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2016, vol. 2, br. 5, str. 5-8
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EURECA 2015 - Srbija
EURECA 2015: Serbia
aZavod za hitnu medicinsku pomoć, Novi Sad bSlužba za hitnu medicinsku pomoć, Dom zdravlja Subotica
e-adresa: office@resuscitatio.org.rs
Sažetak
Cilj: Analiza pojave, tretmana i ishoda srčanog zastoja kroz sprovedenu opservacionu studiju EuReCa 2015. u R. Srbiji. Metod: Podaci su prikupljeni u Službama i Zavodima za hitnu medicinsku pomoć tokom 2015. koji su se uključili u Prospektivni opservacioni trijal Evropskog Resuscitacionog saveta, registrovan pod brojem NCT02236819 u bazi trijala i odobren od zdravstvenih autoriteta u SAD. U studiju su uključeni svi pacijenti - i odrasli i deca, koji su zatečeni mrtvi u vanbolničkim uslovima, a kod kojih je intervenisala hitna medicinska pomoć. Podaci su prikupljani tokom jednogodišnjeg perioda (2015 godina). Lekar je popunjavao anketu nakon izvršene intervencije na terenu. Rezultati: Studija obuhvata populaciju od 853.500 stanovnika. Srčani zastoj je 2015. godine potvrđen na teritoriji R. Srbije 1366 puta u 2015. godini, odn. 160 na 100.000 stanovnika. Mere kardiopulmonalne resuscitacije su započete kod 540 pacijenata 63,3/100.000 stanovnika. Etiološki uzrok VSZ najčešće je kardiološki u 233 slučaja. Najčešće mesto nastanka VSZ je prebivalište u 410 slučaja. U 16 slučaja je telefonski vođen KPR od strane dispečera koji prima pozive. Čak 388 (45,5/100.000) puta je VSZ osvedočen, a u svega 43 (5,0/100.000) slučaja je započet KPR od strane svedoka. Inicijalni ritam je bio šokabilan u 103 slučaja (12/100.000). Pre dolaska ekipe HMP AED aparat ni u jednom slučaju nije priključen niti upotrebljen. ROSC je postignut kod 92 (10,78/100.000) pacijenata. Broj pacijenata koji su predati u bolnicu sa ROSC je 76 (8,9/100.000). Iz bolnice je otpušteno 23 (2,7/100.000) pacijenata, a nakon 30 dana od otpusta je živo 22 (2,6/100.000) pacijenata. Zaključak: Ranije zapažanje nedovoljnog učestvovanja građana, svedoka, kao i njihove saradnje sa dispečerima uz mogućnost telefonskog vođenja KPR-a, dovodi do podsticaja zaposlenih za sprovođenje niza aktivnosti u kojima utiču na podizanje svesti građana u njihovoj ulozi kao svedoka. Međutim, neophodno je kontinuirano praćenje vanbolničkog srčanog zastoja koji će omogućiti kompleksniju analizu incidence i stope preživljavanja na teritoriji Srbije.
Abstract
Aim: Analysis of occurrence, treatment and outcome of cardiac arrest through the conducted study EuReCa 2015 in Republic of Serbia. Method: Data have been collected in EMS throughout 2015, that have been part of Prospective observational trial of the European Resuscitation Council registered in the trial database - NCT02236819 and approved by health authorities in USA. The study has included all patients - both adults and children, who were found dead in outpatient circumstances, and intervened by the emergency medical service. Data have been collected during a one-year period in 2015. The surveys were carried out after the intervention by the physician. Results: Study includes population of 853.500 inhabitants. Cardiac arrest in 2015 has been affirmed on the territory of Republic of Serbia,1366 times in 2015, specifically 160 on 100.000 inhabitants. Cardiopulmonary resuscitation measures were initiated at 540 patients, that is to say 63,3/100.000 residents. The most common etiological cause of OHCA is cardiological, in 233 cases. The most common place of occurrence of OHCA is at home, in 410 cases. Sixteen times, the dispatcher that receives the emergency calls, has guided the CPR through the telephone. The OHCA has been witnessed by the bystander even 388 times, but the CPR has been initiated by the bystander only 43 times (5,0/100.000). Before the arrival of EMS, AED hasn't been used or attached, not even once. ROSC has been achieved at 92 (10,78/100.000) patients. The number of patients that have been hospitalized with ROSC is 76 (8,9/100.000). The number of patients that have been discharged from hospital is 23 (2,7/100.000). After 30 days of discharge from hospital, 22 patients were alive (2,6/100.000). Conclusion: Prior notices of insufficient involvement of the citizens, bystanders, as well as their cooperation with the dispatchers, and the possibility of telephone guidance of CPR, leads us to the motivation of the employees for conducting the number of various activities in raising the conscience of the citizens and their important role as a bystander. However, it's necessary to monitor out of hospital cardiac arrest, which will allow complex analysis incidence and the survival rate on territory of Republic of Serbia.
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Reference
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Budimski, M., Momirović-Stojković, M., Jakšić-Horvat, K. (2016) EURECA 2015 Subotica: One year monitoring of patients with shockable rhythm. Journal Resuscitatio Balcanica, vol. 2, br. 4, str. 15-18
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Jakšić-Horvat, K., Budimski, M., Holcer-Vukelić, S., Koprivica, J., Babić, Z., Vidović, M., Lazić, A., Pajor, M., Milić, S., Šijačić, S., Martinović, B., Vukobrat, N., Fišer, Z. (2015) 'EuReCa One' 2014 - Vojvodina. Medicina danas, vol. 14, br. 7-9, str. 108-114
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