Naslov
Resuscitations of Emergency Medical Service in Varazdin, Croatia – Outcomes and adherence to the ERC Guidelines

Autori
Lukić, Anita ; Ognjanović, Zoran ; Handanagić, Senad ; Mašić, Ivica, Črnila, Božidar

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Resuscitation / - , 2013, 51-51

Skup
Resuscitation 2013 - Outcomes

Mjesto i datum
Kraków, Poljska, 25.10.2013. - 26.10.2013

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
resuscitation; outcomes; survival rate; adherence; guidelines

Sažetak
Purpose. To investigate outcomes of the resuscitations in Varazdin, Croatia ; and to explore adherence to ERC guidelines. Materials and Methods. We analyzed medical records and Utstein Style Forms of all out of hospital resuscitations between January 1 2007 and December 31 2012 performed by Varazdin Emergency Medical Service (VzEMS). Results. We retrieved 213 resuscitation records: 59 performed by young physicians with <1 year experience in EMS, and 154 performed by physicians with >1 year experience in EMS. In most cases initial rhythm were PEA (56%) and VT/VF (40%). Median response time was 6 minutes (interquartile range: 4-9 minutes). Of 211 patients (2 patients were resuscitated twice), 151 were male, and 62 female ; median age 68 (interquartile range 59-76 years). Total of 150 patients died at the site. Of 63 patients transferred to a hospital (54 with ROSC, 9 with PEA), 22 were discharged, with survival time (mean ±SD) 25±20 months, interquartile range 7-35 months, 11 died in hospital. We excluded 29 patients from calculations because we had no data about the survival. Survival to discharge for the remaining cohort (n=184) was associated only with initial rhythm (P=0.002, with better outcome for VT/VF), but not with physicians’ experience in EMS (P=0.197) or response time (P=0.466). The Guidelines were followed in 68% of cases: more accurately before The 2010 Guidelines (P<0.001), and by more experienced physicians’ (P<0.001). The leading mistakes were: no/wrong dose of amiodarone in VF/VT (n=26), no adrenaline (18), and atropine administration after the 2010 Guidelines (12). The non-adherence to the valid guidelines was not associated to the survival (P=0.340). Conclusions. Survival rates to hospital discharge of resuscitations performed by VzEMS were comparable to OHCA survival rates in Europe. The 2005 Guidelines were followed more accurately than 2010 Guidelines, but the non-adherence to the valid guidelines was not associated to survival.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA