Out-of-hospital cardiopulmonary resuscitation in four Serbian university cities: outcome follow-up according to the «Utstein style»

Andjelic, Sladjana; Djordjević, Nataša

doi:10.22514/sv51.042010.4

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…Male patients in our study had a higher incidence of severe pre-morbid medical conditions such as ischemic heart disease and hypertension compared to female patients even though the incidence of PMH in both sexes was not statistically significant. Patient's gender may influence the outcome of OHCA (Herlitz et al 2004;Andjelic & Djordjevic 2010). The more severe the pre-morbid conditions or medical history of a patient, the poorer is the outcome.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest Managed in Universiti Kebangsaan Malaysia Medical Centre

Ismail¹

2016

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ABSTRAK Mangsa serangan jantung di luar hospital (OHCA) memerlukan bantuan bantu mula jantung (CPR) dan defibrilasi dengan segera sebelum ketibaan di Jabatan ABSTRACTOut-of-hospital cardiac arrest (OHCA) patients require immediate cardiopulmonary resuscitation (CPR). Early initiation of CPR and defibrillation before arrival at Emergency Department (ED) increases the chance of survival from sudden cardiac arrest. The main objective of this study was to identify the factors that influenced the outcome of early cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest (OHCA) patients managed at the ED of Universiti Kebangsaan Malaysia Medical Centre (UKMMC). The second objective was to determine the incidence of CPR initiated by the public prior to ambulance arrival. The present study was a one-year cross-sectional study. The OHCA patients were identified from the ED resuscitation logbook. Patients' medical records were used to obtain details of the resuscitation. Factors recorded included: aetiology of arrest, initiation of on-scene CPR, use of automated external defibrillators (AEDs), mode of transportation and the incidence of return of spontaneous circulation (ROSC) in the ED. Categorical data was analysed using chi-square and Fisher exact tests. Nine patients out of 98 had early CPR. Three patients achieved ROSC. Gender was significantly associated with ROSC (p-value=0.015). More patients who received early CPR achieved ROSC compared to those who received late CPR. The provision of early CPR and usage of AEDs by the public is still low. Female gender had a positive influence on ROSC. Efforts are required to increase the awareness and involvement of the public in initiating early CPR prior to the arrival of ambulance service.

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Section: Discussionmentioning

confidence: 99%