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2017, vol. 3, br. 7, str. 33-36
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EuReCa Srbija Subotica 2015-2016 - da li jačanje sistema dovodi do rezultata?
EuReCa Serbia Subotica 2015-2016: Does the system strengthening lead to better results?
Sažetak
Cilj: Upoređivanje prikupljenih podataka projekta EuReCa sprovedene tokom 2015. i 2016. godine kao i njihova uzajamna analiza, u istraživačkom centru Subotica. Metod: Prospektivna studija, observacionog 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 Službi za hitnu medicinsku pomoć Subotica. Podaci su prikupljani tokom cele 2015. i 2016.godine i od strane glavnog istraživača unošeni u jedinstvenu bazu podataka putem onlajn unosa i aplikacije postavljene na adresi www.eureca.rs. Rezultati: Srčani zastoj je potvrđen, od strane lekara Službe hitne medicinske pomoći Subotica u 2015.godini, 63.6 puta na 100.000 stanovnika, dok je u 2016, srčani zastoj zabeležen 82,6/100.000 stanovnika. Mere kardiopulmonalne resuscitacije su započete 58,7/100.000 stanovnika 2015. a 2016. godine 77,7 /100.000 stanovnika. Najčešći etiološki uzrok srčanog zastoja je kardiološki u obe posmatrane godine: 21,6/100.000 u 2015, odn. 27,5/100.000 u 2016. Mesto nastanka srčanog zastoja u obe godine je uglavnom prebivalište, 40,2/100.000 u 2015. i 58/100.000 u 2016. U 3,5/100.000 slučaja je telefonski vođen KPR u 2015, u 2016.godini 8,5/100.000. VSZ je osvedočen 38.8 /100.000, u 2015. dok je u 2016. osvedočen 55/100.000. Od prisutnih svedoka, KPR je započet 5,6/100.000 u 2015. dok je u 2016. neznatno više 14/100.000. Inicijalni ritam je bio šokabilan u 15,5/100.000 u 2015. dok je 17/100.000 u 2016. Pre dolaska ekipe HMP AED aparat ni u jednom slučaju nije upotrebljen 2015. dok je 2016. godine upotrebljen 2 puta. ROSC je postignut kod 7,8 pacijenata na 100.000 stanovnika u 2015. dok je taj broj iznosio 23,3/100.000 u 2016. Zaključak: Zahvaljujući dvogodišnjem praćenju, u posmatranom periodu, možemo reći da se znatno povećao broj pacijenata sa šokabilnim ritmom i postignutim ROSC. Jačanjem sistema kroz sprovedene edukacije svih karika lanca preživljavanja, dovode do boljih rezultata i poboljšanja kvaliteta rada.
Abstract
Aims and goals: Comparing the data’s of EuReCa-Serbia project conducted during 2015 and 2016 and it’s mutual analysis in Subotica research center. Methodology: Prospective study of an observational trail of the European Resuscitation Council registered Clinical Trial NCT02236819 and approved by the US healthcare authorities. The analyzed data’s are collected in the EMS Subotica center during 2015 and 2016 and has been uploaded by lead investigator of a participating center into an online database and application at www. eureca.rs. Results: During 2015 cardiac arrest has been confirmed by the physician of the EMS in 63.6 cases per 100.000 citizens, while in 2016 the number of cases was 82,6/100.000 citizens. Cardiopulmonary resuscitation was attempted in 58,7/100.000 citizens in 2015., and in 77,7 /100.000 citizens during 2016. The most common aetiology of cardiac arrest has cardiac cause for both years; 21,6/100.000 in 2015, and 27,5/100.000 in 2016. The place of cardiac arrest for both years in most cases is place of residence; 40,2/100.000 in 2015 and 58/100.000 during 2016. In 3,5/100.000 cases CPR was dispatcher assisted during 2015. and for 2016 in 8,5/100.000 cases. OHCA is witnessed in 38.8 /100.000 during 2015. and in55/100.000 cases for 2016. During 2015 in 5,6/100.000 cases the bystanders initiated CPR. For 2016, this happened in 14/100.000 cases. The initial rhythm was shockable in 15,5/100.000 cases for the year of 2015 and in 17/100.000 during 2016. Before the EMS arrival AED has not been used during 2015, but in 2016 AED was in use twice. ROSC was achieved in 7,8 patients per 100.000 citizens in 2015. In 2016 the incidence of ROSC was 23,3/100.000 Conclusion: Thanks to the two-year follow-up of the data’s in the observed period, we can conclude that the number of patients with shockable rhythm and achieved ROSC has significantly increased. Strengthening the system via continuous education of each link of the Chain of Survival will lead to better results and improvement the work quality.
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