Out-of-hospital cardiac arrest

Porzer, Martin; Mrázková, Eva; Homza, Miroslav; Janout, Vladimí­r

doi:10.5507/bp.2017.054

Cited by 55 publications

(51 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sudden cardiac death remains one of the leading causes of death in developed countries[1] and is considered as a major burden to the population[2–3]. In the early 21 st century, there were approximately 600–700 non-traumatic out-of-hospital cardiac arrest (OHCA) cases annually in the Daegu Metropolitan City area; this number increased from 887 in 2012 to 1009 in 2016[4].…”

Section: Introductionmentioning

confidence: 99%

A 5-year change of knowledge and willingness by sampled respondents to perform bystander cardiopulmonary resuscitation in a metropolitan city

et al. 2019

View full text Add to dashboard Cite

BackgroundNationwide and regional interventions can help improve bystander cardiopulmonary resuscitation (CPR) awareness, knowledge, and the willingness. Periodic community investigation will help monitor the effect. This study aimed to compare the experience of CPR education, CPR knowledge, and CPR willingness, during a 5-year interval.MethodsThis is a pre and post study. Two surveys were done in February 2012 and December 2016. National and regional intervention including legislation promoting public involvement, standardizing CPR education programs, training CPR instructors, and installing supporting organizations were done at the period. In both surveys, respondents were selected via quota sampling in Daegu Metropolitan City and answered the survey through face-to-face interview. Respondents’ general demographic characteristics, CPR educational experience, CPR knowledge and CPR willingness were questioned.ResultsTotal of 2141 respondents (1000 in 2012, 1141 in 2016) were selected. The percentage of respondents who received CPR education itself and recent education were higher after intervention compared to before intervention (36.2% vs. 55.1%, 16.9% vs. 30.1%, respectively). Correct knowledge of performing CPR seems to be improved overall (1.6% vs. 11.7%, odd ratio 14.28, 95% confidence interval 5.68–35.94). However, less respondents were willing to perform CPR on strangers (54.5% vs 35.0%).ConclusionNationwide and regional interventions to promote bystander CPR and CPR education were associated with increased CPR education experience and improved correct CPR knowledge in performing bystander CPR. Willingness to perform bystander CPR on family did not increase significantly and CPR willingness to strangers was decreased. Additional legal and technological measures should be implemented to promote bystander CPR.

show abstract

Section: Introductionmentioning

confidence: 99%

A 5-year change of knowledge and willingness by sampled respondents to perform bystander cardiopulmonary resuscitation in a metropolitan city

et al. 2019

View full text Add to dashboard Cite

show abstract

“…SCD is an unexpected death occurring generally within 1 h of onset of symptoms [ 3 ]. The most common cardiovascular diseases that lead to SCD are coronary atherosclerosis and dilated cardiomyopathy, where the loss of cardiac mechanical function and decreased cardiac output can result in the genesis of malignant ventricular arrhythmias [ 3 ]. Koldobskiy et al have found that renal disease, immunosuppression and obesity are associated with lower success rate to cardiopulmonary resuscitation [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation

Ujvárosy

Sebestyén

Pataki

et al. 2018

BMC Cardiovasc Disord

View full text Add to dashboard Cite

BackgroundChest compression is a decisive element of cardio-pulmonary resuscitation (CPR). By applying a mechanical CPR device, compression interruptions can be minimised. We examined the efficiency of manual and device-assisted resuscitation as well as the effects of cardiovascular risk factors on the outcome of resuscitation.MethodsIn our retrospective, randomised 3-year study the data of adult patients suffering non-traumatic, out-of-hospital, sudden cardiac death (SCD) were analysed (n = 287). The data were retrieved by processing case reports, Utstein sheets and acute coronary syndrome sheets. We compared the data of patients undergoing manual (n = 232) and device-assisted resuscitation (LUCAS-2, n = 55). The primary endpoint was the on-site restoration of spontaneous circulation (ROSC).Results and conclusionIn 37% of the cases ROSC happened. With respect to ROSC an insignificantly more favourable tendency was demonstrated in the case of device-assisted resuscitation (p = 0.072). In the Lucas group, a higher success rate occurred even in the case of prolonged resuscitation. We found a better outcome in the Lucas group in the case of CPR started a longer time after the SCD (p < 0.05). A positive correlation was established between age and unsuccessful resuscitation (p = < 0.017; r = 0.125). An unfavourable correlation was observed between hypertension and the outcome of resuscitation (p = 0.018; r = 0.143). According to our results the presence of left ventricular hypertrophy poses 5.1-fold risk of unsuccessful CPR (CI: 4.97–5.29).Advanced age and structural heart diseases can play a role in the genesis of SCD. Importantly, left ventricular hypertrophy and hypertension negatively affect survival.

show abstract

“…The global incidence of cardiac arrest with assumed primary cardiac cause is 55/100 000 inhabitants. 1 In Europe, approximately 275 000 people with all-rhythm cardiac arrests are treated by the emergency medical systems (EMS) each year. 2 Out-of-hospital cardiac arrest (OHCA) is a significant cause of global mortality.…”

Section: Introductionmentioning

confidence: 99%

“…3 However, in recent years the survival rates have improved especially in developing countries due to advances in the chain of survival. 1 At present, the majority of published OHCA studies focus on the acute prehospital and intensive care treatment of OHCA sufferers. Far fewer studies have investigated the period from early recovery to long-term return to everyday life.…”

Section: Introductionmentioning

confidence: 99%

Cognitive impairment and psychopathology in out-of-hospital cardiac arrest survivors in Denmark: The REVIVAL cohort study protocol

et al. 2020

View full text Add to dashboard Cite

IntroductionCognitive impairment and psychopathology caused by brain hypoxia and the traumatic impact of critical illness are common in cardiac arrest survivors and can lead to negative consequences of everyday life functioning, and further impact mental health in relatives. Most studies have dealt with the mere survival rate after cardiac arrest and not with long-term consequences to mental health in cardiac arrest survivors. Importantly, we face a gap in our knowledge about suitable screening tools in the early post-arrest phase for long-term risk prediction of mental health problems. This study aims to evaluate the efficacy of a novel screening procedure to predict risk of disabling cognitive impairment and psychopathology 3 months after cardiac arrest. Furthermore, the study aims to evaluate long-term prevalence of psychopathology in relatives.Methods and analysesIn this multicentre prospective cohort study, out-of-hospital cardiac arrest survivors and their relatives will be recruited. The post-arrest screening includes the Montreal Cognitive Assessment (MoCA), the Hospital Anxiety and Depression Scale (HADS), the Impact of Event Scale-Revised (IES-R) and the Acute Stress Disorder Interview (ASDI) and is conducted during hospitalisation. In a subsample of the patients, functional MRI is done, and cortisol determination collected. At 3-month follow-up, the primary study outcomes for 200 survivors include the Danish Affective Verbal Learning Test-26 (VAMT-26), Delis-Kaplan Executive Function System tests (trail making, colour-word interference, word and design fluency), Rey’s Complex Figure and Letter-number sequencing subtest of Wechsler Adult Intelligence Scale-IV, HADS and IES-R. For the relatives, they include HADS and IES-R.Ethics and disseminationThe study is approved by the local regional Research Ethics Committee (H-18046155) and the Danish Data Protection Agency (RH-2017-325, j.no.05961) and follows the latest version of the Declaration of Helsinki. The results will be published in peer-reviewed journals and may impact the follow-up of cardiac arrest survivors.

show abstract

Out-of-hospital cardiac arrest

Cited by 55 publications

References 23 publications

A 5-year change of knowledge and willingness by sampled respondents to perform bystander cardiopulmonary resuscitation in a metropolitan city

A 5-year change of knowledge and willingness by sampled respondents to perform bystander cardiopulmonary resuscitation in a metropolitan city

Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation

Cognitive impairment and psychopathology in out-of-hospital cardiac arrest survivors in Denmark: The REVIVAL cohort study protocol

Contact Info

Product

Resources

About