Survival after out-of-hospital cardiac arrests in Katowice (Poland): outcome report according to the “Utstein style”

Rudner, Robert; Jałowiecki, Przemysław; Karpel, Ewa; Dziurdzik, Piotr; Alberski, Bogdan; Kawecki, Piotr

doi:10.1016/j.resuscitation.2004.01.020

Cited by 47 publications

(27 citation statements)

References 33 publications

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“…In our research we found that the occurrence of prehospital ROSC does not depend on gender. The median age is also in agreement with other authors [8,11,13]. Only in a study conducted in Johannesburg, the median age of the victims was 53 years, so more than 10 years lower than in Europe.…”

Section: Discussionsupporting

confidence: 91%

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Emergency medical system response time does not affect incidence of return of spontaneous circulation after prehospital resuscitation in one million central European agglomeration residents

Kłosiewicz

Skitek-Adamczak²,

Zieliński³

2017

Kardiol Pol

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A b s t r a c t Background:The survival of out-of-hospital sudden cardiac arrest (OHSCA) in Europe still remains low. The State Medical Rescue System is composed of several elements. The efficacy of each of these elements may have an influence on the victim's survival. Until now, the incidence of return of spontaneous circulation (ROSC) and its correlation with rescue services time in the city of Poznan has not been determined. Aim:The main purpose of this study was to assess incidents of OHSCA and prehospital frequency of ROSC after OHSCA in Poznan city and district. We also wanted to analyse whether ROSC depends on Emergency Medical System (EMS) reaction time. Methods: Retrospective analysis based on medical documentation conducted in 2015 in Poznan EMS.Results: Return of spontaneous circulation was achieved in 68.88% of cases. It was most frequent when OHSCA occurred in public places (p = 0.000, contingency factor = 0.233) and victims were younger (p = 0.042, contingency factor = 0.129). 63.17% of patients were male, but sex did not affect the incidence of ROSC. The median time of system response was 8.53 min, while time from ambulance departure to arrival was 5.42 min. We did not find any statistically significant difference between the number of deaths and those parameters (p = 0.723, p = 0.891). However, longer team response time correlated with the highest mortality (p = 0.042, contingency factor = 0.126). In the group where ROSC was achieved the median time of EMS response was 8.18 min, while among the group of deceased the median was 8.63 min. Conclusions:The incidence of OHSCA in our region is similar to other Polish and European cities. EMS response time does not affect the frequency of ROSC. ROSC was achieved more often if OHSCA occurred in public and the victim was younger.

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Section: Discussionsupporting

confidence: 91%

“…It was less likely to achieve ROSC in these places. According to Rudner et al [13], out of home OHSCA occur on the street (47%), in public buildings (29%), and at work (9%). A higher survival rate was observed when OHSCA occurred in the workplace or inside buildings, as compared to on the street.…”

Section: Discussionmentioning

confidence: 99%

Emergency medical system response time does not affect incidence of return of spontaneous circulation after prehospital resuscitation in one million central European agglomeration residents

Kłosiewicz

Skitek-Adamczak²,

Zieliński³

2017

Kardiol Pol

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“…It is important to mention, however, that prognostic factors such as sex, age, cardiac etiology, place where the event occurred, presence of witness, resuscitation by nonmedical individual and initial rhythm were similar to those in other locations with better outcomes [22][23][24] . It is possible that this phenomenon is explained by the presence of other factors, such as demographic profile, comorbidities and socioeconomic level, which were not adequately evaluated by the present protocol.…”

Section: *Data Expressed As N/total N Of Valid Data In Absolute Numbementioning

confidence: 93%

Avaliação inicial do Serviço de Atendimento Móvel de Urgência na Cidade de Porto Alegre

Semensato¹,

Zimerman²,

Rohde³

2011

Arq. Bras. Cardiol.

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“…Decision making as to the choice of further procedures and referrals (haemodynamic unit, radiological unit versus direct admission to intensive care unit) must be swift, adequate and well grounded. Predictive factors of patient outcome include initial status, application of adequate therapeutic measures or modification of the treatment applied so far [11][12][13]. Inability to identify the cause of cardiac arrest due to lacking information in the report is therefore particularly worrisome, whereas lack of data concerning patient age is of lesser importance.…”

Section: Streszczeniementioning

confidence: 99%

Utstein-style reporting of out-of-hospital cardiac arrest in the Bielsko-Biała county

Gach¹,

Nowak

Krzych

2016

Folia Cardiologica

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Survival after out-of-hospital cardiac arrests in Katowice (Poland): outcome report according to the “Utstein style”

Cited by 47 publications

References 33 publications

Emergency medical system response time does not affect incidence of return of spontaneous circulation after prehospital resuscitation in one million central European agglomeration residents

Emergency medical system response time does not affect incidence of return of spontaneous circulation after prehospital resuscitation in one million central European agglomeration residents

Avaliação inicial do Serviço de Atendimento Móvel de Urgência na Cidade de Porto Alegre

Utstein-style reporting of out-of-hospital cardiac arrest in the Bielsko-Biała county

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