Original scientific paper
https://doi.org/10.3325/cmj.2019.60.325
Cardiopulmonary resuscitation performed by trained providers and shorter time to emergency medical team arrival increased patients’ survival rates in Istra County, Croatia: a retrospective study
Katerina Bakran
; Clinical Department for Anesthesiology, Reanimatologyand Intensive Care Medicine,University Hospital Dubrava, Zagreb, Croatia
Andrej Šribar
orcid.org/0000-0002-6517-9895
; Clinical Department for Anesthesiology, Reanimatologyand Intensive Care Medicine,University Hospital Dubrava, Zagreb, Croatia
Monika Šerić
; Clinical Department for Anesthesiology, Reanimatologyand Intensive Care Medicine,University Hospital Dubrava, Zagreb, Croatia
Gordana Antić-Šego
; Institute of Emergency Medicine of Istra County, Pula, Croatia
Marija Ana Božić
; Department of Physical Medicine and Rehabilitation, GeneralHospital Pula, Pula, Croatia
Aleksandra Prijić
; Department of Anesthesiology Reanimatology and Intensive Care,General Hospital Pula, Pula, Croatia
Taša Lacković
; Department of Otorhinolaryngology, GeneralHospital Pula, Pula, Croatia
Jasminka Peršec
orcid.org/0000-0002-3777-8153
; Clinical Department for Anesthesiology, Reanimatologyand Intensive Care Medicine,University Hospital Dubrava, Zagreb, Croatia
Abstract
Aim To assess the effect of the time for emergency medical
services (EMS) arrival on resuscitation outcome in the
transition period of the EMS system in Istra County.
Methods This retrospective study analyzed the data from
1440 patients resuscitated between 2011 and 2017. The effect
of demographic data, period of the year, time for EMS
arrival, initial cardiopulmonary resuscitation (CPR) provider,
initial cardiac rhythm, and airway management method
on CPR outcome was assessed with multivariate logistic
regression.Results Survivors were younger than non-survivors (median
of 66 vs 70 years, P < 0.001) and had shorter time for
EMS arrival (median of 6 vs 8 min, P < 0.001). The proportion
of non-survivors was significantly higher when initial
basic life support (BLS) was performed by bystanders
without training (83.8%) or when no CPR was performed
before EMS team arrival (87.3%) than when BLS was performed
by medical professionals (66.8%) (P < 0.001). Sex,
airway management, and tourist season had no effect on
CPR outcome.
Conclusion Since the time for arrival and level of CPR provider
training showed a significant effect on CPR outcome,
further organizational effort should be made to reduce the
time for EMS arrival and increase the number of individuals
trained in BLS.
Keywords
Hrčak ID:
240098
URI
Publication date:
15.8.2019.
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