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Health Bulletin, Vol. 9 No. 2, 2023.

Original scientific paper

RELATIONSHIP BETWEEN THE DISTANCE OF CARDIAC ARREST LOCATION FROM THE EMERGENCY MEDICAL DEPARTMENT AND THE FINAL OUTCOME OF CARDIOPULMONARY RESUSCITATION

Mirko Maglica orcid id orcid.org/0000-0001-9264-7597 ; Cantonal Hospital Livno, 80101 Livno, Bosnia and Herzegovina & Medical School, University of Mostar, 8800 Mostar, Bosnia and Herzegovina
Anela Kasalo-Pešić ; Emergency department, Health Center Livno, 80101 Livno, Bosnia and Herzegovina
Verica Ćavar ; Gynecological department, Health Center Livno, 80101 Livno, Bosnia and Herzegovina
Ante Šesto ; Emergency department, Health Center Livno, 80101 Livno, Bosnia and Herzegovina

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Abstract

Introduction: Cardiopulmonary arrest is a serious medical emergency that can be reversed with prompt and sufficient cardiopulmonary resuscitation (CPR). Out-of-hospital cardiac arrests (OHCA) occur on average at a rate of 60 per 100.000 people. Cardiopulmonary resuscitation must start immediately in order to achieve the desired outcome.
Aim: To investigate the association between proximity to the emergency department and the return of spontaneous circulation (ROSC).
Subjects and methods: This study is a single-center registry-based retrospective cohort study. All the patients from the cardiopulmonary resuscitation registry of the Emergency department of the Health Center Livno were included and divided into 2 groups: the patients who experienced cardiac arrest within a radius of less than five kilometers and the patients who experienced cardiac arrest within a radius of more than five kilometers.
Results: Patients who experienced OHCA within a radius of less than five kilometers had an overall better prognosis for achieving ROSC (p=0.002). Even though men experienced cardiac arrest at a higher percentage (74.1 %) than women, there was no significant difference regarding the final outcome. The total incidence did not differ regarding the initial cardiac rhythm.
Conclusion: Poviding prompt, sufficient CPR is essential for attaining the most favorable outcomes regarding OHCA.

Keywords

Cardiopulmonary Resuscitation; Out-of-Hospital Cardiac Arrest; Return of Spontaneous Circulation

Hrčak ID:

311268

URI

https://hrcak.srce.hr/311268

Publication date:

30.11.2023.

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