Research finds no difference in the survival between those taken by ambulance to the different hospitals.
Previous data suggested there was a better survival rate when treating patients at a specialist centre and there is a strong drive to do so internationally.
A randomised trial involving all hospitals in London carried out between January 2018 and December 2022 looked at the survival rates of 862 patients after 30 days. Of those, 431 were randomly assigned by London Ambulance Service paramedics to be transferred to a cardiac arrest centre, while the other 431 remained in standard care.The study found exactly the same number of patients, 258 , from both groups had died within 30 days.
Professor Simon Redwood, from Guy's and St Thomas' said the benefit of taking patients to an emergency department rather than to a specialist centre was likely to be even greater in rural areas where ambulance transfer times are longer."If it was in a rural situation where perhaps the transfer times could be much longer to get to a cardiac arrest centre, I imagine that would make the results even worse for the cardiac arrest centre.
Professor Sir Nilesh Samani, medical director of the British Heart Foundation, added:"There are more than 30,000 out-of-hospital cardiac arrests in the UK each year, but the survival rate remains stubbornly low at less than one in 10.
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