Participation of laypersons in the initiation of cardiopulmonary resuscitation: Why laymen do not help? EuReCa Serbia

Violetta, Raffay; Jelena, Tijanić; Zoran, Fišer

doi:10.5937/jrb1707017r

Cited by 8 publications

(5 citation statements)

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“…Any ROSC rate of 21.0% within the group of OHCA patients with CPR attempt observed in this study is comparable to the ROSC rates reported by most of the previously published investigations [ 2 - 4 , 16 ] However, various findings can be found within the literature regarding rates of shockability of initially detected rhythm with values ranging from 1% to over 50% [ 2 , 3 , 11 ]. The rate observed in this study correlates with previous reports of analysis in the territory of Serbia describing bystander involvement [ 17 , 18 ].…”

Section: Discussionsupporting

confidence: 91%

Initial Outcomes and Survival of Out-of-Hospital Cardiac Arrest: EuReCa Serbia Multicenter Cohort Study

Nikolovski¹,

Lazić²,

Fišer³

et al. 2021

Cureus

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IntroductionAlthough the global survival rate of patients after out-of-hospital cardiac arrest (OHCA) has increased in the previous years, there still remain significant multifactorial public health challenges with many important aspects influencing the overall survival rate of these patients. The objective of this article is to analyze basic epidemiological parameters of OHCA in Serbia and to evaluate the influence of pre-hospitalization factors on the survival of OHCA patients. MethodsData on OHCA within the EuReCa Serbia Registry was collected according to the EuReCa Study protocol during the period October 1, 2014 -December 31, 2019, and included basic demographic data of the patients, data related to OHCA prior to hospital arrival, as well as data regarding subsequent hospitalization. ResultsThe study included 6,266 EuReCa events (54% males), with a median age of 73 years [interquartile range (IQR) 63-82]. Cardiac arrest was witnessed in 3,111 out of 6,266 cases (49.6%), of which 2,725 cases (87.6%) were witnessed by bystanders and 286 cases (12.4%) by the emergency medical service (EMS) team. Resuscitation measures were attempted in 2,097 of 3,111 (67.4%) witnessed OHCA cases. Bystander cardiopulmonary resuscitation (CPR) was initiated in 288 cases within the bystander-witnessed group of 2,725 cases (10.6%). An initial shockable rhythm was detected in 323 out of 3,111 witnessed cases (10.4%). Any return of spontaneous circulation (ROSC) prior to hospital arrival was observed in 441 out of 2,097 cases where CPR was initiated (21.0%). Within the group of 2,097 events where CPR was initiated, in 287 cases the patient was transported to the hospital with ROSC (13.7%). An automated external defibrillator (AED) was used by bystanders in three cases. The collapse in locations other than the place of residence [p < 0.01; odds ratio (OR) 3.928], attempt to initiate CPR by a bystander (p < 0.01; OR 2.169), and presence of initial shockable rhythm (p = 0.01; OR 2.070) were observed as significant predictors of any ROSC in OHCA patients. Out of 287 patients hospitalized with ROSC, 54 (18.8%) were discharged alive. ConclusionCollapse outside of residence place, bystander CPR initiation, and initially detected shockable rhythm are important predictors of ROSC prior to hospital arrival and overall survival. Key factors of CPR-providing performance observed in this study were witnessing OHCA, CPR initiated by a bystander, presence of initial shockable rhythm, and any ROSC prior to hospital arrival.

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Section: Discussionsupporting

confidence: 91%

Initial Outcomes and Survival of Out-of-Hospital Cardiac Arrest: EuReCa Serbia Multicenter Cohort Study

Nikolovski¹,

Lazić²,

Fišer³

et al. 2021

Cureus

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“…Znatna je osvedočenost kolapsu kod vanbolničkog srčanog zastoja u Srbiji naročito kada se ono desi kod kuće, u prebivalištu [11] . Ranija istraživanja ukazuju na razlike u započinjanju mera resuscitacije od strane laika u odnosu na polove [12] .…”

Section: Diskusijaunclassified

Dispatcher-assisted resuscitation: EuReCa_Serbia 2014-2019

Lazić¹,

Milić²,

Fišer³

2020

J Resuscitatio Balcan

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Uloga dispečera i dispečerom vođene reanimacije u postizanju povratka spontane cirkulacije je hvaljena ali i osporavana, postoje kontradiktornosti u odnosu na ulogu dispečera i uticaj na ishod primene mera resuscitacije kada spasioca vodi dispecer. Cilj: Utvrditi uticaj uloge dispečera i dispečerom vođene resuscitacije u zbrinjavanju vanbolničkog srčanog zastoja prema podacima prikupljenim studijom EuReCa_Srbija.

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“…The importance of the early initiation of basic life support (BLS) measures and early use of automatic external defibrilators (AED) by bystanders before the arrival of the emergency medical service (EMS) units has been extensively explained in the literature, which is also emphasized in the European Resuscitation Council (ERC) guidelines [1][2][3][4][5][14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

“…В помощь практику ющему врачу https://doi.org/10.15360/1813-9779-2021-5-52-64 For Practitioner скорой медицинской помощи (СМП) была подробно описана в литературе, а также подчеркнута в рекомендациях Европейского совета по реанимации (ЕСР) [1][2][3][4][5][14][15][16][17][18][19][20].…”

Section: Introductionunclassified

Dispatcher-Assisted Cardiopulmonary Resuscitation — Influence on Return of Spontaneous Circulation and Short-Term Survival

Nikolovski

Божич

Фишер

et al. 2021

Obŝaâ reanimatologiâ

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The Aim: analysis of the influence of dispatcher assistance during cardiopulmonary resuscitation (CPR) of patients with out-of-hospital cardiac arrest (OHCA) in achieving return of spontaneous circulation (ROSC), better survival at the scene, survival to discharge, and 30-day survival.Materials and methods. This study includes epidemiological data on OHCA collected by the study protocol of the European Resuscitation Council's EuReCa_ONE study during the period October 1, 2014 — December 31, 2019. Statistical analysis was performed using SPSS Statistics v26 and GraphPad Prism v8 software packages.Results. This study included 288 patients with OHCA where CPR was provided by bystander. Dispatcher-assisted CPR (DA-CPR) occurred in 56.9% of those patients and ROSC was achieved in 31.3% of cases. Forty-four patients were hospitalized and 16 of those survived until discharge. There was no influence of dispatcher assistance on ROSC, although it resulted in slightly greater risk of the absence of ROSC (OR=1.063). Higher mortality rate to discharge occurred in DA-CPR group (P=0.013). No statistical significance was observed between DA-CPR and non-DA-CPR groups in terms of death at the scene, and 30-day survival. Dispatcher assistance during the initial CPR in hospitalized OHCA patients was a significant predictor of death outcome during hospitalization (P=0.017, OR=5.500).Conclusions. There is no significant association between the presence/absence of dispatcher assistance and ROSC or 30-day survival rate. In contrast, DA-CPR was non-significantly associated with slightly higher odds for the absence of ROSC. DA-CPR was also associated with lower survival-to-discharge rates in hospitalized OHCA patients. The study findings are the base/ground which highlights the need of implementation of existing and development of new guidelines regarding high-quality professional training of EMS dispatchers as well as basic life support education of general population.

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Participation of laypersons in the initiation of cardiopulmonary resuscitation: Why laymen do not help? EuReCa Serbia

Cited by 8 publications

References 5 publications

Initial Outcomes and Survival of Out-of-Hospital Cardiac Arrest: EuReCa Serbia Multicenter Cohort Study

Initial Outcomes and Survival of Out-of-Hospital Cardiac Arrest: EuReCa Serbia Multicenter Cohort Study

Dispatcher-assisted resuscitation: EuReCa_Serbia 2014-2019

Dispatcher-Assisted Cardiopulmonary Resuscitation — Influence on Return of Spontaneous Circulation and Short-Term Survival

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