Graesner, Jan-Thorsten, Wnent, Jan, Herlitz, Johan, Perkins, Gavin D., Lefering, Rolf, Tjelmeland, Ingvild, Koster, Rudolph W., Masterson, Siobhan ORCID: 0000-0002-3003-4792, Rossell-Ortiz, Fernando, Maurer, Holger, Boettiger, Bernd W., Moertl, Maximilian, Mols, Pierre, Alihodic, Hajriz, Hadibegovic, Irzal, Ioannides, Marios, Truhlar, Anatolij, Wissenberg, Mads, Salo, Ari, Escutnaire, Josephine, Nikolaou, Nikolaos, Nagy, Eniko, Jonsson, Bergthor Steinn, Wright, Peter, Semeraro, Federico, Clarens, Carlo, Beesems, Steffie, Cebula, Grzegorz, Correia, Vitor H., Cimpoesu, Diana ORCID: 0000-0003-0609-3773, Raffay, Violetta, Trenkler, Stefan, Markota, Andrej, Stroemsoee, Anneli, Burkart, Roman, Booth, Scott and Bossaert, Leo (2020). Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study. Resuscitation, 148. S. 218 - 227. CLARE: ELSEVIER IRELAND LTD. ISSN 1873-1570

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Abstract

Background: The epidemiology and outcome after out-of-hospital cardiac arrest (OHCA) varies across Europe. Following on from EuReCa ONE, the aim of this study was to further explore the incidence of and outcomes from OHCA in Europe and to improve understanding of the role of the bystander. Methods: This prospective, multicentre study involved the collection of registry-based data over a three-month period (1st October 2017 to 31st December 2017). The core study dataset complied with the Utstein-style. Primary outcomes were return of spontaneous circulation (ROSC) and survival to hospital admission. Secondary outcome was survival to hospital discharge. Results: All 28 countries provided data, covering a total population of 178,879,118. A total of 37,054 OHCA were confirmed, with CPR being started in 25,171 cases. The bystander cardiopulmonary resuscitation (CPR) rate ranged from 13% to 82% between countries (average: 58%). In one third of cases (33%) ROSC was achieved and 8% of patients were discharged from hospital alive. Survival to hospital discharge was higher in patients when a bystander performed CPR with ventilations, compared to compression-only CPR (14% vs. 8% respectively). Conclusion: In addition to increasing our understanding of the role of bystander CPR within Europe, EuReCa TWO has confirmed large variation in OHCA incidence, characteristics and outcome, and highlighted the extent to which OHCA is a public health burden across Europe. Unexplained variation remains and the EuReCa network has a continuing role to play in improving the quality management of resuscitation.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Graesner, Jan-ThorstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wnent, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herlitz, JohanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Perkins, Gavin D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lefering, RolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tjelmeland, IngvildUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koster, Rudolph W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Masterson, SiobhanUNSPECIFIEDorcid.org/0000-0002-3003-4792UNSPECIFIED
Rossell-Ortiz, FernandoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maurer, HolgerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boettiger, Bernd W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moertl, MaximilianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mols, PierreUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alihodic, HajrizUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hadibegovic, IrzalUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ioannides, MariosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Truhlar, AnatolijUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wissenberg, MadsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Salo, AriUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Escutnaire, JosephineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nikolaou, NikolaosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nagy, EnikoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jonsson, Bergthor SteinnUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wright, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Semeraro, FedericoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Clarens, CarloUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Beesems, SteffieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cebula, GrzegorzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Correia, Vitor H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cimpoesu, DianaUNSPECIFIEDorcid.org/0000-0003-0609-3773UNSPECIFIED
Raffay, ViolettaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Trenkler, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Markota, AndrejUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stroemsoee, AnneliUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Burkart, RomanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Booth, ScottUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bossaert, LeoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-343073
DOI: 10.1016/j.resuscitation.2019.12.042
Journal or Publication Title: Resuscitation
Volume: 148
Page Range: S. 218 - 227
Date: 2020
Publisher: ELSEVIER IRELAND LTD
Place of Publication: CLARE
ISSN: 1873-1570
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
VENTRICULAR-FIBRILLATION; RESUSCITATION; INTERVENTION; ASSOCIATION; MANAGEMENT; BYSTANDER; OUTCOMES; REGISTRYMultiple languages
Critical Care Medicine; Emergency MedicineMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/34307

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