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2015, vol. 1, iss. 2, pp. 9-13
EURECA One 2014: ROSC analysis
aDom zdravlja, Subotica
bDom zdravlja, Sombor
Keywords: out of hospital cardiac arrest; cardiopulmonary resuscitation; return of spontaneous circulation
INTRODUCTION Cardiac arrest survival rate after out of hospital cardiopulmonary resuscitations is pretty low and goes from 1,7% to 6,1%. The return of spontaneous circulation is the first step towards complete recovery of the patient after experiencing cardiac arrest. Predictors of sustainable ROSC include witnessing of collapse by laymen, initial heart rhythm, bystander initiation of CPR, early EMS engagement, early defibrillation and short duration of medical transport. AIM: It is to investigate the return of ROSC in regards to epidemiological and demographic characteristics, treatment and outcome (survival after a month) with shockable initial rhythm for a six-month sample. METHOD: Prospective observational study where data were gathered through particular questionnaire that concerned OHCA (out-of-hospital cardiac arrest) on the territory of Vojvodina during six month period (from October 1st 2104. until March 31st 2015.). The data that were used are registered in the data base of European programme EuReCA One 2014. RESULTS: 276 patients that have had OHCA on the territory of Vojvodina were analyzed - the incidence of 40,63 per 100 000. EMS conducted CPR in 51,16% (N=155, n=22,82/100 000), ROSC was established in 30,32% (N=47, n=6,92/100 000), and 30 days survival was documented in 9,03% of the cases (N=14, n=2,06/100 000). Shockable rhythm was initially recognized with 59,57% of the patients (N=28, n=4,10/100 000). CONCLUSION: Cardiopulmonary resuscitation sets the return of spontaneous circulation (ROSC) as its primary objective, which depends great deal on key factors affecting the course of CPR, and positive variables for CPR course are initial shockable rhythm, witnessing of cardiac arrest by layman or EMS, heart condition as the presumed cause, female gender and age under 80 years.
Budimski, M., Fišer, Z., Momirović-Stojković, M., Horvat-Jakšić, K. (2014) One Eureca- Jednomesečno prikupljanje podataka na teritoriji opštine Subotica. Journal Resuscitatio Balcanica, broj 1. str. 13
Fišer, Z., Jakšić-Horvat, K., Vlajović, S., Milić, S., Lazić, A., Raffay, V. (2015) EuReCa One 2014. Serbia. Medicina danas, vol. 14, br. 7-9, str. 95-102
Fišer, Z., Raffay, V., Vlajović, S., Kličković, A., Lazić, A., Jakšić-Horvat, K. (2015) Program praćenja pojave srčanog zastoja EURECA ONE Srbija 2014. Journal Resuscitatio Balcanica, vol. 1, br. 1, str. 5-8
Gräsner, J.T., Meybohm, P., Lefering, R., Wnent, J., Bahr, J., Messelken, M., Jantzen, T., Franz, R., Scholz, J., Schleppers, A., Böttiger, B.W., Bein, B. (2011) ROSC after cardiac arrest - the RACA score to predict outcome after-out-of hospital cardiac arrest; Eur. Heart J. Eur Heart J., Apr 22. Jul 22; 32(13); 1649-56; 2011
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) 'Eureka One' 2014. - Vojvodina. Medicina danas, vol. 14, br. 7-9, str. 108-114
Milić, S., Lazić, A., Đorđević, D., Kleut, L., Fišer, Z. (2015) 'Eureka One' 2014. - Inđija i Bačka Palnka - tromesečno praćenje. Medicina danas, vol. 14, br. 7-9, str. 126-132
Momirović-Stojković, M., Budimski, M., Gavrilović, N., Jakšić-Horvat, K. (2015) 'Eureka One' 2014. - Subotica. Medicina danas, vol. 14, br. 7-9, str. 115-120
Pešić, I., Mitrović, M., Holcer-Vukelić, S. (2015) 'EURECA One' 2014 - Sombor. Medicina danas, vol. 14, br. 7-9, str. 121-125
Soo, L.H., Gray, D., Young, T., Huff, N., Skene, A., Hampton, J.R. (1999) Resuscitation from out-of-hospital cardiac arrest: is survival dependent on who is available at the scene?. Heart, Jan; 81(1); 47-52


article language: Serbian
document type: unclassified
DOI: 10.5937/JRB1502009J
published in SCIndeks: 25/08/2017

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