Author/Editor		Mažič, Matej; Kešpert, Branko
Title		Zunajbolnišnični srčni zastoj s primarno VF/VT - izid oživljanja in preživetje bolnikov
Translated title		Out of hospital cardiac arrest with primary VF/VT - outcome of resuscitation and survival of patients
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 12. mednarodni simpozij o urgentni medicini; 2005 jun 15-18; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2005
Volume		str. 116-20
Language		slo
Abstract		Purpose. This study was performed to determine the survival rate among out of-hospital cardiac arrests with primary VF/VT in Celje EMS and outcome after successfull resuscitation in hospital (survival until 24h, survival after 24 h or hospital discharged). Materials and methods. All patients who had an out of-hospital cardiac arrest (primary and secondary arrests) between january 1. 1999 to december 31. 2003 (in EMS Celje) with primary ventricular fibrillation/ventricular tachvcardia. Deflections on the surface ECG of <1 mm are defined as asystole. All of this prehospital cardipulmonary resuscitation were retrospectively analyzed. Results. Between January 1, 1999 and December 31, 2003, EMS responders comfirmed cardiac arrest in 285 patients and attempted resuscitation. The average call response interval was 7.3 minutes (range 1-26 min). VF/VT was documented in 37%. Cardiac aetiology was assumed in 91.5%, non-cardiac in 8.5%. Lay-bystander CPR (BLS) was performed correct in 19.8% of patients with primary VF/Vt.. Return of spontaneous circulation (ROSC) could be achieved in 48% of patients who admitted to intensive care unit. A 20.7% patients survived to hospital discharge. Conclusion. Survival after out-of-hospital cardiac arrests is more likely if the EMS arrival time is short, it presenting rhytm is VF/VT and if bystanders perform adequate basic life support.
Descriptors		EMERGENCY MEDICAL SERVICES HEART ARREST RESUSCITATION SURVIVAL ANALYSIS