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.

Amsterdam UMC Academic Medical Center Heart Center Department of Cardiology Amsterdam The Netherlands

Cardiology Department and ICCU Konstantopouleio General Hospital Athens Greece

Centre Hospitalier Universitaire Saint Pierre Université Libre de Bruxelles Belgium

Department of Anaesthesia and Intensive Care Universitätsklinik Innsbruck Innsbruck Austria

Department of Anaesthesia Intensive Care and Emergency Medical Services Ospedale Maggiore Bologna Italy

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; Centre for Clinical Research Falun Dalarna Sweden; School of Education Health and Social Studies Dalarna University Falun Sweden

Discipline of General Practice National University of Ireland Galway and the HSE National Ambulance Service Ireland

Emergency Medical Service Public Institution Health Centre 'Dr Mustafa Šehović' and Faculty of Medicine University of Tuzla Tuzla Bosnia and Herzegovina

Emergency Medical Service SEMER EMIR Funchal Portugal

Emergency Medical Services Copenhagen University of Copenhagen Denmark

Emergency Medical Services Department of Emergency Medicine Helsinki University Hospital and University of Helsinki Helsinki Finland

Emergency Medical Services of the Hradec Králové Region Hradec Králové Czech Republic; Department of Anaesthesiology and Intensive Care Medicine University Hospital Hradec Králové Hradec Králové Czech Republic

Empresa Pública de Emergencias Sanitarias de Andalucía Spain

HSE National Ambulance Service and National University of Ireland Galway Ireland

Hungarian Resuscitation Council Emergency Department University of Szeged Hungary

Institut Für Forschung in Der Operativen Medizin Abteilung Statistik Und Registerforschung Universität Witten Herdecke Germany

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; Slovenian Resuscitation Council Slovenian Society for Emergency Medicine Ljubljana Slovenia

Nicosia General Hospital Cyprus

Oslo University Hospital Division of Prehospital Services Norway; University Hospital Schleswig Holstein Institute for Emergency Medicine Kiel Germany

P J Safarik University Medical Faculty L Pasteur University Hospital Department of Anaesthesiology and Intensive Medicine Kosice Slovakia

Prehospen Centre for Prehospital Research Faculty of Caring Science Work Life and Social Welfare University of Borås Borås Sweden

Professor and Head of the Department of Anaesthesiology and Intensive Care Medicine University Hospital of Cologne Germany; European Resuscitation Council Niel Belgium

Secretary of Luxembourg Resuscitation Council Luxembourg

Serbian Resuscitation Council Novi Sad Serbia

Univ Lille CHU Lille EA 2694 Santé Publique épidémiologie et qualité des soins F 59000 Lille France

University Hospital Dubrava Zagreb Faculty of Dental Medicine and Health Josip Juraj Strossmayer University Osijek Croatia

University Hospital Schleswig Holstein Department of Anesthesiology and Intensive Care Medicine Lübeck Germany

University Hospital Schleswig Holstein Institute for Emergency Medicine Kiel Germany; University Hospital Schleswig Holstein Department of Anesthesiology and Intensive Care Medicine Kiel Germany

University Hospital Schleswig Holstein Institute for Emergency Medicine Kiel Germany; University Hospital Schleswig Holstein Department of Anesthesiology and Intensive Care Medicine Kiel Germany; University of Namibia School of Medicine Windhoek Namibia

University of Antwerp Antwerp Belgium; European Resuscitation Council Niel Belgium

University of Medicine and Pharmacy Gr T Popa Iasi Emergency Department Emergency County Hospital Sf Spiridon Iasi Romania

Warwick Clinical Trials Unit Warwick Medical School University of Warwick Coventry United Kingdom

Warwick Clinical Trials Unit Warwick Medical School University of Warwick Coventry United Kingdom; University Hospitals Birmingham NHS Foundation Trust Birmingham United Kingdom

Citace poskytuje Crossref.org

Current trends in the management of out of hospital cardiac arrest (OHCA)

Strategies of Advanced Airway Management in Out-of-Hospital Cardiac Arrest during Intra-Arrest Hypothermia: Insights from the PRINCESS Trial

Evolution of European Resuscitation and End-of-Life Practices from 2015 to 2019: A Survey-Based Comparative Evaluation

Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial

Ethik der Reanimation und Entscheidungen am Lebensende: Leitlinien des European Resuscitation Council 2021

European first responder systems and differences in return of spontaneous circulation and survival after out-of-hospital cardiac arrest: A study of registry cohorts