Author/Editor		Tadel, Špela
Title		Srčni zastoj izven bolnišnice na področju Ljubljane
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		1998
Volume		str. 47
Language		slo
Abstract		The annual incidence of out-of-hospital cardiac arrest ranges from 36 to 128 per 100.000 inhabitants. Survival of these patients in Ljubljana is as yet unknown. The aim of the present study was therefore to investigate the incidence, treatment and survival of patients with out-of-hospital cardiac arrest in Ljubljana according to the "Utstein" style. The area of Ljubljana is served by a single response emergency medical system. Between January 1, 1995 and December 31, 1997, cardiac arrest was confirmed in 966 patients. Cardiopulmonary resuscitation (CPR) was attempted in 454 patients (47%). Cardiac etiology of the collapse was assumed in 337 and non cardiac etiology in 117 patients. The median time interval from call receipt to vehicle stop was 10 minutes. AT the arrival of emergency unit, asystole was documented in 55%, ventricular fibrillation or tachycardia in 36% and other non-perfusing rhythms in 9% of patients with collapse of presumed cardiac etiology. Lay-bystander cardipulmonary resuscitation was performed in 21% of these patients. Nineteen patients (5.6%) survived to hospital discharge. Collapse of non cardiac etiology was preceded by either respiratory failure (41 patients), politrauma (22), circulatory shock (19), cerebrovascular incident (10), intoxication (9), strangulation (7), electrocution (5) or drowing (4 patients). Only 5 patients (4.2%) survived to hospital discharge. Accordingly, survival of patients with out-of-hospital cardiac arrest places Ljubljana among less successful emergency medical systems. Low percentage of la-bystander CPR and long time interval from call receipt to vehicle stop seem to be major shortcomings. )Abstract truncated at 2000 characters).
Descriptors		HEART ARREST EMERGENCY MEDICAL SERVICES CARDIOPULMONARY RESUSCITATION VENTRICULAR FIBRILLATION TACHYCARDIA, VENTRICULAR SYNCOPE INTENSIVE CARE UNITS