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2019, vol. 5, br. 14, str. 206-210
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EuReCa_Srbija - šta smo naučili?
EuReCa_Serbia: What have we learned?
aZdravstveni centar Aranđelovac, Aranđelovac bKlinički centar Vojvodine, Novi Sad cKlinički centar Kragujevac, Centar za urgentnu medicinu
e-adresa: vujovicnela@gmail.com
Sažetak
Cilj: Cilj ovog rada je da poređenjem podataka prikupljenih tokom odvijanja programa EuReCa utvrdi uticaj istog na kvalitet zbrinjavanja vanbolničkog srčanog zastoja te da se analiziraju rezultati i ishod na početku i na kraju programa EuReCa u Srbiji. Metodologija: Studija je sprovedena kao prospektivna i opservaciona i multicentrična studija prikupljanja podataka koji se odnose na izvanbolnički srčani zastoj u periodu od 01.10.2014-1.09.2017.god. Podaci o ISS su unošeni u jedinstveni upitnik po "Utstein" metodologiji praćenja ISS i upitniku i metodologiji studije Evropskog Resuscitacionog Saveta (ERC) i studije EuReCa. Program EuReCa je zaveden pod kliničkim tijalom pod brojem Clinical Trials ID: NCT03130088. U studiju su uključeni svi oni pacijenti koji su doživeli izvanbolnički srčani zastoj i kod kojih je u bilo kom delu intervenisala hitna služba bez obzira na pol, godine ili lične karakteristike. Rezultati: U periodu koje istraživanje obuhvata registrovano je 4172 EuReCa događaja. Mere kardiopulmonalne resuscitacije (KPR) primenjene su kod 1618/4172 ili 37,78% . Svedok je učestvovao u resuscitaciji 220 puta (13,6%). Povratak spontane cirkulacije (ROSC) je postignut je ukupno u 19,96%. Povratak spontane cirkulacije (ROSC) je postignut u 2014. godini kod 16,12 % pacijenata 75/465 a 2017. kod 23,70% pacijenata odn. kod 50/211. Do otpusta iz bolnice ukupno je u posmatranom periodu preživelo 63/1618 (3,89%). Preživljavanje do 30 dana beležimo kod 2,97% paccijenata. Zaključak: EuReCa ONE Srbija je prva studija ove vrste u Srbiji koja je u četvorogodišnjem praćenju pokazala značaj prikupljanja i analize podataka radi unapređenja zbrinjavanja vanbolničkog srčanog zastoja. Iako je studija EuReCa Srbija opservaciona ona je pokazala značajne promene u preživljavanju i povećanju preživljavanja pacijenata tokom samog procesa prikupljanja podataka. Neophodna je dalja analiza I dalja istraživanja da bi se objasnili svi činioci koji su uticali.
Abstract
Aim: The aim of this paper was to compare the collected data's during uReCa project and to appoint the influence of it to the quality management of the cardiac arrest in participating areas and to analise results and outcome on the beginning and on the end of the EuReCa program in Serbia. Methodology: The study is conduct as prospective, multicentric and opservational study from 01.10.2014 - 01.09.2017. Data about SCD are collected in uniform questionnaire by "Utstein" methodology and methodology and questionnaire European Resuscitation Council study and EuReCa study. EuReCa program is registered Clinical Trial NCT02236819. The study included all victims of cardiac arrest which were managed by emergency medical service, regardless of age, gender or personal characteristics. Results: In the observed period, 4172 EuReCa events have been registered. Cardiopulmonary resuscitation (CPR) is performed in 1618/4172 or 37,78% of all cases. Bystander took part in resuscitation in 220 cases (13,6%). Return of spontaneous circulation was achieved in 19,96% of victims. Return of spontaneous circulation (ROSC) was achieved in 2014 at 75/465 (16,12 %) and during 2017 in 50/211 (23,70%) patients. The hospital discharge in observed period was 63/1618 (3,89. The 30-days survival rate was 2,97%. Conclusion: EuReCa ONE Serbia is first study of this type in Serbia which is in four-years follow show the importance of analising and collecting of data in purpose of improvement of cardiac arrest treatment. EuReCa Serbia is observational study but the presence of the study show significant changes in surviving and increased surviving during th process od the study. Further investigations are necessary to explain all factors which had influence.
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