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

共 50 条

[41] A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest
Perkins, G. D.
Ji, C.
Deakin, C. D.
Quinn, T.
Nolan, J. P.
Scomparin, C.
Regan, S.
Long, J.
Slowther, A.
Pocock, H.
Black, J. J. M.
Moore, F.
Fothergill, R. T.
Rees, N.
O'Shea, L.
Docherty, M.
Gunson, I.
Han, K.
Charlton, K.
Finn, J.
Petrou, S.
Stallard, N.
Gates, S.
Lall, R.
NEW ENGLAND JOURNAL OF MEDICINE, 2018, 379 (08) : 711 - 721
[42] Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods
Grabmayr, Anne Juul
Folke, Fredrik
Gregers, Mads Christian Tofte
Kollander, Louise
Bo, Nanna
Andelius, Linn
Jensen, Theo Walter
Ettl, Florian
Krammel, Mario
Sulzgruber, Patrick
Krychtiuk, Konstantin A.
Torp-Pedersen, Christian
Ersboll, Annette Kjaer
Hansen, Carolina Malta
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2023, 82 (18) : 1777 - 1788
[43] Out-of-hospital cardiac arrest in the Pilsen Region in 2018
Sin, Robin
Vodehnalova, Ivana
Ralbovska, Denisa Charlotte
Struncova, Denisa
Cechurova, Lenka
BIOMEDICAL PAPERS-OLOMOUC, 2021, 165 (01): : 43 - 50
[44] Bystander cardiopulmonary resuscitation and survival in patients with out-of-hospital cardiac arrest of non-cardiac origin
Christensen, D. M.
Rajan, S.
Kragholm, K.
Sondergaard, K. B.
Hansen, O. M.
Gerds, T. A.
Torp-Pedersen, C.
Gislason, G. H.
Lippert, Freddy K.
Barcella, C. A.
RESUSCITATION, 2019, 140 : 98 - 105
[45] Inflammatory markers following resuscitation from out-of-hospital cardiac arrest-A prospective multicenter observational study
Peberdy, Mary Ann
Andersen, Lars W.
Abbate, Antonio
Thacker, Leroy R.
Gaieski, David
Abella, Benjamin S.
Grossestreuer, Anne V.
Rittenberger, Jon C.
Clore, John
Ornato, Joseph
Cocchi, Michael N.
Callaway, Clifton
Donnino, Michael
RESUSCITATION, 2016, 103 : 117 - 124
[46] Importance of "telephone cardiopulmonary resuscitation" in out-of-hospital cardiac arrest in India
Venkatesan, Jyothi
Janumpally, Rani
Gimkala, Aruna
Megavaran, Vimal
Myklebust, Helge
Ramana Rao, G., V
INDIAN JOURNAL OF COMMUNITY MEDICINE, 2020, 45 (02) : 194 - 198
[47] Prolonged cardiopulmonary resuscitation and outcomes after out-of-hospital cardiac arrest
Rajan, Shahzleen
Folke, Fredrik
Kragholm, Kristian
Hansen, Carolina Malta
Granger, Christopher B.
Hansen, Steen Moller
Peterson, Eric D.
Lippert, Freddy K.
Sondergaard, Kathrine B.
Kober, Lars
Gislason, Gunnar H.
Torp-Pedersen, Christian
Wissenbergag, Mads
RESUSCITATION, 2016, 105 : 45 - 51
[48] Incidence and outcomes of out-of-hospital cardiac arrest: A New Zealand perspective
Dicker, Bridget
Davey, Paul
Smith, Tony
Beck, Ben
EMERGENCY MEDICINE AUSTRALASIA, 2018, 30 (05) : 662 - 671
[49] Association of school hours with outcomes of out-of-hospital cardiac arrest in schoolchildren
Yamashita, Akira
Kurosaki, Hisanori
Takada, Kohei
Tanaka, Yoshio
Hamada, Yoshitaka
Ishita, Tetsuya
Kubo, Minoru
Inaba, Hideo
HEART ASIA, 2019, 11 (02)
[50] Trends in In-Hospital Advanced Management and Survival of Out-of-Hospital Cardiac Arrest Among Adults From 2013 to 2017-A Multicenter, Prospective Registry in Osaka, Japan -
Yoshimura, Satoshi
Hirayama, Atsushi
Kiguchi, Takeyuki
Irisawa, Taro
Yamada, Tomoki
Yoshiya, Kazuhisa
Park, Changhwi
Nishimura, Tetsuro
Ishibe, Takuya
Yagi, Yoshiki
Kishimoto, Masafumi
Inoue, Toshiya
Hayashi, Yasuyuki
Sogabe, Taku
Morooka, Takaya
Sakamoto, Haruko
Suzuki, Keitaro
Nakamura, Fumiko
Matsuyama, Tasuku
Okada, Yohei
Nishioka, Norihiro
Kobayashi, Daisuke
Matsui, Satoshi
Kimata, Shunsuke
Shimazu, Takeshi
Kitamura, Tetsuhisa
Iwami, Taku
CIRCULATION JOURNAL, 2021, 85 (10) : 1851 - 1859

← 1 2 3 4 5 →