Naslov (srp)

Desetogodišnji monitoring srčanog zastoja u vanbolničkim uslovima tokom implementacije European registry of cardiac arrest u Srbiji

Autor

Ranđelović, Suzana, 1978-

Doprinosi

Selaković, Dragica, 1984-
Srećković, Miodrag, 1980-
Rosić, Gvozden, 1964-
Davidović, Goran, 1968-
Obradović, Slobodan, 1968-
Simić, Ivan, 1973-
Živković, Vladimir, 1984-

Opis (srp)

Uvod: Vanbolnički srčani zastoj (VBSZ) je jedan od vodećih uzroka smrti u savremenojpopulaciji. Do 2014. godine u Republici Srbiji nije bilo doslednih podataka o VBSZu Srbiji.Cilj ove studije je da analizira učestalost faktora koji utiču na tok i ishode VBSZ uSrbiji i predikciju prehospitalnih ishoda i preživljavanja.Materijal i metode: Podaci su prikupljeni u periodu od 2014. do 2023. godine, premaprotokolu studije EuReCa One (ID broj kliničkog ispitivanja NCT02236819).Rezultati: Ukupno 9303 VBSZ događaja registrovano je sa medijanom starosti pacijentaod 71 godine. Ukupno 59.7% pacijenata su bili muškarci. Godišnja incidenca VBSZbila je 85.60±20.73/100000 stanovnika. U svim slučajevima osvedočenim od straneslučajnog svedoka, kardiopulmonalna reanimacija (KPR) inicirana je od stranesvedoka u 15.3%. Unutar grupe sa započetom KPR, povratak spontane cirkulacije (PSC)na mestu zadesa bio je prisutan u 1037/4053 slučaja (25.6%), a PSC na prijemu unajbližu bolnicu u 792/4053 slučaja (19.5%) , dok je 201/4053 pacijenata preživelo dootpusta iz bolnice (5.0%). Prediktivni potencijal prehospitalnih ishoda pokazao jenekoliko faktora. Takođe, od svih pacijenata koji su imali PSC, 89,2% je primljeno ubolnicu živo. Verovatnoća PSC na mestu zadesa pala je ispod 50% nakon što je prošlo17 minuta nakon hitnog poziva i 10 minuta nakon dolaska ekipe hitne pomoći na mestozadesa.Zaključci: Stope incidence VBSZ u Srbiji su uporedive sa većinom ranije objavljenihizveštaja. Postoji poboljšanje u uključivanju posmatrača u pružanju KPR mera.Primetne geografske i vremenske varijacije u incidenci VBSZ i dalje su prisutne.KPR iniciran od strane svedoka i faktori vezani za vremenske intervale istaknuti sukao prediktori povoljnih ishoda kod pacijenata sa VBSZ.

Opis (srp)

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Opis (eng)

Introduction: Out-of-hospital cardiac arrest is one of the leading causes of death in the modernpopulation. Until 2014, in the Republic of Serbia, there were no consistent data on out-ofhospital cardiac arrest in Serbia.The aim of this study is to analyze the frequency of factors influencing the course and outcomesof out-of-hospital cardiac arrest (OHCA) in Serbia and the prediction of pre-hospital outcomesand survival.Material and Methods: Data were collected during the period from 1 October 2014, to 31September 2023, according to the protocol of the EuReCa_One study (clinical trial ID numberNCT02236819).Results: Overall 9303 OHCA events were registered with a median age of 71 (IQR 61–81)years and 59.7% of them being males. The annual OHCA incidence was 85.60 ± 20.73/100,000.Within all bystander-witnessed cases, bystander-initiated cardiopulmonary resuscitation in15.3%. Within the resuscitation-initiated group, return-of-spontaneous circulation (ROSC) onscene was present in 1037/4053 cases (25.6%) and ROSC on admission to the nearest hospitalin 792/4053 cases (19.5%), while 201/4053 patients survived to hospital discharge (5.0%).Predictive potential on pre-hospital outcomes was shown by several factors. Also, of all patientshaving any ROSC, 89.2% were admitted to the hospital alive. The probability of any ROSCdropped below 50% after 17 min passed after the emergency call and 10 minutes after the EMSscene arrival.Conclusions: Incidence rates of OHCA in Serbia are comparable to most previously publishedreports. There is an improvement in bystander inclusion in providing CPR measures. Noticeablegeographic and time-related variabilities in OHCA incidence are still present among the OHCAreports. Bystander-initiated CPR and time-related factors are highlighted as predictors offavorable outcomes in patients with OHCA.

Jezik

srpski

Datum

2024

Licenca

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