Prospective, multicenter, Turkish out-of-hospital cardiac arrest study: TROHCA

被引：0

作者：

Sener, Alp ^{[1
,2
]}

Pekdemir, Murat ^{[3
]}

Islam, Mehmet Muzaffer ^{[4
]}

Aksay, Ersin ^{[5
]}

Karahan, Sevilay ^{[6
]}

Aksel, Gokhan ^{[4
]}

Dogan, Nurettin Ozgur ^{[3
]}

Ozturk, Berkant ^{[7
]}

Hacimustafaoglu, Muhammet ^{[7
]}

Turkucu, Cagri ^{[7
]}

Eroglu, Serkan Emre ^{[4
]}

Yurumez, Yusuf ^{[8
]}

Aslan, Nuray ^{[8
]}

Guner, Necip Gokhan ^{[8
]}

User, Nese Nur ^{[9
]}

Aldemir, Huseyin ^{[9
]}

Girisgin, Abdullah Sadik ^{[10
]}

Kocak, Sedat ^{[10
]}

Ataman, Sami ^{[10
]}

Ozhasenekler, Ayhan ^{[1
,2
]}

Gunaydin, Gul Pamukcu ^{[1
,2
]}

Sayhan, Mustafa Burak ^{[11
]}

Salt, Omer ^{[11
]}

Bozatli, Satuk Bugra Han ^{[11
]}

Arslan, Engin Deniz ^{[12
]}

Yilmaz, Fevzi ^{[12
]}

Sivil, Ramazan ^{[12
]}

Koksal, Ozlem ^{[13
]}

Durak, Vahide Aslihan ^{[13
]}

Ozdemir, Fatma ^{[13
]}

Tas, Mahmut ^{[14
]}

Karakoc, Yenal ^{[14
]}

Avinca, Oner ^{[14
]}

Arik, Yunus Emre ^{[15
]}

Melekoglu, Adem ^{[15
]}

Cevrim, Ozgur ^{[15
]}

Yigit, Ozlem ^{[16
]}

Oktay, Cem ^{[16
]}

Ibze, Suleyman ^{[16
]}

Satar, Salim ^{[17
]}

Gulen, Muge ^{[17
]}

Acehan, Selen ^{[17
]}

Altunbas, Erhan ^{[18
]}

Sacak, Melis Efeoglu ^{[18
]}

Unal, Emir ^{[18
]}

Cevik, Erdem ^{[19
]}

Satilmis, Dilay ^{[19
]}

Asan, Hande ^{[19
]}

Karaca, Yunus ^{[20
]}

Imamoglu, Melih ^{[20
]}

机构：

[1] Ankara Bilkent City Hosp, Dept Emergency Med, Ankara, Turkiye

[2] Ankara Yildirim Beyazit Univ, Fac Med, Dept Emergency Med, Ankara, Turkiye

[3] Kocaeli Univ, Fac Med, Dept Emergency Med, Kocaeli, Turkiye

[4] Univ Hlth Sci, Umraniye Training & Res Hosp, Istanbul, Turkiye

[5] Izmir Ekonomi Univ, Med Point Hosp, Dept Emergency Med, Izmir, Turkiye

[6] Hacettepe Univ, Fac Med, Dept Biostat, Ankara, Turkiye

[7] Aksaray Univ, Aksaray Training & Res Hosp, Dept Emergency Med, Aksaray, Turkiye

[8] Sakarya Univ, Fac Med, Dept Emergency Med, Sakarya, Turkiye

[9] Afyonkarahisar Hlth Sci Univ, Dept Emergency Med, Afyonkarahisar, Turkiye

[10] Necmettin Erbakan Univ, Fac Med, Dept Emergency Med, Konya, Turkiye

[11] Trakya Univ, Fac Med, Dept Emergency Med, Edirne, Turkiye

[12] Univ Hlth Sci, Antalya Training & Res Hosp, Dept Emergency Med, Antalya, Turkiye

[13] Bursa Uludag Univ, Fac Med, Dept Emergency Med, Bursa, Turkiye

[14] Univ Hlth Sci, Gazi Yasargil Training & Res Hosp, Dept Emergency Med, Diyarbakir, Turkiye

[15] Univ Hlth Sci, Istanbul Sisli Hamidiye Etfal Training & Res Hosp, Dept Emergency Med, Istanbul, Turkiye

[16] Akdeniz Univ, Fac Med, Dept Emergency Med, Antalya, Turkiye

[17] Univ Hlth Sci, Adana City Training & Res Hosp, Dept Emergency Med, Adana, Turkiye

[18] Marmara Univ Pendik Training & Res Hosp, Dept Emergency Med, Istanbul, Turkiye

[19] Univ Hlth Sci, Sultan Abdulhamid Han Training & Res Hosp 2, Dept Emergency Med, Turkiye, Istanbul, Turkiye

[20] Karadeniz Tech Univ, Fac Med, Dept Emergency Med, Trabzon, Turkiye

[21] Gazi Univ, Fac Med, Dept Emergency Med, Ankara, Turkiye

[22] Erzurum City Hosp, Dept Emergency Med, Erzurum, Turkiye

[23] Inonu Univ, Turgut Ozal Med Ctr, Dept Emergency Med, Malatya, Turkiye

[24] Dicle Univ, Fac Med, Dept Emergency Med, Diyarbakir, Turkiye

[25] Ankara Univ, Fac Med, Dept Emergency Med, Ankara, Turkiye

[26] Ondokuz Mayis Univ, Fac Med, Dept Emergency Med, Samsun, Turkiye

[27] Ege Univ, Fac Med, Dept Emergency Med, Izmir, Turkiye

[28] Hacettepe Univ, Fac Med, Dept Emergency Med, Ankara, Turkiye

[29] Dr Behcet Uz Pediat Dis & Surg Training & Res Hos, Izmir, Turkiye

[30] Manisa Merkezefendi State Hosp, Dept Emergency Med, Manisa, Turkiye

[31] Gaziantep Univ, Sahinbey Res & Practice Hosp, Dept Emergency Med, Gaziantep, Turkiye

来源：

TURKISH JOURNAL OF EMERGENCY MEDICINE | 2024年 / 24卷 / 03期

关键词：

Bystander cardiopulmonary resuscitation; cardiopulmonary resuscitation; out-of-hospital cardiac arrest; registry; return of spontaneous circulation; survival; survived event; Turkey; T & uuml; rkiye; AMERICAN-HEART-ASSOCIATION; CARDIOPULMONARY-RESUSCITATION; CHEST COMPRESSION; LIFE-SUPPORT; SURVIVAL; GUIDELINES; OUTCOMES; UPDATE;

D O I：

10.4103/tjem.tjem_73_24

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

OBJECTIVES:There is no sufficient data to provide a clear picture of out-of-hospital cardiac arrest (OHCA) across T & uuml;rkiye. This study is the first to present the prognostic outcomes of OHCA cases and the factors associated with these outcomes.MATERIALS AND METHODS:The study was conducted in a prospective, observational, multicenter design under the leadership of the Emergency Medicine Association of Turkey Resuscitation Study Group. OHCA cases aged 18 years and over who were admitted to 28 centers from T & uuml;rkiye were included in the study. Survived event, return of spontaneous circulation (ROSC), survival to hospital discharge, and neurological outcome at discharge were investigated as primary outcomes.RESULTS:One thousand and three patients were included in the final analysis. 61.1% of the patients were male, and the average age was 67.0 +/- 15.2. Cardiopulmonary resuscitation (CPR) was performed on 86.5% of the patients in the prehospital period by emergency medical service, and bystander CPR was performed on only 2.9% by nonhealth-care providers. As a result, the survived event rate was found to be 6.9%. The survival rate upon hospital discharge was 4.4%, with 2.7% of patients achieving a good neurological outcome upon discharge. In addition, the overall ROSC and sustained ROSC rates were 45.2% and 33.4%, respectively. In the multiple logistic regression analysis, male gender, initial shockable rhythm, a shorter prehospital duration of CPR, and the lack of CPR requirement in the emergency department were determined to be independent predictors for the survival to hospital ischarge. CONCLUSION:Compared to global data, survival to hospital discharge and good neurological outcome rates appear to be lower in our study. We conclude that this result is related to low bystander CPR rates. Although not the focus of this study, inadequate postresuscitative care and intensive care support should also be discussed in this regard. It is obvious that this issue should be carefully addressed through political moves in the health and social fields.

引用

页码：133 / 144

页数：12

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