Rosc in out-of-hospital cardiac arrest patients by cardiologic etiology in the adult population in Serbia

Journal Resuscitatio Balcanica

Raffay Violetta¹  Budimski Mihaela²  Fišer Zlatko³ 

[1] Resuscitacioni Savet Srbije;Služba Hitne medicinske pomoći, Dom zdravlja Subotica, Subotica;Zavod za Hitnu medicinsku pomoć Novi Sad, Novi Sad;

关键词: EuReCa Serbia;    out-of-hospital cardiac arrest;    cardiopulmonary resuscitation;    age groups;    emergency medical services;   

DOI  :  

来源: DOAJ

【 摘 要 】

Aim: Determination of epidemiology of cardiac arrest by cardiologic etiology in patients older than 18 years in Serbia, classified into three age groups Methodology: The analyzed data's are collected from the prospective study, an observational trial of the European Resuscitation Council under the number NCT02236819, registered in the trial database and approved by the health authorities in the United States. Datas' in the EuReCa Serbia Cardiac Arrest Register has been entered by the lead investigators of each institution into a unique database via online entry (www.eureca.rs). The analysis included all patients over 18 years of age who underwent cardiopulmonary resuscitation by the Emergency Medical Service in the period from 1 January 2017 to 1 August 2017. Patients are divided into three groups: first group 18-65 years; the second group 66-80 and the third group is over 80 years. Statistics and Microsoft Excel 2016 program was used for data processing. Results: In the period of 1.10.2014 - 01.08.2017, 3153 patients with cardiac arrest were registered in Serbia. Cardiopulmonary resuscitation was started in 1385/3153 (44%). During the observed period, 593/1385 (43%) of patients ≥18 years who had out-of-hospital cardiac arrest with cardiologic etiology where cardiopulmonary resuscitation has been applied, and which was not testified by the emergency medical service. In the 18-65 age group, the cardiac arrest was present in 271/593 (46%), in the group between 66-80 years OHCA had 239/593 (40%) and in the group over 80, 83/593 (14%). In the 18-65 age group, witnesses were present 243/271 times (89.6%), in the 66-80 age group in 222/239 (92%) cases, while over 80 years ago, 76/83 (91.5 %). The initial rhythm VF / pVT in the 18-65 group was 94/271 (34.6%), in the group of 66-80, the initial shockable rhythm was 66/239 (27.6%), while over 80 years 13/83 (15.6% ). Return of spontaneous circulation (ROSC) was achieved in 68/271 (25%) in 18-65 age group, in the group of 66-80 in 57/239 (23.8%), and over 80 years. 13/83 (15.6%). Hospital discharge survival was 10/271 (3.6%) in the group of 18-65 years, among 66-80 years group was 12/239 (5.0%) and in the group over 80 years was 2/83 (2.4%). The rate of 30 days survival after hospital discharge was 10/271 (3.7%) in the 18-65 age group, 11/239 (4.6%) in group of 66-80 years and 2/83 (2.4%) in the group over 80 years. Conclusion: There is a significant difference in the survival of outpatient cardiac arrest between individuals, by exploring the age structure of the population. Data on significantly higher survival (4-6 times) of the oldest population categories, compared to those aged 18-65, require further investigations which will lead to deeper insights of the underlying reasons related to this topic.

【 授权许可】

Unknown