Out of hospital cardiac arrest in Vienna: Incidence and outcome

Nürnberger, Alexander; Sterz, Fritz; Malzer, Reinhard; Warenits, Alexandra-Maria; Girsa, Michael; Stöckl, Mathias; Hlavin, Gerald; Magnet, Ingrid Anna Maria; Weiser, Christoph; Zajicek, Andreas; Glück, Harald; Grave, Marie Sophie; Müller, Vivien; Benold, Nina; Hubner, Pia; Kaff, Alfred

doi:10.1016/j.resuscitation.2012.07.002

Cited by 67 publications

(46 citation statements)

References 12 publications

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“…In our study, the arrival time was 9 min. This result is comparable to international data [7,9,14,[18][19][20]29].…”

Section: Resultssupporting

confidence: 90%

“…Comparing the data with literature, a significant discrepancy can be noted, especially with the countries of Western Europe where the numbers are two or three times lower [2]. On the basis of international data, the standard OHCA incidence rate ranges from 34/100,000 (Denmark) [5], through 51/100,000 (Finland) [6], 52/100,000 (Sweden) [7], and 88/100,000 (Ireland), [8] to 206/100,000 (Austria) [9]. These detectable differences can be explained by two major facts: on the one hand, it is related to the characteristics of patients and circumstances of the incident, and on the other hand, to the system of reporting results.…”

Section: Resultsmentioning

confidence: 99%

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Epidemiology of out-of-hospital cardiac arrest in the Bielsko-Biala district: a 12-month analysis

2016

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A b s t r a c tBackground: Out-of-hospital cardiac arrest (OHCA) is the sudden, unexpected loss of heart function, which occurs out of specialist healthcare facilities and inevitably leads to death if uninterrupted by effective cardiopulmonary resuscitation (CPR). Aim:To evaluate the circumstances and basic epidemiological indices of OHCA in the population of adult inhabitants of Bielsko-Biala district within 12 months. Methods:On the basis of standard ambulance dispatch cards of the Emergency Medical Services (EMS) teams, a retrospective analysis was made of 272 OHCA cases covering the period from 01.01.2013 to 31.12.2013. We assessed the basic demographic data of the victims, circumstances of the occurrence of OHCA, information on the potential cause and mechanism of the OHCA, and data related to the actions undertaken by witnesses and EMS teams. Results:The overall OHCA incidence was 170/100,000 (243/100,000 in men; 99/100,000 in women). It increased with subjects' age (p < 0.01). The most frequent place of OHCA was the victim's home (82%). OHCA occurred in the presence of witnesses in 60% of cases. CPR was undertaken by a witness in 56% cases. Median CPR duration undertaken by a witness was 10 (IQR 8-14) min. Median time from notification receipt by the EMS to the team arrival was 9 (7-11) min. On the scene, defibrillation rhythm was recognised in 39% of cases. Sixty-seven patients were declared deceased after the arrival of the EMS teams. In the remaining 205 cases, CPR was undertaken, which was ineffective for 141 persons. Median CPR duration undertaken by the EMS team was 30 (20-40) min. The overall prehospital case fatality ratio was 76.5% (75.3% for men; 79.3% for women).Conclusions: OHCA incidence in the Bielsko-Biala population in 2013 was high, increased with age, and was twice as high for men than women. OHCA occurred most often at home, in the presence of a witness; however, CPR was not always undertaken promptly at the scene. CPR was effective for approximately 30% of the victims. The prehospital mortality was high with no differences between genders.

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“…In our study, the arrival time was 9 min. This result is comparable to international data [7,9,14,[18][19][20]29].…”

Section: Resultssupporting

confidence: 90%

Section: Resultsmentioning

confidence: 99%

Epidemiology of out-of-hospital cardiac arrest in the Bielsko-Biala district: a 12-month analysis

2016

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“…1 Nuernberger et al 2 reported about the current survival and neurological outcome after OHCA in Vienna. Survival and favourable neurological outcome were determined through hospital-discharge (11.3%) and the cerebral performance category (CPC) of 1/2 (8.7%).…”

Section: Introductionmentioning

confidence: 99%

The incidence of “load&go” out-of-hospital cardiac arrest candidates for emergency department utilization of emergency extracorporeal life support: A one-year review

et al. 2015

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“…Accordingly, several studies have investigated the extent to which the chances of resuscitation and survival vary over different conditions [6][7][8][9][10] including the types of symptoms, treatment provided [11][12][13] , patients' attributes 14,15 and situations 5,[16][17][18][19][20] . These previous studies have mostly utilized monthly observations of OHCA cases that had already occurred to investigate outcomes in relation to emergency care procedures.…”

Section: Introductionmentioning

confidence: 99%

The daily incidence of out-of-hospital cardiac arrest unexpectedly increases around New Year's Day in Japan

Takahashi

Shimadzu

2015

Resuscitation

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Out of hospital cardiac arrest in Vienna: Incidence and outcome

Cited by 67 publications

References 12 publications

Epidemiology of out-of-hospital cardiac arrest in the Bielsko-Biala district: a 12-month analysis

Epidemiology of out-of-hospital cardiac arrest in the Bielsko-Biala district: a 12-month analysis

The incidence of “load&go” out-of-hospital cardiac arrest candidates for emergency department utilization of emergency extracorporeal life support: A one-year review

The daily incidence of out-of-hospital cardiac arrest unexpectedly increases around New Year's Day in Japan

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