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Journal Resuscitatio Balcanica
2020, vol. 6, br. 15, str. 223-226
jezik rada: srpski
vrsta rada: originalan članak
objavljeno: 07/07/2020
doi: 10.5937/jrb5-27193
Creative Commons License 4.0
KPR pružena od strane laika - EuReCa_ Srbija 2014-2019
aKlinički centar Vojvodine, Novi Sad
bDom Zdravlja Inđija, Inđija
cZavod za Hitnu medicinsku pomoć Novi Sad, Novi Sad

e-adresa: sandricag@yahoo.com

Sažetak

Cilj: Cilj ove studije je da se ustanovi kolika je šansa preživljavanja pacijenata sa izvanbolničkim srčanim zastojem (OHCA) kod kojih je svedok-laik započinjao primenu mera KPR u Srbiji. Metodologija: Studija je sprovedena kao prospektivna i opservacijska studija prikupljanja podataka u periodu 2014-2019. putem Nacionalnog registra OHCA Srbije. Program EuReCa je zaveden pod kliničkim trijalom pod brojem Clinical Trials ID:NCT03130088. Analiza podataka rađena IBM SPSS Statistics 20. Rezultati: Ukupno je registrovano 6319 OHCA. Svedok je bio prisutan u 3637/6319 ili 57,6% OHCA, ali su mere KPR započete u 365/3637 OHCA pacijenata. ROSC se uspostavlja kod 10,4% pacijenata, kada svedok nije započeo mere KPR, beležimo ROSK kod 6,6% pacijenata, a kada je započeo primenu mera KPR kod 28,02% pacijenata što je statistički značajna razlika (2 = 122,792; df = 1; p = 0,000). Šansa za ROSC je 5,4 veća kada je KPR od strane svedoka započet prije dolaska HMP (OR = 5,4; 95% C.I. 3,967-7,377). ROSC se najčešće javlja kod starijih muškaraca sa kraćim vremenom pristizanja ekipa HMP a za njegovu pojavu najvažnije je započinjanje mera KPR od strane svedoka. Zaključak: Osobe koje su doživele vanbolnički srčani zastoj imaju 5,4 puta više šanse za postizanje ROSC, što znači veću šansu za preživljavanje ukoliko se sprovode mere KPR od strane svedoka.

Ključne reči

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