ABC: časopis urgentne medicine (Jan 2015)
EuReCa Serbia One 2014: Research center Vojvodina: Results of the research Vojvodina - Serbia October 2014
Abstract
INTRODUCTION: Around 350.000 people die every year because of unsuccessful cardiopulmonary resuscitacion (CPR). The incidence of OHCA managed by EMS in Europe varies between 38-86 per 100.000 people. After joining the international project EuReCa One 2014 of European Resuscitacion Council, organized by Resuscitacion Council of Serbia and Department for Emergency Medicine of Serbian Medical Society, for the first time we were able to gain relevant data on the subject for the territory of Vojvodina and Serbia overall, and enable comparison among ourselves and with European countries and regions. AIM: The aim of this research was to estimate and compare global incidence and outcome of out of hospital cardiac arrests, and to enable better understanding of the differences between various regions and countries. Using a simple methodology and the same data collecting time line greatly increases the possibility of comparing them. MATERIALS AND METHODS: A prospective observational study - the data were gathered during October 2014. by means of unique questionnaire concerning out of hospital cardiac arrest with recording of one month survival also. The data that were used are registered in the data base of European programe EuReCA One 2014., those entered until December 15th 2014. Comparison of results is expressed per 100. 000 inhabitants for Vojvodina - independent research unit (without Novi Sad) and relative to Serbia. RESULTS: During this study the data for Vojvodina territory were gathered in 11 health centers which provide for 679257 people, while ambulance services of Novi Sad, Kragujevac, and Niš alone provide emergency medical care for 819 150 people. The incidence of OHCA in Vojvodina was 8,83 per 100.000, and 12,88 in Serbia. The number of initiated CPRs was 4,33/100 000 in Vojvodina, and 6, 47 in Serbia. Most of the arrests happened to people at their homes;4, 12 - Vojvodina, 4,4 - Srbija. Witnessed collapse happened in Vojvodina with incidence of 5,74/100 000, and in Serbia with 4,4/100.000, and heart condition was the assumed cause of OHCA in 5,15/100 000 in Vojvodina, and 5, 41 /100 .000 in Serbia. One half of all initiated CPRs happened between 6:00-14:00h Vojvodina 41, 68%, Serbia 50, 51%. Male patients are dominant 62, 88% (4,07/100.000) in Serbia, and also in Vojvodina 65, 11% (4, 12/100.000). ROSC was achieved in 30, 23% of cases (1, 91/100 000) in Vojvodina, and in 18, 71% cases (1, 67/100.000) in Serbia. The incidence of patients brought to hospital with present vital signs was 1, 77/100.000 in Vojvodina, and 1,4/100.000 in Serbia. CONCLUSION: Constant registering of OHCA in a particular way will probably resolve the existing differences in survival rates if various regions, but for the time being these varieties can not be appropriately explained. Sudden out of hospital cardiac arrest is related to high rate of mortality and it represents a health service challenge. Every link in survival chain must be stronger, and beside traditional elements the need for widening the chain by including citizens and society on the whole is introduced.
