Out of hospital cardiac arrest in women in Vojvodina: Epidemiological data analysis

Jakšić-Horvat, Kornelija; Budimski, Mihaela; Holcer-Vukelić, Snežana

doi:10.5937/JRB1809079K

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Journal Resuscitatio Balcanica

2018, vol. 4, br. 9, str. 79-84

Analiza epidemioloških podataka vanbolničkog srčanog zastoja kod žena u Vojvodini

Jakšić-Horvat Kornelija^a, Budimski Mihaela^a, Holcer-Vukelić Snežana^b

^aDom zdravlja, Subotica
^bDom zdravlja, Sombor

e-adresa: kornelijajaksic@yahoo.com

Ključne reči: vanbolnički srčani zastoj; služba hitne medicinske pomoći; epidemiologija

Sažetak

Cilj: Analiza epidemioloških podataka vanbolničkog srčanog zastoja kod žena zastupljenog na teritoriji Vojvodine uz uporednu analizu ranije objavljenih studija. Metod: Za metodologiju rada su korišteni podaci registra srčanog zastoja sa teritorije Vojvodine u vremenskom periodu od 1.10.2014. do 1.08.2017. godine. Podaci su prikupljeni u jedinstvenoj bazi Resuscitacionog Saveta Srbije i unešeni od strane glavnih istraživača iz 13 centara. Za analizu postojećih podataka iz baze, korišten je statistički program statistika SPSS. Rezultati: U posmatranom periodu na teritoriji Vojvodine potvrđeno je ukupno1240 iznenadnih srčanih zastoja od strane lekarskih ekipa hitnih medicinskih pomoći. Mere kardiopulmonalne resuscitacije su započete kod 706 pacijenata, od kojih je 237 (33,56%) osoba ženskog pola. Prosečna starost žena je bila 68,2 godine. Najmlađa pacijentkinja je imala manje od 1 godine a najstarija 94. Prema etiologiji, kardiovaskularni uzrok je najučestaliji 197 (83%), dok se respiratorni etiološki uzrok javlja u 15 (6,4%) i nekardiološki uzroci u 23 (9,8%) .Traumatski srčani zastoj kao etiološki faktor u našoj analizi kod žena nije registrovan. Prema mestu nastanka srčanog zastoja kod osoba ženskog pola dominira prebivalište 187 (88,6%), zatim ulica 12 (5%), dom za stare 7 (3%), javna ustanova 3 (1,2%) dok ni jedan vanbolnički srčani zastoj kod osoba nije registrovan na sportskim terenima. Svedok - očevidac je započeo KPR pre dolaska ekipa hitne medicinske pomoći kod 44 žene (18,6%). Šokabilni inicijalni ritam je zabeležen kod 61 osobe ženskog pola (25,7%) dok je uspostavljena spontana cirkulacija (ROSC) kod 74 žene (31,2%). Do otpusta iz bolnice je preživelo 12 pacijentkinja (5%) a nakon 3o dana 11 (4,6%). Zaključak: Prema analizi epidemioloških podataka na teritoriji Vojvodine vanbolnički srčani zastoj se ređe javlja kod žena u odnosu na osobe muškog pola. Prosečna starost je veća, srčani zastoj je u nižem procentu osvedočen od strane laika, a primena mera KPR od strane svedoka neznatno učestalija. Registrovan je manji procenat inicijalnog šokabilnog ritma kao i uspostavljanje spontane cirkulacije (ROSC) kao i niže preživljavanje. Dalje analize bi mogle doneti odgovor na razlog češćeg sprovođenja KPR od strane laika kada su u pitanju žene a ipak nedovoljnog za povećanje trenda preživljavanja.

Abstract

Objective: analysis of epidemiological data of out of hospital cardiac arrest (OHCA) in women of Vojvodina in comparison to up to date published studies. Methods: In our study we used data from the OHCA register from region of Vojvodina from 01. 10. 2014 to 01. 08. 2017. Data were derived from common database of Serbian Resuscitation Council collected by main researchers from 13 centers. Analysis was performed using statistical program SPSS. Results: In observed period in Vojvodina region, 1240 cases of OHCA were confirmed by Emergency Medical Service (EMS) teams. Cardiopulmonary resuscitation (CPR) was attempted in 706 patients, 237 (33.56%) of women. Average age of women was 68.2 years. Youngest patient had less than 1 year and eldest was 94 years old. Considering etiology, cardiovascular cause is most common, in197 (83%) cases, respiratory in 15 (6.4%) and other non-cardiological causes in 23 (9.8%) in women. Trauma as the cause of OHCA was not found in our analysis was not registered. Dominant location of OHCA in woman is at home, in 187 (88.6%) cases, followed by public spaces-street in 12 (5%), Nursing Homes in 7 (3%) and public institutions in 3 (1.2%). No cases of OHCA in women were registered on sports fields. Bystander CPR before EMS arrival was registered in 44 (18.6%) of OHCA in women. Shockable rhythm was registered in 61 women (25.7%). Return of spontaneous circulation (ROSC) was achieved in 74 (31.2%) while 12 (5%) patients were released from hospital alive and 30 days survival was registered in 11 (4.6%). Conclusion: According to epidemiological analysis of OHCA database in woman in region of Vojvodina, we can notice that it is less present than in man. Also, average age of woman with OHCA is grater. OHCA in woman happened less in presence of bystander. Bystander CPR attempt in woman is slightly higher than in man, but presence of shockable rhythm, as well as ROSC and survival to hospital discharge is less. Detailed analysis of bystanders who start CPR in women OHCA might indicate the reason of their rather willingness to perform it. Still it is not enough to increase survival.

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O članku

jezik rada: srpski
vrsta rada: originalan članak
DOI: 10.5937/JRB1809079K
objavljen u SCIndeksu: 23.08.2018.

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