The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Rudolph W Koster - One of the best experts on this subject based on the ideXlab platform.
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impact of onsite or dispatched automated external defibrillator use on survival after out of hospital cardiac arrest
Circulation, 2011Co-Authors: Jocelyn Berdowski, Marieke T Blom, Abdennasser Bardai, Jan G P Tijssen, Rudolph W KosterAbstract:Background—There have been few studies on the effectiveness of bystander automated external defibrillator (AED) use in out-of-hospital cardiac arrest. The objective of this study was to determine whether actual use of onsite or dispatched AED reduces the time to first shock compared with no AED use and thereby improves survival. Methods and Results—We performed a population-based cohort study of 2833 consecutive patients with a nontraumatic out-of-hospital cardiac arrest before emergency medical system arrival between 2006 and 2009. The primary outcome, neurologically intact survival to discharge, was compared by use of multivariable logistic regression analysis. An onsite AED had been applied in 128 of the 2833 cases, a dispatched AED in 478, and no AED in 2227. Onsite AED use reduced the time to first shock from 11 to 4.1 minute. Neurologically intact survival was 49.6% for patients treated with an onsite AED compared with 14.3% without an AED (unadjusted odds ratio, 5.63; 95% confidence interval, 3.91–...
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impact of onsite or dispatched automated external defibrillator use on survival after out of hospital cardiac arrest
Circulation, 2011Co-Authors: Jocelyn Berdowski, Marieke T Blom, Abdennasser Bardai, Jan G P Tijssen, Rudolph W KosterAbstract:Background—There have been few studies on the effectiveness of bystander automated external defibrillator (AED) use in out-of-hospital cardiac arrest. The objective of this study was to determine whether actual use of onsite or dispatched AED reduces the time to first shock compared with no AED use and thereby improves survival. Methods and Results—We performed a population-based cohort study of 2833 consecutive patients with a nontraumatic out-of-hospital cardiac arrest before emergency medical system arrival between 2006 and 2009. The primary outcome, neurologically intact survival to discharge, was compared by use of multivariable logistic regression analysis. An onsite AED had been applied in 128 of the 2833 cases, a dispatched AED in 478, and no AED in 2227. Onsite AED use reduced the time to first shock from 11 to 4.1 minute. Neurologically intact survival was 49.6% for patients treated with an onsite AED compared with 14.3% without an AED (unadjusted odds ratio, 5.63; 95% confidence interval, 3.91–...
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survival and health care costs until hospital discharge of patients treated with onsite dispatched or without automated external defibrillator
Resuscitation, 2010Co-Authors: Jocelyn Berdowski, Mathijs J Kuiper, Marcel G W Dijkgraaf, Jan G P Tijssen, Rudolph W KosterAbstract:Abstract Background This study aimed to determine whether automated external defibrillator (AED) use during resuscitation is associated with lower in-hospital health care costs. Methods For this observational prospective study, we included all treated out-of-hospital cardiac arrests of suspected cardiac cause. Clinical, survival and cost data were collected from July 2005 until March 2008. Cost data were based on hospital transport, duration of admission in hospital wards, diagnostics and interventions. We divided the study population in three groups based on AED use: (1) onsite AED, (2) dispatched AED, (3) no AED. The endpoint was survival to discharge. P Results Of the 2126 included patients, 136 were treated with an onsite AED, 365 with a dispatched AED and 1625 without AED. Overall (95% confidence interval [CI]) survival rate was 43% (35–51%), 16% (13–20%) and 14% (12–16%), respectively*. Per 100 survivors, the mean duration admitted at intensive care unit [ICU] were 267 (166–374), 495 (344–658), and 537 (450–609) days, respectively*; total duration of hospital admission was 2188 (1800–2594), 3132 (2573–3797), and 2765 (2519–3050) days, respectively*. Mean costs per survivor for hospital stay were €9233 (€7351–€11,280), €14,194 (€11,656–€17,254), and €13,693 (€12,226–€15,166), respectively*; total health care costs were €29,575 (€24,695–€34,183), €34,533 (€29,832–€39,487) and €31,772 (€29,217–€34,385), respectively. For both survivors and non-survivors, total costs per patient were €14,727 (€11,957–€18,324), €7703 (€6141–€9366) and €6580 (€5875–€7238), respectively*. Conclusions Onsite AED use was associated with higher survival rates. Surviving patients of the onsite AED group had lower total costs, mainly due to the shorter ICU stay.
Jocelyn Berdowski - One of the best experts on this subject based on the ideXlab platform.
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impact of onsite or dispatched automated external defibrillator use on survival after out of hospital cardiac arrest
Circulation, 2011Co-Authors: Jocelyn Berdowski, Marieke T Blom, Abdennasser Bardai, Jan G P Tijssen, Rudolph W KosterAbstract:Background—There have been few studies on the effectiveness of bystander automated external defibrillator (AED) use in out-of-hospital cardiac arrest. The objective of this study was to determine whether actual use of onsite or dispatched AED reduces the time to first shock compared with no AED use and thereby improves survival. Methods and Results—We performed a population-based cohort study of 2833 consecutive patients with a nontraumatic out-of-hospital cardiac arrest before emergency medical system arrival between 2006 and 2009. The primary outcome, neurologically intact survival to discharge, was compared by use of multivariable logistic regression analysis. An onsite AED had been applied in 128 of the 2833 cases, a dispatched AED in 478, and no AED in 2227. Onsite AED use reduced the time to first shock from 11 to 4.1 minute. Neurologically intact survival was 49.6% for patients treated with an onsite AED compared with 14.3% without an AED (unadjusted odds ratio, 5.63; 95% confidence interval, 3.91–...
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impact of onsite or dispatched automated external defibrillator use on survival after out of hospital cardiac arrest
Circulation, 2011Co-Authors: Jocelyn Berdowski, Marieke T Blom, Abdennasser Bardai, Jan G P Tijssen, Rudolph W KosterAbstract:Background—There have been few studies on the effectiveness of bystander automated external defibrillator (AED) use in out-of-hospital cardiac arrest. The objective of this study was to determine whether actual use of onsite or dispatched AED reduces the time to first shock compared with no AED use and thereby improves survival. Methods and Results—We performed a population-based cohort study of 2833 consecutive patients with a nontraumatic out-of-hospital cardiac arrest before emergency medical system arrival between 2006 and 2009. The primary outcome, neurologically intact survival to discharge, was compared by use of multivariable logistic regression analysis. An onsite AED had been applied in 128 of the 2833 cases, a dispatched AED in 478, and no AED in 2227. Onsite AED use reduced the time to first shock from 11 to 4.1 minute. Neurologically intact survival was 49.6% for patients treated with an onsite AED compared with 14.3% without an AED (unadjusted odds ratio, 5.63; 95% confidence interval, 3.91–...
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survival and health care costs until hospital discharge of patients treated with onsite dispatched or without automated external defibrillator
Resuscitation, 2010Co-Authors: Jocelyn Berdowski, Mathijs J Kuiper, Marcel G W Dijkgraaf, Jan G P Tijssen, Rudolph W KosterAbstract:Abstract Background This study aimed to determine whether automated external defibrillator (AED) use during resuscitation is associated with lower in-hospital health care costs. Methods For this observational prospective study, we included all treated out-of-hospital cardiac arrests of suspected cardiac cause. Clinical, survival and cost data were collected from July 2005 until March 2008. Cost data were based on hospital transport, duration of admission in hospital wards, diagnostics and interventions. We divided the study population in three groups based on AED use: (1) onsite AED, (2) dispatched AED, (3) no AED. The endpoint was survival to discharge. P Results Of the 2126 included patients, 136 were treated with an onsite AED, 365 with a dispatched AED and 1625 without AED. Overall (95% confidence interval [CI]) survival rate was 43% (35–51%), 16% (13–20%) and 14% (12–16%), respectively*. Per 100 survivors, the mean duration admitted at intensive care unit [ICU] were 267 (166–374), 495 (344–658), and 537 (450–609) days, respectively*; total duration of hospital admission was 2188 (1800–2594), 3132 (2573–3797), and 2765 (2519–3050) days, respectively*. Mean costs per survivor for hospital stay were €9233 (€7351–€11,280), €14,194 (€11,656–€17,254), and €13,693 (€12,226–€15,166), respectively*; total health care costs were €29,575 (€24,695–€34,183), €34,533 (€29,832–€39,487) and €31,772 (€29,217–€34,385), respectively. For both survivors and non-survivors, total costs per patient were €14,727 (€11,957–€18,324), €7703 (€6141–€9366) and €6580 (€5875–€7238), respectively*. Conclusions Onsite AED use was associated with higher survival rates. Surviving patients of the onsite AED group had lower total costs, mainly due to the shorter ICU stay.
Jan G P Tijssen - One of the best experts on this subject based on the ideXlab platform.
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impact of onsite or dispatched automated external defibrillator use on survival after out of hospital cardiac arrest
Circulation, 2011Co-Authors: Jocelyn Berdowski, Marieke T Blom, Abdennasser Bardai, Jan G P Tijssen, Rudolph W KosterAbstract:Background—There have been few studies on the effectiveness of bystander automated external defibrillator (AED) use in out-of-hospital cardiac arrest. The objective of this study was to determine whether actual use of onsite or dispatched AED reduces the time to first shock compared with no AED use and thereby improves survival. Methods and Results—We performed a population-based cohort study of 2833 consecutive patients with a nontraumatic out-of-hospital cardiac arrest before emergency medical system arrival between 2006 and 2009. The primary outcome, neurologically intact survival to discharge, was compared by use of multivariable logistic regression analysis. An onsite AED had been applied in 128 of the 2833 cases, a dispatched AED in 478, and no AED in 2227. Onsite AED use reduced the time to first shock from 11 to 4.1 minute. Neurologically intact survival was 49.6% for patients treated with an onsite AED compared with 14.3% without an AED (unadjusted odds ratio, 5.63; 95% confidence interval, 3.91–...
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impact of onsite or dispatched automated external defibrillator use on survival after out of hospital cardiac arrest
Circulation, 2011Co-Authors: Jocelyn Berdowski, Marieke T Blom, Abdennasser Bardai, Jan G P Tijssen, Rudolph W KosterAbstract:Background—There have been few studies on the effectiveness of bystander automated external defibrillator (AED) use in out-of-hospital cardiac arrest. The objective of this study was to determine whether actual use of onsite or dispatched AED reduces the time to first shock compared with no AED use and thereby improves survival. Methods and Results—We performed a population-based cohort study of 2833 consecutive patients with a nontraumatic out-of-hospital cardiac arrest before emergency medical system arrival between 2006 and 2009. The primary outcome, neurologically intact survival to discharge, was compared by use of multivariable logistic regression analysis. An onsite AED had been applied in 128 of the 2833 cases, a dispatched AED in 478, and no AED in 2227. Onsite AED use reduced the time to first shock from 11 to 4.1 minute. Neurologically intact survival was 49.6% for patients treated with an onsite AED compared with 14.3% without an AED (unadjusted odds ratio, 5.63; 95% confidence interval, 3.91–...
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survival and health care costs until hospital discharge of patients treated with onsite dispatched or without automated external defibrillator
Resuscitation, 2010Co-Authors: Jocelyn Berdowski, Mathijs J Kuiper, Marcel G W Dijkgraaf, Jan G P Tijssen, Rudolph W KosterAbstract:Abstract Background This study aimed to determine whether automated external defibrillator (AED) use during resuscitation is associated with lower in-hospital health care costs. Methods For this observational prospective study, we included all treated out-of-hospital cardiac arrests of suspected cardiac cause. Clinical, survival and cost data were collected from July 2005 until March 2008. Cost data were based on hospital transport, duration of admission in hospital wards, diagnostics and interventions. We divided the study population in three groups based on AED use: (1) onsite AED, (2) dispatched AED, (3) no AED. The endpoint was survival to discharge. P Results Of the 2126 included patients, 136 were treated with an onsite AED, 365 with a dispatched AED and 1625 without AED. Overall (95% confidence interval [CI]) survival rate was 43% (35–51%), 16% (13–20%) and 14% (12–16%), respectively*. Per 100 survivors, the mean duration admitted at intensive care unit [ICU] were 267 (166–374), 495 (344–658), and 537 (450–609) days, respectively*; total duration of hospital admission was 2188 (1800–2594), 3132 (2573–3797), and 2765 (2519–3050) days, respectively*. Mean costs per survivor for hospital stay were €9233 (€7351–€11,280), €14,194 (€11,656–€17,254), and €13,693 (€12,226–€15,166), respectively*; total health care costs were €29,575 (€24,695–€34,183), €34,533 (€29,832–€39,487) and €31,772 (€29,217–€34,385), respectively. For both survivors and non-survivors, total costs per patient were €14,727 (€11,957–€18,324), €7703 (€6141–€9366) and €6580 (€5875–€7238), respectively*. Conclusions Onsite AED use was associated with higher survival rates. Surviving patients of the onsite AED group had lower total costs, mainly due to the shorter ICU stay.
Karol Jan Borowiecki - One of the best experts on this subject based on the ideXlab platform.
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changes in cultural consumption ethnographic collections in wikipedia
Research Papers in Economics, 2016Co-Authors: Trilce Navarrete, Karol Jan BorowieckiAbstract:Visits to museums have been studied as hedonic and utilitarian forms of cultural consumption, though limited attention has been given to the access of museum collections online. We perform a unique historic analysis of the visibility of collections in a museum of ethnographic collections and compare 100 years of onsite visits to 5 years online visits. We find two main results: first, access to collections increased substantially online. From a selection of objects available both onsite and online, access grew from an average of 156,000 onsite visitors per year to over 1.5 million views online per year. Onsite, 15.5 million people visited the museum in a spam of a century while online, 7.9 million people viewed collections in only the last 5 years. Second, we find a difference in consumer preference for type of object, favouring 3D onsite and 2D online (photographs of objects, particularly when showing them being used). Results support understanding of online heritage consumption and emerging dynamics, particularly outside of an institutional environment, such as Wikipedia.
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changes in cultural consumption ethnographic collections in wikipedia
Cultural Trends, 2016Co-Authors: Trilce Navarrete, Karol Jan BorowieckiAbstract:ABSTRACTVisits to museums have been studied as hedonic and utilitarian forms of cultural consumption, though limited attention has been given to the access of museum collections online. We perform a unique historic analysis of the visibility of collections in a museum of ethnographic collections and compare 100 years of onsite visits to 5 years online visits. We find two main results: first, access to collections increased substantially online. From a selection of objects available both onsite and online, access grew from an average of 156,000 onsite visits per year to over 1.5 million views online per year. Onsite, the museum received 15.5 million visits in a span of a century while online, collections were viewed 7.9 million times in only the last 5 years. Second, we find a difference in consumer preference for type of object, favouring 3D onsite and 2D online (photographs of objects, particularly when showing them being used). Results support understanding of online heritage consumption and emerging dy...
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changes in cultural consumption ethnographic collections in wikipedia
Social Science Research Network, 2016Co-Authors: Trilce Navarrete, Karol Jan BorowieckiAbstract:Visits to museums have been studied as hedonic and utilitarian forms of cultural consumption, though limited attention has been given to the access of museum collections online. We perform a unique historic analysis of the visibility of collections in a museum of ethnographic collections and compare 100 years of onsite visits to 5 years online visits. We find two main results: first, access to collections increased substantially online. From a selection of objects available both onsite and online, access grew from an average of 156,000 onsite visits per year to over 1.5 million views online per year. Onsite, the museum received 15.5 million visits in a span of a century while online, collections were viewed 7.9 million times in only the last 5 years. Second, we find a difference in consumer preference for type of object, favouring 3D onsite and 2D online (photographs of objects, particularly when showing them being used). Results support understanding of online heritage consumption and emerging dynamics, particularly outside of an institutional environment, such as Wikipedia.
Philip M Gilbert - One of the best experts on this subject based on the ideXlab platform.
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Opsite spray its use for fixation of meshed skin grafts simple and low tech
Burns, 1997Co-Authors: Sudip Jiban Ghosh, Krishna Kumar, Philip M GilbertAbstract:The fixation of skin grafts often poses a problem, particularly in patients who have undergone tangential excision and grafting for burns. Sutures, staples, fibrin glue and other adhesives have been used for graft fixation. We present the use of Opsite spray as a simple method for graft fixation and stabilization. Opsite markedly reduced pain and discomfort at the time of first graft dressing and obviated the necessity for an anaesthetic which is often required for the removal of staples.