Introducing the Crimean out-of-hospital cardiac arrest and resuscitation registry (COHCARR): Rationale, design and 6-month baseline data

Abstract

Journal Resuscitatio Balkanica -godina V • broj 14. | Introducing the Crimean Out-of-Hospital Cardiac Arrest and Resuscitation Registry (COHCARR): rationale, design and 6-month baseline dataSažetak Uvod:Postoji potreba za uspostavljanjem registara za vanbolnički srčani zastoj (OHCA) u zemljama bivšeg Sovjetskog Saveza. Ovaj članak ima za cilj pružiti obrazloženje i opisati metodologiju krimskog registra vanbolničkog srčanog zastoja i oživljavanja (COHCARR), te izvijestiti osnovne podatke o epidemiologiji OHCA i hitnoj medicinskoj službi (EMS) u Republici Krim. Metode: COHCARR je zamišljen kao potencijalni populacijski registar svih slučajeva OHCA-e koji su prisustvovali EMS-u sa pokušajima oživljavanja koji se događaju u Republici Krim. Pokrivenost stanovništva je 1,91 miliona (100% stanovnika republike). Osnovna opisna analiza OHCA s pokušajem reanimacije (1. siječnja-30. lipnja 2018.) provedena je po Utstein metodologiji kako bi se dao sažetak problema OHCA u regiji. Rezultati:U tom periodu, EMS je prisustvovalo ukupno 6391 OHCA. S tim je reanimacija pokušana samo u 196 slučajeva (3,1%; srednja dob 65 godina, muškarci 56%, šokantna 16%). Većina (95%) svjedočila je EMS ili prolaznik. Od slučajeva svjedoka koji su prolazili (24%, n = 47), pokušaj reanimacije pokušao je u 19% (n = 9). Povratak spontane cirkulacije (ROSC) postignut je u 6,6% bolesnika, a 5,6% je preživelo prijem u bolnicu. Zaključci:Niske stope pokušaja oživljavanja, ROSC i preživljavanje do prijema u bolnicu nalažu priliku za poboljšanje ishoda OHCA na Krimu. Registar će pomoći ciljanju razumnih isplativih intervencija i procjeni njihove učinkovitosti u regiji. COHCARR može poslužiti kao osnovni model za izradu registra OHCA na drugim postsovjetskim teritorijama. Abstract Introduction:There is an urgent unmet need for establishing out-of-hospital cardiac arrest (OHCA) registries in the former Soviet Union countries. This article aims to provide a rationale and describe methodology of the Crimean out-of-hospital cardiac arrest and resuscitation registry (COHCARR), and report baseline information on OHCA epidemiology and emergency medical service (EMS) performance in the Republic of Crimea. Methods: COHCARR is designed to be a prospective population-based registry of all EMS-attended OHCA cases with resuscitation attempts, occurring in the Republic of Crimea. The population coverage is 1.91 million (100% inhabitants of the republic). The baseline descriptive analysis of OHCA with attempted resuscitation (January 01-June 30, 2018) has been performed following the Utstein methodology to provide a snapshot of OHCA problem in the region. Results:During the period, a total of 6,391 OHCA were attended by EMS. With that, resuscitation was attempted only in 196 cases (3.1%; median age 65 years, male 56%, shockable 16%). Most (95%) were witnessed by EMS or a bystander. Out of the bystander-witnessed cases (24%, n=47), bystander resuscitation was attempted in 19% (n=9). Return of spontaneous circulation (ROSC) was achieved in 6.6% patients, and 5.6% survived ...

Understanding the epidemiology and outcomes of out-of-hospital cardiac arrest in the former Union of Soviet Socialist Republics: Observations from the Crimean peninsula

“…The Crimean out-of-hospital cardiac arrest and resuscitation registry (COHCARR) was recently introduced as a prospective registry of all EMS-attended cases of OHCA with attempted cardiopulmonary resuscitation (CPR), covering the entire population of 1.914 million people living in Crimea (with the exception of the Sebastopol). [3] An analysis of baseline 24-month data (from January 2018 to December 2019) was conducted. During this period, the EMS of Crimea attended a total of 26,045 OHCA events (680.4 per 100,000 resident population per year).…”