate: changing the teams at night and on weekends, the number of nurses per patient is reduced during off-peak periods. In addition, this type of work organization, in rotation, is recognized as having an impact on performance and psycho-motor skills.

In France, it is precisely the excessive workload and lack of staff that the emergency services staff have been denouncing for several weeks. Difficult working conditions, which, above all, can degrade the quality of care.

Video: Heart Attacks Have Beginnings (January 2020).