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Cardiac arrest
Post-OHCA outcomes at Victorian Heart Hospital
Postresuscitation Out‐of‐Hospital Cardiac Arrest Presentations to Australia's First Dedicated Cardiac Hospital: A Retrospective Audit of Outcomes and Emergency Department Access Factors
Emergency Medicine Australasia · Added 29 September 2026
Audit of 121 post-arrest patients at the Victorian Heart Hospital — 50.4% survived to discharge with 92.6% prehospital ROSC and 61.2% shockable rhythms, and 24% needed interhospital transfer, mostly for non-cardiac causes.
- Study type
- Cohort
- Design
- Retrospective audit of a dedicated cardiac hospital ED
- Participants
- 121 post-OHCA presentations
- Main finding
- Survival to discharge 50.4%; 30-day survival 40.0%; shockable rhythms 61.2%, prehospital ROSC 92.6%; shockable rhythm (OR 3.46), cardiac aetiology (OR 3.40) and prehospital ROSC (OR 9.23) associated with survival; 24.0% needed interhospital transfer.
- Caveat
- Small, single highly selected tertiary cohort not comparable to population-based OHCA outcomes.
- Bottom line
- Context only
Why it matters in Australia (High relevance). transferability — Australian post-ROSC outcomes data relevant to CMG 4A transport and destination decisions, though ACT has no dedicated cardiac hospital equivalent
Learning goal
Understand how interhospital transfer pathways shape outcomes for post-arrest patients needing specialist cardiac care.
More
- Topic: Cardiac arrest
- Daily scan: 29 September 2026
- Podcast: Paramedic Papers Daily, 29 September 2026
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