- citati u SCIndeksu: [3]
- citati u CrossRef-u:0
- citati u Google Scholaru:[
 ]
- posete u poslednjih 30 dana:36
- preuzimanja u poslednjih 30 dana:7
|
|
|
2018, vol. 4, br. 11, str. 126-130
|
|
Bilo kakav pokušaj Resuscitacije od strane svedoka je bolji nego nikakav pokušaj Resuscitacija - urbani mit, zabluda ili dokazana istina?
Any bystander CPR is better than no CPR attempt: An urban myth, misconception, or proved truth?
aGradski Zavod za hitnu medicinski pomoć Novi Sad bResuscitacioni savet Srbije cDom Zdravlja Aranđelovac
e-adresa: violetta.raffay@gmail.com
Sažetak
Cilj Rad analizira učešće i efektivnost učešća svedoka srčanog zastoja, te poredi pojavu povratka spontane cirkulacije (ROSC) i preživljavanje izvanbolničkog srčanog zastoja kada je svedok pružio mere kardiopulmonalne resuscitacije (KPR) u odnosu kada svedok nije ništa radio sem pozvao hitnu pomoć. Metod Podaci su prikupljani tokom tri godine praćenja OHCA putem EuReCa programa Srbija koji je deo kliničkog trijala EuReCa_ ONE - Clinical Trial NCT02236819.l. Prikupljenim podaci statistički su obrađeni korišćenjem SPP statističkog programa. Rezultati Šansa za postizanje ROSC je 1,6 puta veća ako svedok nije prisutan (OR = 1.625, 95% CI = 1.256 - 2.103). Binarnom logističkom analizom ukazano je da nezavisni prediktori uspostavljanja spontane cirkulacije (ROSC) uključuju pol i starost, vreme isporuke prvog DC šoka, te ukazuju i da je šansa da reanimacija bude započeta 2,8 puta veća ukoliko postoji svedok (OR = 2.771, 95% CI = 2.391-3.212), ali da je šansa za postizanje ROSC-a 1,6 puta veća ako svedok nije prisutan (OR = 1.625, 95% CI = 1.256 - 2.103). Analizom rada je obuhvaćeno ukupno 4172 pacijenta. Kod 2383 pacijenata je očevidac prisustvovao kolapsu, reanimacija je započeta kod 1618, a ROSC je postignut kod 323. Osobe muškog pola imaju 1,9 puta veću šansu da se uspostavi spontana cirkulacija (OR = 1.981, 95% CI = 1.398 - 2.631) u odnosu na osobe ženskog pola. Zaključak Sadašnji stav Preporuka 2015 „Bolja je bilo kakva pomoć od nepomaganja“ treba kritično analizirati, postoje razlozi da se sumnja u korisnost učešća neobučenog spasioca u pružanju mera KPR, uz otvorenu mogućnost na koju naši rezultati ukazuju da takva pomoć čak može biti i štetna.
Abstract
Aims This paper is analyzing the involvement and effectiveness of the witnesses in out-of-hospital cardiac arrest and compares the rate of ROSC and the survival in out-of-hospital cardiac arrest (OHCA) when the bystanders perform cardiopulmonary resuscutation (CPR) compared to the situation when they did not do anything. Methodology Data was collected during the three-year follow-up of OHCA through the EuReCa_Serbia which is part of the clinical trial of EuReCa_ONE - Clinical Trial NCT02236819.l. Statistic was done by SPSS. Results The chance to achieve ROSC is 1.6 times higher if the witness is absent (OR = 1.625, 95% CI = 1.256 - 2.103). A binary logistic analysis has indicated that independent predictors of the achievement of spontaneous circulation (ROSC) include gender and age, the time of the delivered first DC shock, and indicate that the chances to start CPR is 2.8 times higher if witnesses are present (OR = 2.771, 95% CI = 2.391-3.212), but the chance to achieve ROSC is 1.6 times higher if the witness is not present (OR = 1.625, 95% CI = 1.256 - 2.103). The analysis covered a total number of 4172 patients. In 2383 cases, the witness was present when collapse occurred, resuscitation was initiated in 1618 patients, and the ROSC was achieved at 323. Male gender have a 1.9 times higher chance to achieve the return of spontaneous circulation (OR = 1.981, 95% CI = 1.398 - 2.631). Conclusion According to the current opinion of majority “Any CPR is better than no CPR” needs to be critically analyzed, there are reasons to more deeply and carefully follow up the usefulness of the involvement bystander CPR with the opened possibility that our results indicate that such assistance might even be harmful.
|
|
|
|
Reference
|
|
  
|
Case, R., Cartledge, S., Siedenburg, J.E., Smith, K., Straney, L., Barger, B., Finn, J., Bray, J.E. (2018) Identifying barriers to the provision of bystander cardiopulmonary resuscitation (CPR) in high-risk regions: A qualitative review of emergency calls. Resuscitation, 129: 43-47
|
|
1 
|
Fišer, Z., Vlajović, S., Jakšić-Horvat, K., Raffay, V. (2015) EURECA Srbija ONE 2014 - vanbolnički srčani zastoj - mesto događaja. Journal Resuscitatio Balcanica, vol. 1, br. 1, str. 9-11
|
|
|
Hasselqvist-Ax, I., Riva, G., Herlitz, J. (2015) Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest. N Engl J Med, 372: 2307-2315
|
|
|
Herbelet, S., Herregods, L., Coppens, M. (2018) Exploring strategies to reduce time span to bystander CPR in sudden cardiac arrest based on the mechanism of the witness acute stress response. Resuscitation, 131: e7-e8
|
|
1
|
Holmberg, M., Holmberg, S., Herlitz, J. (2001) Factors modifying the effect of bystander cardiopulmonary resuscitation on survival in out-of-hospital cardiac arrest patients in Sweden. European Heart Journal, 22(6): 511-519
|
|
3
|
Jakšić-Horvat, K., Budimski, M., Holcer-Vukelić, S. (2018) Analiza epidemioloških podataka vanbolničkog srčanog zastoja kod žena u Vojvodini. Journal Resuscitatio Balcanica, vol. 4, br. 9, str. 79-84
|
|
|
Kim, M.J., Shin, S.D., McClellan, W.M., McNally, B., Ro, Y.S., Song, K.J., Lee, E.J., Lee, Y.J., Kim, J.Y., Hong, S.O., Choi, J.A., Kim, Y.T. (2014) Neurological prognostication by gender in out-of-hospital cardiac arrest patients receiving hypothermia treatment. Resuscitation, 85(12): 1732-1738
|
|
3
|
Koprivica, J., Živanović, A. (2018) Incidenca vanbolničkog srčanog zastoja u Zrenjaninu. Journal Resuscitatio Balcanica, vol. 4, br. 9, str. 89-93
|
|
1
|
Lindgren, E., Östlund, O., Rubertsson, S. (2015) Gender differences in outcome and post resuscitation care after out-of-hospital cardiac arrest. Analysis of the LINC trial. Resuscitation, 96: 101-101
|
|
|
Ng, Y.Y., Wah, W., Liu, N. (2009) Associations between gender and cardiac arrest outcomes in Pan-Asian out-of-hospital cardiac arrest patients. Rsuscitation, 102: 116-121
|
|
|
Nordberg, P., Hollenberg, J., Herlitz, J., Rosenqvist, M., Svensson, L. (2009) Aspects on the increase in bystander CPR in Sweden and its association with outcome. Resuscitation, 80(3): 329-333
|
|
|
Perman, S.M., Shelton, S.K., Knoepke, C.E., Rappaport, K., Matlock, D.D., Adelgais, K., Havranek, E.P., Daugherty, S.L. (2019) Public Perceptions on Why Women Receive Less Bystander Cardiopulmonary Resuscitation Than Men in Out-of-Hospital Cardiac Arrest. Circulation, 139(8): 1060-1068
|
|
|
Tijanić, J., Raffay, V. (2017) Srčani zastoj na javnom mestu - EuReCa_Srbija. Journal Resuscitatio Balcanica, vol. 3, br. 8, str. 58-62
|
|
|
|
|