Author/Editor     Rajapakse, Renata; Oblak-Piltaver, Nevenka; Zelinka, Marko; Kastelec, Damjana
Title     Analiza kardiopulmonalnih reanimacij PHE Ljubljana 1999-2000 - factors associated with survival
Translated title     Out-of-hospital cardiac arrest in Ljubljana region in 1999-2000 - factors associated with survival
Type     članek
Source     In: Bručan A, Gričar M, Fink A, et al, editors. Urgentna medicina: izbrana poglavja 7. Zbornik 8. mednarodni simpozij o urgentni medicini; 2001 jun 13-16; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year     2001
Volume     str. 187-91
Language     slo
Abstract     Out-of-hospital cardiac arrests (OHCA) in Ljubljana region (1723 km2) were investigated according to the 'Utstein Style'. A single tier physician staffed advanced life support (ALS) emergency medical system (EMS) serves a population of 380 000 res idents. Between )anuary 1, 1999 and December 31, 2000, cardiac arrest was confirmed in 493 patients. Cardiopulmonary resuscitation (CPR) was initiated in 243 patients (49;3%). Collapse of 191 cardiac etiology patients was witnessed either by laypersons (74%), by non-emergency medical personnel (6%), by EMS personnel (5%) or was unwitnessed (15%). Bystander basic life support (BLS) was performed correctly in 24% of the cases. The presenting rhythm was ventricular fibrillation or tachycadria (VF/VT) in 41,4%, asystole in 41,4% and other nonperfusing rhythms in 17,2%. Of 191 patients, return of spontaneous circulation was achieved in 93 patients (48,7%), 74 (38,7%) were admitted to intensive care ward, 26 (13,6%) were discharged alive, and 16 (8,4%) were alive one year later. Most of one-year survivors shoved good (9) or moderate (5) cerebral and overall performance (CPC/OPC), two patients remained in coma. Survival after OHCA is more likely if the EMS arrival time is short, if presenting rhythm is VF/VT and if bystanders perform adequate BLS.
Descriptors     CARDIOPULMONARY RESUSCITATION
EMERGENCY MEDICAL SERVICES