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Correspondence
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Volume 358:1631-1634 April 10, 2008 Number 15
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Time to Defibrillation after In-Hospital Cardiac Arrest

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by Saxon, L. A.
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by Chan, P. S.
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To the Editor: The study of the time to defibrillation after in-hospital cardiac arrest, reported by Chan et al. (Jan. 3 issue),1 showed strikingly higher mortality among hospitalized patients with ventricular fibrillation or pulseless ventricular tachycardia when defibrillation was delayed. In an accompanying editorial, Saxon observes that underlying medical conditions in hospitalized patients contribute to their lower survival rate as compared with the rate among persons who have heart attacks in public areas.2

Actually, health differences contribute so greatly to the discrepancy that the survival-rate comparison is highly misleading as a critique of hospital performance. Consider only patients who underwent . . . [Full Text of this Article]



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