| Author/Editor | Grom, Igor; Kariž, Stojan; Rupnik, Erik; Pirjevec, Irina | |
| Title | Srčni zastoj izven bolnišnice v slovenski obalni regiji | |
| Translated title | Out-of-hospital cardiac arrest in Slovenian costal region | |
| Type | članek | |
| Source | In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 11. mednarodni simpozij o urgentni medicini; 2004 jun 9-12; Portorož. Ljubljana: Slovensko združenje za urgentno medicino, | |
| Publication year | 2004 | |
| Volume | str. 215-9 | |
| Language | slo | |
| Abstract | We investigated the survival of out of hospital cardiac arrest in Slovenian costal region according to the "Utstein template". In the period from January 1, 2000 to December 31, 2002 ACLS team confirmed cardiac arrest in 164 patients. Resuscitation was attempted in 107 (65%) patients (mean age 64 ± 15 years). Cardiac etiology was assumed in 80 (75%) patients, non-cardiac etiology in 20 (19%), as in 7 (6%) patients the cause of cardiac arrest was not evident from available documentation. Patients with primary and secondary cardiac arrest were analyzed separately. The mean age of patients with primary cardiac arrest was 66 ± 12 years, 74% of them were men. The median call response time was 10 minutes (range 3 to 22 minutes). At the arrival of ACLS team, asystole was confirmed in 53%, ventricular fibrillation in 36% and pulseless electrical activity in 11% of patients. Spontaneous circulation was achieved in 22 (27%) patients. 14 (17%) patients were admitted to intensive care unit and 4 of them survived to hospital discharge. The mean age of patients with secondary cardiac arrest was 64 ± 18 years, 75% of them were men. Cardiac arrest was preceded by drowning in 8 cases, respiratory arrest in 5, cerebrovascular incident in 3 and either electrical injury, pulmonary embolism, bleeding from esophageal varices or bleeding due to placental abruption in single cases. The median call response time was 7 minutes (range 3 to 15 minutes). At the place of incident 47% of patients presented in asystole, 41% in pulseless electrical activity and only 12% in ventricular fibrillation. Reestablishment of spontaneous circulation was achieved in 5 (25%) patients. Of the 3 patients admitted to intensive care unit no one survived to hospital discharge. | |
| Descriptors | HEART ARREST EMERGENCY MEDICAL SERVICES SURVIVAL ANALYSIS |