eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
4/2021
vol. 17
 
Share:
Share:
more
 
 
abstract:
Original paper

Epidemiology, management, and survival rate of out-of-hospital cardiac arrest in Upper Silesia, Poland: an Utstein-style report

Kamil Bujak
1
,
Klaudiusz Nadolny
2, 3
,
Jerzy R. Ładny
4
,
Bartosz Hudzik
1
,
Dorota Zyśko
5
,
Przemysław Trzeciak
1
,
Mariusz Gąsior
1

1.
3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland
2.
Department of Emergency Medical Service, Strategic Planning University of Dabrowa Gornicza, Dabrowa Gornicza, Poland
3.
Faculty of Medicine, Katowice School of Technology, Katowice, Poland
4.
Department of Emergency Medicine, Medical University of Bialystok, Bialystok, Poland
5.
Department of Emergency Medicine, Wroclaw Medical University, Wroclaw, Poland
Adv Interv Cardiol 2021; 17, 4 (66): 366–375
Online publish date: 2021/12/28
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction
To evaluate the epidemiology of OHCA, patient characteristics, the laypeople and emergency medical service (EMS) response to cardiac arrest, and outcomes of OHCA patients, based on a prospective registry encompassing a population of 2.7 million Poles.

Material and methods
Consecutive, adult, EMS-treated OHCA cases in 2018 were analyzed. Prehospital data were collected using case report forms by EMS. Information on in-hospital procedures and outcomes was based on data from the public payer of health care services. Multivariable logistic regression analysis was performed to find independent predictors of survival to discharge.

Results
A total of 1392 patients were included. Most OHCA occurred at home (74.7%). In 66.8% of OHCA cases, the cardiac arrest was witnessed by bystanders and in another 20.4% by EMS. Laypeople performed cardiopulmonary resuscitation (CPR) in 54.4% of non-EMS-witnessed events, and an automated external defibrillator (AED) was used in 4.6% of patients who received bystander CPR. Finally, 30.7% of all patients were transported to the hospital, and 9.2% survived to hospital discharge. Epinephrine administration, unwitnessed OHCA, longer response time, older age, and initial non-shockable rhythm were independently associated with lower survival to discharge.

Conclusions
The prognosis of OHCA patients in Poland is poor. There is still room for improvement in increasing the prevalence of bystander CPR and AED use before EMS arrival.

keywords:

cardiopulmonary resuscitation, emergency medical service, cardiac arrest, automated external defibrillators, myocardial infarction

Quick links
© 2022 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.