Factors affecting a successful out-of-hospital cardiopulmonary resuscitation

dc.contributor.authorKalēja, Anita
dc.contributor.authorŠetlers, Kaspars
dc.contributor.authorVanags, Indulis
dc.contributor.institutionDepartment of Anaesthesiology, Intensive Care and Clinical simulations
dc.date.accessioned2021-06-14T12:30:01Z
dc.date.available2021-06-14T12:30:01Z
dc.date.issued2014-12-01
dc.description.abstractA retrospective patient record analysis of the Emergency Medial Service's Rîga City Regional Centre was provided from January 2012 through December 2013. 1359 adult patients were CPR treated for out-of-hospital cardiac arrest according to ERC Guidelines 2010. A total of 490 patients were excluded from the study. The main outcome measure was survival to hospital admission. Of 869 CPR-treated patients, 60% (n = 521) were men. The mean age of patients was 66.68 ± 15.28 years. The survival rate to hospital admission was 12.9% (n = 112). 54 of survived patients were women. Mean patient age of successful CPR was 63.22 ± 16.21 and unsuccessful CPR 67.20 ± 15.09. At least one related illness was recorded with 63.4% (n = 551) patients. There were 61 survivors in bystander witnessed OHCA and nine survivors in unwitnessed OHCA. The rate of bystander CPR when CA (cardiac arrest) was witnessed was 24.8%. Ventricular fibrillation (VF) as initial heart rhythm was significantly associated with survival to hospital admission in 54 cases (p < 0.0001). Age and gender affected return of spontaneous circulation. Survival to hospital admission had rhythm-specific outcome. Presence of OHCA witnesses improved outcome compared to bystander CPR. The objective of this study was to report patient characteristics, the role of witnesses in out-of-hospital cardiac arrest (OHCA) and outcome of adult cardiopulmonary resuscitation.en
dc.description.statusPeer reviewed
dc.format.extent4
dc.format.extent123801
dc.identifier.citationKalēja, A, Šetlers, K & Vanags, I 2014, 'Factors affecting a successful out-of-hospital cardiopulmonary resuscitation', Proceedings of the Latvian Academy of Sciences, Section B: Natural, Exact, and Applied Sciences, vol. 68, no. 5-6, pp. 228-231. https://doi.org/10.2478/prolas-2014-0028
dc.identifier.doi10.2478/prolas-2014-0028
dc.identifier.issn1407-009X
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/4965
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=84921298478&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofProceedings of the Latvian Academy of Sciences, Section B: Natural, Exact, and Applied Sciences
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectcardiac arrest (CA)
dc.subjectcardiopulmonary resuscitation (CPR)
dc.subjectout-of-hospital cardiac arrest (OHCA)
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectGeneral
dc.titleFactors affecting a successful out-of-hospital cardiopulmonary resuscitationen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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