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2017, vol. 3, br. 7, str. 37-40
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EuReCa 2017 - praćenje srčanog zastoja u R. Srbiji - šestomesečni izveštaj
EuReCa 2017: Follow up in Republic of Serbia: Six months report
aZavod za Hitnu medicinsku pomoć, Kragujevac bResuscitacioni Savet Srbije cDom Zdravlja Subotica, Subotica
e-adresa: j_tijanic@yahoo.com
Sažetak
Cilj: Analiza prikupljenih podataka u 2017. godini i njihovo poređenje sa ranijim rezultatima programa EuReCa. Metodologija: Podaci o srčanom zastoju prikupljeni su putem jedinstvenog upitnika EuReCa programa tokom realizacije prospektivne, opservacione studije EuReCa One koja je pod brojem NCT02236819 registrovana u bazi trijala i odobrena od zdravstvenih autoriteta u SAD. Analizirani su podaci iz registra srčanog zastoja Srbija u periodu od 1. januara 2017. godine do 01. jula 2017. Glavni istraživači svake ustanove su unosili podatke u jedinstvenu bazu putem onlajn unosa i aplikacije postavljene na adresi www.eureca.rs. Prikupljeni podaci obuhvataju populaciju 902.970 stanovnika. Rezultati: U registru EuReCa programa u šestomesečnom periodu 2017. godine je uneseno ukupno 446 vanbolničkih srčanih zastoja (49.5/100.000). Mere kardiopulmonalne resuscitacije su započete kod 280 (31.3/100.000) pacijenata. Vanbolnički srčani zastoj je doživelo 199/280 (71%) osoba muškog pola i 81/280 (29%) osoba ženskog pola. Prosečna starost pacijenata je 66.7 godina. Kao etiološki uzrok VBSZ najčešće se navodi kardiološki u 204 osoba (22.6/100.000). Najčešće mesto nastanka VBSZ je prebivalište u 210 slučaj (23.3/100.000). Svedok je bio prisutan u 201 (22.3/100.000). Osnovne mere životne podrške od strane laika su započete kod 36 (4/100.000) osoba. Potpuni KPR je radilo 20/36 (56%) svedoka dok je samo kompresije primenilo 16/36 (44%) svedoka. Telefonski vođen KPR od strane dispečera koji prima pozive je primenjen kod 30 (3.3/100.000) osoba. Inicijalni ritam je bio šokabilan (VF/VT bez pulsa) u 80 slučaja (8.8/100.000). ROSC je postignut kod 63 (7/100.000) osobe. Spontana cirkulacija (ROSC) nije uspostavljena kod 217 (24/100.000). Broj pacijenata koji su predati u bolnicu sa ROSC je 54 (6/100.000). Zaključak: Praćenjem incidence, epidemiologije, kao i toka i ishoda srčanog zastoja u posmatranom periodu 2015-2017. zaključuje se da dolazi do povećanja povratka spontane cirkulacije što ohrabruje. Neophodno je dalje praćenje ove pojave da bi se ukazali činioci koje treba korigovati da bi se incidenca uspostavljanja spontane cirkulacije približila zemljama visokog standarda.
Abstract
Aims and goals: EuReCa-Serbia 2017 data analysis in comparison with previous EuReCa-Serbia results. Methodology: Prospective study of an observational trail of the European Resuscitation Council registered Clinical Trial NCT02236819 and approved by the US healthcare authorities. The data’s from the Serbian cardiac arrest register has been analyzed in period of 1st of January 2017 until 1st of July 2017, Data’s has been uploaded by lead investigators from each participating center into an online database and application at www.eureca. rs. Collected data’s cover the population of 902.970 citizens in Republic of Serbia. Results: Cardiac arrest occurred in 446 cases (49.5/100.000) during first 6 months of 2017, with 199 male and with 81 females. Cardiopulmonary resuscitation (CPR) is initiated in 280 (31.3/100.000) patients. The etiology of cardiac arrest (CA) in most of the cases had cardiac cause in 204 cases (22.6/100.000). The most frequent location of CA was at home with 210 cases (23.3/100.000). CA has been witnessed in 201 cases (22.3/100.000). In 36 (4/100.000) cases CPR was initiated by the witnesses (CPR 20, CCO 16). In 30 (3.3/100.000) cases CPR was dispatcher assisted. The initial rhythm was shockable in 80 cases (8.8/100.000) ROSC achieved in 63 (7/100.000) patients. Patients with ROSC delivered to hospital were 54 (6/100.000). Conclusion: By monitoring of the incidence, the epidemiology, the process itself and the outcomes of cardiac arrest in the observed period of 2015-2017 i is concluded that there is an increase in the return of spontaneous circulation, which is encouraging. Further monitoring of these parameters is necessary and essential to indicate which factors should be improved to bring the incidence of spontaneous circulation closer to the countries with higher standards.
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