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2017, vol. 3, br. 6, str. 18-21
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Eureca Srbija 2015-2016. - dvogodišnja analiza
Eureca Serbia 2015-2016: Two-year analysis
aSlužba za hitnu medicinsku pomoć, Dom zdravlja Subotica bZavod za hitnu medicinsku pomoć, Novi Sad
e-adresa: dzsupiar@gmail.com
Sažetak
Cilj: Upoređivanje prikupljenih podataka projekta EuReCa sprovedene tokom 2015. i 2016. godine kao i njihova uzajamna analiza. Metod: Prospektivna studija, opservacionog trijala Evropskog Resuscitacionog saveta koji je pod brojem NCT02236819 registrovan u bazi trijala i odobren od zdravstvenih autoriteta u SAD. Analizirani su prikupljeni podaci u Službama hitnih medicinskih pomoći Subotica, Sombor, Zrenjanin, Kanjiža, Bačka Palanka, Zavoda za urgentnu medicinu Kragujevac i Zavoda za hitnu medicinsku pomoć Niš. Podaci su prikupljani tokom cele 2015. i 2016. godine i od strane glavnog istraživača svake ustanove unošeni u jedinstvenu bazu podataka putem onlajn unosa i aplikacije postavljene na adresi www.eureca.rs. Rezultati: Srčani zastoj je potvrđen, od strane lekara hitnih medicinskih pomoći u 2015. godini, 160 puta na 100.000 stanovnika, dok je u 2016, srčani zastoj zabeležen 122/100.000 stanovnika. Mere kardiopulmonalne resuscitacije su započete 63,3/100.000 stanovnika 2015. a 2016. godine 60/100.000 stanovnika. Najčešći etiološki uzrok srčanog zastoja je kardiološki u obe posmatrane godine: 27,2/100.000 u 2015, odn. 36,5/100.000 u 2016. Mesto nastanka srčanog zastoja u obe godine je uglavnom prebivalište, 48/100.000 u 2015. i 43/100.000 u 2016. U 1,9/100.000 slučaja je telefonski vođen KPR u 2015, u 2016. godini 4,9/100.000. VSZ je osvedočen 45,5/100.000, u 2015. dok je u 2016. osvedočen 42,5/100.000. Od prisutnih svedoka, KPR je započet 5,0/100.000 u 2015. dok je u 2016. neznatno više 6,7/100.000. Inicijalni ritam je bio šokabilan u 12/100.000 u 2015. dok je 33,2/100.000 u 2016. Pre dolaska ekipe HMP AED aparat ni u jednom slučaju nije upotrebljen ni 2015. kao ni 2016. godine. ROSC je postignut kod 10,78 pacijenata na 100.000 stanovnika u 2015. dok je taj broj iznosio 17,6/100.000 u 2016. Zaključak: Zahvaljujući dvogodišnjem praćenju, u posmatranom periodu, možemo reći da se znatno povećao broj pacijenata sa šokabilnim ritmom i postignutim ROSC. Uloženi napori i češće edukacije zaposlenih dovode do boljih rezultata i poboljšanja kvaliteta rada.
Abstract
Aim Comparison of gathered data of project Eureca conducted during 2015. and 2016. as well as their mutual analysis. Method: Prospective study, observational trial of the European Resuscitation Council registered in the trial database - NCT02236819 and approved by health authorities in USA. Collected data from the EMS of Subotica, Sombor, Zrenjanin, Kanjiža, Bačka Palanka, Kragujevac and Niš were analyzed. The data were gathered throughout the whole 2015. and 2016. by the main researcher of every institute and filled into the unique base. The import was online. Application is located on the web address www.eureca.rs Results: Out of hospital cardiac arrest (OHCA) has been affirmed, by the EMS physicians, in 2015, 160 cases on 100.000 inhabitants, while in 2016, OHCA has been recorded 122/100.000. Cardiopulmonal resuscitation was initiated at 63,3/100.000 in 2015, in 2016, 60/100.000. The most common etiological cause of OHCA is cardiology in both observed years, 27,2/100.000 in 2015, and 36,5/100.000 in 2016. The place of occurrence of OHCA is mostly at home 48/100.000 u 2015. and 43/100.000 in 2016 in observed period. In 1,9/100.000 cases CPR has been guided through the telephone in 2015, in 2016 the number is 4,9/100.000. Bystanders have been present 45,5/100.000 in 2015, while in 2016, bystanders that have been present was 42,5/100.000. CPR was started by bystander 5,0/100.000 in 2015, whilst in 2016, that number is slightly higher 6,7/100.000. Initial rhythm was shockable in 12/100.000 in 2015, while 33,2/100.000 in 2016. AED has not been used in any cases in 2015, and 2016, before EMS arrival. ROSC has been achieved at 10,78/100.000 inhabitants in 2015. That number was 17,6/100.000 in 2016. Conclusion: With the help of two year observation in 2015, and 2016, the number a patients with shockable rhythm and achieved ROSC has increased significantly. Invested effort and more frequent educations of employees in EMS bring us to better results and improved quality of work.
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