Abstract
To acquire epidemiological data on pre-hospital cardiac arrest incidents occurring in the Pilsen Region of the Czech Republic in 2018, and the results of subsequent cardiopulmonary resuscitation Methods. A prospective observational study of the survival rate of out-of-hospital cardiac arrest (OHCA) in patients undergoing CPR carried out by emergency medical service personnel. The observed time period was from January 1st, 2018 until December 31st, 2018. The data were acquired from patients' records in paper and electronic forms. In the monitored period 707 patients with signs of cardiac arrest were recorded in the Pilsen Region with an incidence rate of 128.9 per 100,000 inhabitants. Emergency medical units performed CPR in 484 cases. The incidence rate of pre-hospital CPR was 88.2 cases per 100,000 inhabitants. Spontaneous blood circulation was temporarily or permanently restored in 276 patients (57.0%), 203 (41.9%) patients were transferred to a hospital, and there were 61 (12.6%) cases of survival with Cerebral Performance Category (CPC) score of 1 or 2. The first monitored rhythm was a shockable in 134 (27.7%) cases. In this sub-group ROSC was achieved in 94 (70.1%) cases and 58 (43.3%) of those were subsequently transferred to a hospital. A good CPC result was achieved in 41 (30.6%) patients of this sub group. The study has provided valuable epidemiological data on OHCA and prehospital CPR in the area of the Pilsen Region in 2018. The collected data, compared to international results, show a higher survival rate with good neurological score in 12.6% of cases.
Highlights
Out-of-hospital cardiac arrest causes approximately half the deaths associated with a heart disease, and in developed countries it accounts for up to 20% of all deaths with no obvious cause[1,2]
Within the observed time period, from January 1st, 2018 until December 31st, 2018, the emergency units solved 61,858 emergency medical cases based on received emergency calls
rapid-response vehicles (RRV) with a physician were dispatched to all cases of of-hospital cardiac arrest (OHCA)
Summary
Out-of-hospital cardiac arrest causes approximately half the deaths associated with a heart disease, and in developed countries it accounts for up to 20% of all deaths with no obvious cause[1,2]. The goal of this study was to acquire epidemiological data on out-of-hospital cardiac arrests and the outcomes of cardiopulmonary resuscitation (CPR) in patients with out-of-hospital cardiac arrest (OHCA) within the territory of the Pilsen Region in 2018. The Pilsen Region is a territorial administrative district in the western part of the Czech Republic, which is located in Central Europe. The region covers an area of 7,649 km[2] with a population of 584,672 inhabitants. The city of Pilsen, with the population of 172,441 people, serves as an administrative unit of the region. The city of Pilsen has the largest hospital of the region, the University Hospital Pilsen comprising of 1,739 beds, where majority of patients with return of spontaneous circulation (ROSC) are transferred to
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