Abstract
Introduction: Participation in the research under the auspices of the International Liaison Committee on Resuscitation (ILCOR) collected available data on out-of-hospital cardiac arrest (OHCA) for 2016 and 2017 from Bosnia and Herzegovina. Methods: We invited all emergency medical services to voluntarily participate in collecting OHCA data from 2015 to 2017 in Bosnia and Herzegovina (BiH). We received descriptive data on the most important elements of the latest Utstein template recommendations for 2016 and 2017 from the Sarajevo Canton and Tuzla. Results: The research in BiH in 2016 covered 417,498 people or 12.0% of the total population, and in 2017, 529,521 people or 15.0%. The annual incidence of OHCA treated by emergency medical services in BiH was 75.4 in 2016 and 65.0 per 100,000 inhabitants in 2017. The provision of cardiopulmonary resuscitation (CPR) by bystanders was 2.9% in 2016 and 4.1% in 2017. Emergency medical services witnessed OHCA in 2.2% of patients in 2016 and 7.3% in 2017. Survival of OHCA to hospital discharge or 30-day survival of patients treated by emergency medical services in BiH was 12.7% in 2016 and 7.8% in 2017. Conclusion: We observed that there are no national or local registries of out-of-hospital cardiac arrest in BiH in accordance with Utstein recommendations. The extremely low number of initiated CPR by bystanders affects the overall survival rate to hospital discharge and 30-day survival of patients.
Published Version
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