1. Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study
- Author
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Peter Wright, Johan Herlitz, Leo Bossaert, Jan Wnent, Violetta Raffay, Vitor H Correia, Hajriz Alihodžić, Joséphine Escutnaire, Nikolaos I. Nikolaou, Scott J. Booth, Roman Burkart, Ari Salo, Jan-Thorsten Gräsner, Pierre Mols, Anatolij Truhlář, Grzegorz Cebula, Anneli Strömsöe, Siobhán Masterson, Mads Wissenberg, Diana Cimpoesu, Ingvild Tjelmeland, Irzal Hadžibegović, Bergthor Steinn Jonsson, Bernd W. Böttiger, Stefan Trenkler, Carlo Clarens, Gavin D. Perkins, Federico Semeraro, Rudolph W. Koster, Andrej Markota, Holger Maurer, Endre Nagy, Rolf Lefering, Marios Ioannides, Fernando Rossell-Ortiz, Maximilian Moertl, Steffie Beesems, Cardiology, ACS - Amsterdam Cardiovascular Sciences, and ACS - Heart failure & arrhythmias
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Emergency Medical Services ,medicine.medical_specialty ,Resuscitation ,030204 cardiovascular system & hematology ,Emergency Nursing ,Return of spontaneous circulation ,Out of hospital cardiac arrest ,03 medical and health sciences ,0302 clinical medicine ,Epidemiology ,medicine ,Humans ,Prospective Studies ,Registries ,Out-of-hospital cardiac arrest ,Portugal ,business.industry ,Incidence (epidemiology) ,Public health ,Bystander CPR ,Outcome after OHCA ,030208 emergency & critical care medicine ,medicine.disease ,European registry of cardiac arrest ,Cardiopulmonary Resuscitation ,3. Good health ,Europe ,Ventricular fibrillation ,Emergency medicine ,Emergency Medicine ,Bystander cpr ,Human medicine ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background The epidemiology and outcome after out-of-hospital cardiac arrest (OHCA) varies across Europe. Following on from EuReCa ONE, the aim of this study was to further explore the incidence of and outcomes from OHCA in Europe and to improve understanding of the role of the bystander. Methods This prospective, multicentre study involved the collection of registry-based data over a three-month period (1st October 2017 to 31st December 2017). The core study dataset complied with the Utstein-style. Primary outcomes were return of spontaneous circulation (ROSC) and survival to hospital admission. Secondary outcome was survival to hospital discharge. Results All 28 countries provided data, covering a total population of 178,879,118. A total of 37,054 OHCA were confirmed, with CPR being started in 25,171 cases. The bystander cardiopulmonary resuscitation (CPR) rate ranged from 13% to 82% between countries (average: 58%). In one third of cases (33%) ROSC was achieved and 8% of patients were discharged from hospital alive. Survival to hospital discharge was higher in patients when a bystander performed CPR with ventilations, compared to compression-only CPR (14% vs. 8% respectively). Conclusion In addition to increasing our understanding of the role of bystander CPR within Europe, EuReCa TWO has confirmed large variation in OHCA incidence, characteristics and outcome, and highlighted the extent to which OHCA is a public health burden across Europe. Unexplained variation remains and the EuReCa network has a continuing role to play in improving the quality management of resuscitation. info:eu-repo/semantics/publishedVersion
- Published
- 2020
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