Out-of-hospital cardiac arrest survival in Beirut, Lebanon

Sayed, Mazen El; Tamim, Hani; Nasreddine, Zeina; Dishjekenian, Maggy; Kazzi, Amin

doi:10.1097/mej.0000000000000088

Cited by 17 publications

(21 citation statements)

References 8 publications

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“…[ 2 6 7 ] OHCA admissions accounted for 2.4% of all hospital admissions in a study from Doha, Qatar with higher survival rates among patients with witnessed OHCA and bystander CPR [8] . Another study examined resuscitation practices from different Asian countries (Pan Asian Resuscitation Outcomes Study [PAROS] which included Japan, Singapore, South Korea, Malaysia, Taiwan, Thailand, and UAE-Dubai) [9] ; the majority of arrests occurred at home with bystander CPR rates varying from 10.5% (UAE) to 40.2% (Japan) and overall survival rates ranging from 0.5% to 8.5% [9] .…”

Section: Introductionmentioning

confidence: 99%

“…Another study examined resuscitation practices from different Asian countries (Pan Asian Resuscitation Outcomes Study [PAROS] which included Japan, Singapore, South Korea, Malaysia, Taiwan, Thailand, and UAE-Dubai) [9] ; the majority of arrests occurred at home with bystander CPR rates varying from 10.5% (UAE) to 40.2% (Japan) and overall survival rates ranging from 0.5% to 8.5% [9] . In Lebanon, OHCA survival to hospital discharge was 5.5% with a shockingly low bystander-CPR rate of 4.2% [7] . Barriers to performing bystander CPR in more developed countries include deficient knowledge or training, lack of skill confidence, and fear or litigation [10] .…”

Section: Introductionmentioning

confidence: 99%

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Community involvement in out of hospital cardiac arrest

et al. 2016

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Out of hospital cardiac arrest (OHCA) is a leading cause of death worldwide. Developing countries including Lebanon report low survival rates and poor neurologic outcomes in affected victims. Community involvement through early recognition and bystander cardiopulmonary resuscitation (CPR) can improve OHCA survival.This study assesses knowledge and attitude of university students in Lebanon and identifies potential barriers and facilitators to learning and performing CPR.A cross-sectional survey was administered to university students. The questionnaire included questions regarding the following data elements: demographics, knowledge, and awareness about sudden cardiac arrest, CPR, automated external defibrillator (AED) use, prior CPR and AED training, ability to perform CPR or use AED, barriers to performing/learning CPR/AED, and preferred location for attending CPR/AED courses. Descriptive analysis followed by multivariate analysis was carried out to identify predictors and barriers to learning and performing CPR.A total of 948 students completed the survey. Participants’ mean age was 20.1 (±2.1) years with 53.1% women. Less than half of participants (42.9%) were able to identify all the presenting signs of cardiac arrest. Only 33.7% of participants felt able to perform CPR when witnessing a cardiac arrest. Fewer participants (20.3%) reported receiving previous CPR training. Several perceived barriers to learning and performing CPR were also reported. Significant predictors of willingness to perform CPR when faced with a cardiac arrest were: earning higher income, previous CPR training and feeling confident in one's ability to apply an AED, or perform CPR. Lacking enough expertise in performing CPR was a significant barrier to willingness to perform CPR.University students in Lebanon are familiar with the symptoms of cardiac arrest, however, they are not well trained in CPR and lack confidence to perform it. The attitude towards the importance of bystander CPR and the need to learn CPR is very positive. Interventions should focus on public awareness campaigns regarding the importance of initiating bystander CPR while activating emergency medical services (EMS) and on making CPR training more available.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Community involvement in out of hospital cardiac arrest

et al. 2016

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“…Few arrests were witnessed in this study. Although most cases occurred at home (76%), low witness rate (11.5%) is evident (Table 2); these findings are different from regional studies [1,13] but resemble those from US (home 87% and witness rate of 6%) [14]. Lewis et al (2016) attributed the low witness rate with the low marriage rate of OHCA patients in North Carolina [14].…”

Section: Emergency Medicine Internationalmentioning

confidence: 79%

Epidemiology and Outcomes from Out-of-Hospital Cardiac Arrest in Kuwait

Hasan

Yaseen

Sayed

2020

Emergency Medicine International

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Background. Out-of-hospital cardiac arrest (OHCA) survival remains low in most countries. Few studies examine OHCA outcomes out of the Middle East region. This is the first study to describe characteristics and outcomes of patients with OHCA treated by emergency medical services (EMS) in regions of Kuwait. Objectives. To describe characteristics and outcomes of adult patients affected with OHCA in regions of Kuwait. Methods. This was a retrospective observational study on all adult OHCA patients transported by EMS to regional emergency departments over a 10- month period (21 February–31 December 2017). Data were collected from various sources: national emergency medical services archived data, emergency department, intensive care unit, and cardiac care unit of two hospitals. Results. A total of 332 EMS-treated OHCA cases were reviewed, and 286 incidents with OHCA from cardiac aetiology were included in the study. Most were non-Kuwaiti (60.8%) males (67.1%) with mean age 61 (+−16) years. Most OHCA cases occurred at home (76%) but with low witness rate (11.5%). Bystander CPR rate was low (8.7%). ROSC was achieved in ten patients (3.5%), but only 1 (0.3%) patient survived to hospital discharge. Conclusion. OHCA survival rates in this region of Kuwait are low. Targeted measures such as creating cardiac registry, dispatcher-assisted CPR with ongoing training and quality improvement, and community-based CPR education program are needed to improve the survival rates of OHCA victims.

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“…A study from Qatar on adults reports no association between the bystander CPR and survival; this was attributed to ineffective CPR . Poor survival to hospital discharge (4.8%‐5.5%) from OHCA was also reported in studies from Lebanon . The Emergency Medical Services system in Lebanon is underdeveloped with several elements from AHA chain of survival lacking.…”

Section: Introductionmentioning

confidence: 99%

“…8 Poor survival to hospital discharge (4.8%-5.5%) from OHCA was also reported in studies from Lebanon. 9,10 The Emergency Medical Services system in Lebanon is underdeveloped with several elements from AHA chain of survival lacking. In the absence of national EMS plan or lead governmental EMS authority or EMS law or regulations for operating EMS agencies, standardized prehospital treatment protocols are lacking.…”

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confidence: 99%

Epidemiology, etiology, and outcomes of out‐of‐hospital cardiac arrest in young patients in lebanon

Refaat

Kozhaya

Abou‐Zeid

et al. 2019

Pacing Clinical Electrophis

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Background The burden of out‐of‐hospital cardiac arrest (OHCA) on different population segments in developing countries is not well studied. Previous studies from Lebanon report poor survival to hospital discharge (4.8%‐5.5%). This study describes characteristics and outcomes of young OHCA victims in Beirut, Lebanon Methods This retrospective observational study included young patients (<35 years of age) with OHCA admitted to the emergency department (ED) of a tertiary care center in Lebanon over a 10‐year period. Results Fifty‐four patients with OHCA were identified. Most were males (74.1%, n = 40) and the mean age was 17.9 ± 10.9 years. The most common arrest location was home (44.4%, n = 24). The majority were witnessed (78.8%, n = 41) with 15.4% (n = 8) witnessed by emergency medical services (EMS). Prehospital cardiopulmonary resuscitation was done for 22 patients (41.5%) mostly by EMS (n = 19, 86.4%), 9.1% (n = 2) by a bystander, and 4.5% (n = 1) by a family member. Prehospital automated external defibrillator use was documented in 13% (n = 7) of cases. Most patients (n = 48, 88.9%) were resuscitated in the ED where the most common rhythm was asystole (55.6%, n = 30). Half of the patients (50%, n = 27) survived to hospital admission. Overall survival to hospital discharge was 16.7% (n = 9). Good neurologic outcome (cerebral performance category 1 or 2) was documented in seven patients (9.3%). Conclusion Survival rate of young OHCA victims in Lebanon (16.7%) is higher than previously reported rates of OHCA in the overall population. Targeted community activities and medical oversight of EMS activities are needed to link EMS activities to clinical outcomes.

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Out-of-hospital cardiac arrest survival in Beirut, Lebanon

Abstract: The OHCA survival rate in Beirut, Lebanon, is low. Bystander cardiopulmonary resuscitation and early defibrillation should be prioritized to achieve better outcomes.

Cited by 17 publications

References 8 publications

Community involvement in out of hospital cardiac arrest

Community involvement in out of hospital cardiac arrest

Epidemiology and Outcomes from Out-of-Hospital Cardiac Arrest in Kuwait

Epidemiology, etiology, and outcomes of out‐of‐hospital cardiac arrest in young patients in lebanon

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