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Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study
JT. Gräsner, J. Wnent, J. Herlitz, GD. Perkins, R. Lefering, I. Tjelmeland, RW. Koster, S. Masterson, F. Rossell-Ortiz, H. Maurer, BW. Böttiger, M. Moertl, P. Mols, H. Alihodžić, I. Hadžibegović, M. Ioannides, A. Truhlář, M. Wissenberg, A. Salo,...
Jazyk angličtina Země Irsko
Typ dokumentu časopisecké články, multicentrická studie, práce podpořená grantem
- MeSH
- kardiopulmonální resuscitace * MeSH
- lidé MeSH
- prospektivní studie MeSH
- registrace MeSH
- urgentní zdravotnické služby * MeSH
- zástava srdce mimo nemocnici * epidemiologie terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND: The epidemiology and outcome after out-of-hospital cardiac arrest (OHCA) varies across Europe. Following on from EuReCa ONE, the aim of this study was to further explore the incidence of and outcomes from OHCA in Europe and to improve understanding of the role of the bystander. METHODS: This prospective, multicentre study involved the collection of registry-based data over a three-month period (1st October 2017 to 31st December 2017). The core study dataset complied with the Utstein-style. Primary outcomes were return of spontaneous circulation (ROSC) and survival to hospital admission. Secondary outcome was survival to hospital discharge. RESULTS: All 28 countries provided data, covering a total population of 178,879,118. A total of 37,054 OHCA were confirmed, with CPR being started in 25,171 cases. The bystander cardiopulmonary resuscitation (CPR) rate ranged from 13% to 82% between countries (average: 58%). In one third of cases (33%) ROSC was achieved and 8% of patients were discharged from hospital alive. Survival to hospital discharge was higher in patients when a bystander performed CPR with ventilations, compared to compression-only CPR (14% vs. 8% respectively). CONCLUSION: In addition to increasing our understanding of the role of bystander CPR within Europe, EuReCa TWO has confirmed large variation in OHCA incidence, characteristics and outcome, and highlighted the extent to which OHCA is a public health burden across Europe. Unexplained variation remains and the EuReCa network has a continuing role to play in improving the quality management of resuscitation.
Cardiology Department and ICCU Konstantopouleio General Hospital Athens Greece
Centre for Clinical Research Falun Dalarna Sweden
Centre Hospitalier Universitaire Saint Pierre Université Libre de Bruxelles Belgium
Department of Anaesthesia and Intensive Care Universitätsklinik Innsbruck Innsbruck Austria
Department of Cardiology Amsterdam UMC Location Academic Medical Center Amsterdam The Netherlands
Department of Emergency Medicine Mayo Clinic College of Medicine Rochester Minnesota USA
Department of Prehospital Care County Council of Dalarna Falun Sweden
Emergency Medical Service SEMER EMIR Funchal Portugal
Emergency Medical Services Copenhagen University of Copenhagen Denmark
Emergency Medical Services of the Hradec Králové Region Hradec Králové Czech Republic
Empresa Pública de Emergencias Sanitarias de Andalucía Spain
European Resuscitation Council Niel Belgium
HSE National Ambulance Service and National University of Ireland Galway Ireland
Hungarian Resuscitation Council Emergency Department University of Szeged Hungary
Interassociation of Rescue Services Bern Switzerland
Jagiellonian University Medical College Faculty of Medicine Department of Medical Education Poland
Medical Intensive Care Unit University Medical Centre Maribor Maribor Slovenia
Nicosia General Hospital Cyprus
Oslo University Hospital Division of Prehospital Services Norway
School of Education Health and Social Studies Dalarna University Falun Sweden
Secretary of Luxembourg Resuscitation Council Luxembourg
Serbian Resuscitation Council Novi Sad Serbia
Slovenian Resuscitation Council Slovenian Society for Emergency Medicine Ljubljana Slovenia
Univ Lille CHU Lille EA 2694 Santé Publique épidémiologie et qualité des soins F 59000 Lille France
University Hospital Schleswig Holstein Institute for Emergency Medicine Kiel Germany
University Hospitals Birmingham NHS Foundation Trust Birmingham United Kingdom
University of Antwerp Antwerp Belgium
University of Namibia School of Medicine Windhoek Namibia
Warwick Clinical Trials Unit Warwick Medical School University of Warwick Coventry United Kingdom
Citace poskytuje Crossref.org
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