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2020, vol. 6, br. 15, str. 223-226
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KPR pružena od strane laika - EuReCa_ Srbija 2014-2019
Bystander CPR: EuReCa_ Serbia 2014-2019
aKlinički centar Vojvodine, Novi Sad, Srbija bDom Zdravlja Inđija, Inđija cZavod za Hitnu medicinsku pomoć Novi Sad, Novi Sad
e-adresa: sandricag@yahoo.com
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.
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.
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