Factors Affecting a Successful Out-Of-Hospital Cardiopulmonary Resuscitation / Pirmsslimnīcas Etapa Kardiopulmonālo Reanimāciju Rezultātus Ietekmējošie Faktori

Abstract

A retrospective patient record analysis of the Emergency Medial Service’s Rîga City Regional Centre was provided from January 2012 through December 2013. 1359 adult patients were CPR treated for out-of-hospital cardiac arrest according to ERC Guidelines 2010. A total of 490 patients were excluded from the study. The main outcome measure was survival to hospital admission. Of 869 CPR-treated patients, 60% (n = 521) were men. The mean age of patients was 66.68 ± 15.28 years. The survival rate to hospital admission was 12.9% (n = 112). 54 of survived patients were women. Mean patient age of successful CPR was 63.22 ± 16.21 and unsuccessful CPR 67.20 ± 15.09. At least one related illness was recorded with 63.4% (n = 551) patients. There were 61 survivors in bystander witnessed OHCA and nine survivors in unwitnessed OHCA. The rate of bystander CPR when CA (cardiac arrest) was witnessed was 24.8%. Ventricular fibrillation (VF) as initial heart rhythm was significantly associated with survival to hospital admission in 54 cases (p < 0.0001). Age and gender affected return of spontaneous circulation. Survival to hospital admission had rhythm-specific outcome. Presence of OHCA witnesses improved outcome compared to bystander CPR. The objective of this study was to report patient characteristics, the role of witnesses in out-of-hospital cardiac arrest (OHCA) and outcome of adult cardiopulmonary resuscitation

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  • Anonymous. (2014). Statistikas dati par iedzîvotâju mirstîbu. http://www.spkc.gov.lv/veselibas-aprupes-statistika/ (accessed 2 November 2014).

  • Antwood, C. Eisenberg, M. S., Herlitz, J., Rea, T. D. (2005). Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation, 67, 75-80.

  • Birkenes, T. S., Myklebust, H., Neset, A., Kramer-Johansen, J. (2014). Quality of CPR performed by trained bystanders with optimized pre-arrival instructions. Resuscitation, 85 (1), 124-130.

  • Bobrow, B. J., Spaite, D. W., Berg, R. A., Stolz, U., Sanders, A. B., Kern, K. B., Vadeboncoeur, T. F., Clark, L. L., Gallagher, J. V., Stapczynski, J. S., LoVecchio, DO; Terry J. Mullins, MBA; Will O. Humble, MPH; Gordon A. Ewy, F. (2010). Chest compressiononly CPR by lay rescuers and survival from out-of-hospital cardiac arrest. J. Amer. Med. Assoc., 304, 1447-1454.

  • Deakin, C. D., Nolan, J. P., Soar, J., Sunde, K., Koster, R. W., Smith, G. B., Perkins, G.D. (2010). European Resuscitation Council Guidlines for Resuscitation 2010, Section 4. Adult advanced life support. Resuscitation, 82 (1), 140.

  • Herlitz, J., Svensson, L., Engdahl, J., Silfverstolpe J. (2008). Characteristics and outcome in out-of hospital cardiac arrest when patients are found in anon-shockable rhythm. Resuscitation, 76 (1), 31-36.

  • Herlitz, J., Engdahl, J., Svensson, L., Angquist, K. A., Young, M., Holmberg, S. (2005). Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a nationam perspective in Sweden. Amer. Heart J., 149 (1), 61-66.

  • McNally, B., Robb, R., Mehta, M., Vellano, K., Valderrama, A. L., Yoom, P. W., Sasson, C., Crouch, A., Bry Perez, A., Meritt, R., Kellermann, A. (2011). Out-of-Hospital Cardiac Arrest Surveillance - Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005-December 31, 2010. Surveillance Summaries 29 July 2011 / 60 (SS08), 1-19.

  • Nichol, G., Thomas, E., Callaway, C. W., Hedges, J., Powell, J. L., Aufderheide, T. P., Rea, T., Lowe, R., Brown, T., Dreyer, J., Davis, D., Idris, A., Stiell, I. (2008). Regional variation in out-ofhospital cardiac arrest incidence and outcome. JAMA (The Journal of the Americam Medical Association), 300,1423-1432.

  • Nordberg, P., Hollenberg, J., Herlitz, J., Rosenqvist, M., Svensson L. (2009). Aspects on the increase in bystander CPR in Sweden and its association with outcome. Resuscitation, 80, 329-33.

  • Olasveengen, T. M. (2009). Factors impacting on quality of prehospital advanced cardiac life support. Oslo: Institute for Experimental Medical Research and Department of Anesthesiology, Oslo University Hospital.

  • Vukmir, R. (2004). Survival and outcomef prehospital cardiac arrest. Int. J. Rescue Disaster Med., 4 (1) DOI: 10.5580/db9.

  • Youngquist, S. T. (2013). Can survival from out-of-hospital cardiac arrest be predicted from a victim's carbon emissions? Resuscitation, 84 (11), 1457-1458.

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