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2020, vol. 6, iss. 15, pp. 223-226
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Bystander CPR: EuReCa_ Serbia 2014-2019
KPR pružena od strane laika - EuReCa_ Srbija 2014-2019
aClinical Center of Vojvodina, Novi Sad bDom Zdravlja Inđija, Inđija cZavod za Hitnu medicinsku pomoć Novi Sad, Novi Sad
email: sandricag@yahoo.com
Abstract
The aim of this study is to determinate a chance of surviving in bystander CPR in out-of-hospital cardiac arrest (OHCA) in Serbia. Methodology: The study was conducted as a prospective and observational study of the collection of data in the period 2014 -2019 via the National OHCA Registry Serbia. EuReCa program is registered Clinical Trial ID:NCT03130088. Data analysis was done by IBM SPSS Statistics 20. Results: A total of 6312 OHCA is registered. A witness was present in 3655/6312 or 57,9% OHCA, but CPR is done in 365/3655, or 10,2% witness presented OHCA. ROSC is achieved in 9,7% patients, 6,6% patients which CPR by bystander were not done and 28,1% patients in which CPR by bystander were done, which is statistically significant (ch2 = 122,792; df = 1; p = 0.000). A chance for ROSC is 5,4 higher when CPR by bystander is done before EMS arrival (OR = 5,4; 95% C.I. 3,967-7.377). ROSC has commonly occurred in older males with shorter EMS time to arrival but most important is bystander CPR. Conclusion: People who experienced out-of-hospital cardiac arrest have a 5,4 higher chance for ROSC which means, finally observing, a higher chance for survival when bystander CPR is performed.
Sažetak
Cilj: Cilj ove studije je da se ustanovi kolika je šansa preživljavanja pacijenata sa izvanbolničkim srčanim zastojem (OHCA) kod kojih je svedok-laik započinjao primenu mera KPR u Srbiji. Metodologija: Studija je sprovedena kao prospektivna i opservacijska studija prikupljanja podataka u periodu 2014-2019. putem Nacionalnog registra OHCA Srbije. Program EuReCa je zaveden pod kliničkim trijalom pod brojem Clinical Trials ID:NCT03130088. Analiza podataka rađena IBM SPSS Statistics 20. Rezultati: Ukupno je registrovano 6319 OHCA. Svedok je bio prisutan u 3637/6319 ili 57,6% OHCA, ali su mere KPR započete u 365/3637 OHCA pacijenata. ROSC se uspostavlja kod 10,4% pacijenata, kada svedok nije započeo mere KPR, beležimo ROSK kod 6,6% pacijenata, a kada je započeo primenu mera KPR kod 28,02% pacijenata što je statistički značajna razlika (2 = 122,792; df = 1; p = 0,000). Šansa za ROSC je 5,4 veća kada je KPR od strane svedoka započet prije dolaska HMP (OR = 5,4; 95% C.I. 3,967-7,377). ROSC se najčešće javlja kod starijih muškaraca sa kraćim vremenom pristizanja ekipa HMP a za njegovu pojavu najvažnije je započinjanje mera KPR od strane svedoka. Zaključak: Osobe koje su doživele vanbolnički srčani zastoj imaju 5,4 puta više šanse za postizanje ROSC, što znači veću šansu za preživljavanje ukoliko se sprovode mere KPR od strane svedoka.
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