Out-of-Hospital Cardiac Arrest in the Karlovy Vary Region in 2023: An Utstein-Style Report

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F24%3A43927842" target="_blank" >RIV/00216208:11120/24:43927842 - isvavai.cz</a>

Result on the web

<a href="https://doi.org/10.36290/kar.2024.022" target="_blank" >https://doi.org/10.36290/kar.2024.022</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.36290/kar.2024.022" target="_blank" >10.36290/kar.2024.022</a>

Result language

angličtina

Original language name

Out-of-Hospital Cardiac Arrest in the Karlovy Vary Region in 2023: An Utstein-Style Report

Original language description

Introduction: The Emergency Medical Services (EMS) of the Karlovy Vary Region, serving over 295,000 residents, faces the critical challenge of managing out-of-hospital cardiac arrests (OHCA). Effective cardiopulmonary resuscitation (CPR) is essential for survival, requiring coordinated efforts from dispatch to first responders. This article analyses the quality of CPR in 2023 using the Utstein protocol, following an internal audit that introduced a feedback system to enhance outcomes. Methods: This study retrospectively examines the 2023 Cardiac Arrest Registry of the Karlovy Vary Region using the 2024 Utstein template. Data were analysed with descriptive statistics and verified with defibrillator and GPS records. The closed registry adheres to strict data protection standards, with reports presented anonymized. Results: The primary outcome of OHCA, defined as survival to hospital admission, was 36 %. The secondary outcomes, defined as survival to discharge or 30 days, were 15.1 % with a good neurological outcome at discharge or 30 days (CPC 1 or 2) in 12.2 %. Discussion: The results of this study indicate that the EMS of the Karlovy Vary Region is performing well in several areas, with outcomes that surpass the Czech Republic average reported in the EuReCa TWO and ONE studies, particularly in terms of survival rates and neurological outcomes. This suggests that the local methods for managing out-of-hospital cardiac arrests are effective and that improved coordination and quicker responses might be key contributing factors. Conclusion: In 2023, the incidence of OHCA was 133 per 100,000 inhabitants, with a resuscitation rate of 43.9 %. Layperson CPR was frequently initiated. Survival to hospital admission was 36 %, while survival to discharge or 30 days was 15.1 %. A good neurological outcome was achieved in 12.2 % of cases.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

30221 - Critical care medicine and Emergency medicine

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Intervenční a akutní kardiologie

ISSN

1213-807X

e-ISSN

1803-5302

Volume of the periodical

23

Issue of the periodical within the volume

2-3

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

5

Pages from-to

85-89

UT code for WoS article

—

EID of the result in the Scopus database

2-s2.0-85213461012