scholarly journals EPIDEMIOLOGY OF OUT-OF-HOSPITAL SUDDEN CARDIAC ARREST HAPPENING IN BRZOZOW COUNTY – PILOT STUDY

2021 ◽  
Vol 8 (4) ◽  
pp. 240-243
Author(s):  
Sebastian Kowalski ◽  
Adrian Moskal ◽  
Mariusz Goniewicz
Keyword(s):  
Cardiac Arrest ◽  
Statistical Analysis ◽  
Pilot Study ◽  
Emergency Services ◽  
Statistical Significance ◽  
Sudden Cardiac Arrest ◽  
Spontaneous Circulation ◽  
Public Place ◽  
Aim Analysis ◽  
Return Of Spontaneous Circulation

Aim: Analysis of out-of-hospital sudden cardiac arrest cases in Brzozow county. Material and methods: Analysis of 105 out-of-hospital sudden cardiac arrest cases in Brzozow county. Data was extracted between September 2016 to end of February 2018 from dispatch order cards and emergency medical services cards. Statistical analysis was conducted using STATISTICA 12 software. Statistical significance was set to p<0,05 level. Results: There were 66 men (62,9%) and 39 (37,1%) women in the analysed group. Average age was 70,5 (SD=15,8). In 88,6% cases sudden cardiac arrest happened at home and for the rest 11,4% cases it was a public place. Families called emergency services in 20% (n=21) cases, in 16,2% (n=17) cases people suffering from sudden cardiac arrest and in 63,8% (n=67) cases it was a person classified as “other”. Sudden cardiac arrest a most frequently happened between 6:00-11:59 among 39,1% (n=41) of all patients. Incidence rate in the specified region was 106,06/100 000/ year. ROSC occurred only in 15,3% (n=16 cases). Conclusions: Out-of-hospital cardiac arrests in the specified region indicate low occurrence of return of spontaneous circulation. The reason behind this might be associated with a small number of cardiopulmonary resuscitation trials. Results indicate that further analysis of this phenomenon is required.

scholarly journals Return of spontaneous circulation and heart rhythm during the first analysis of the heart electrical activity

2019 ◽  
Vol 18 (3) ◽  
pp. 147-150
Author(s):  
Sebastian Kowalski ◽  
Adrian Moskal ◽  
Karolina Żak-Kowalska ◽  
Mariusz Goniewicz
Keyword(s):  
Cardiac Arrest ◽  
Electrical Activity ◽  
Statistical Significance ◽  
Sudden Cardiac Arrest ◽  
Heart Rhythm ◽  
Spontaneous Circulation ◽  
Return Of Spontaneous Circulation ◽  
Heart Electrical Activity ◽  
First Moment ◽  
The Relationship

AbstractIntroduction. Return of spontaneous circulation (ROSC) of a patient with cardiac arrest is the main goal of carrying out cardiopulmonary resuscitation.Aim. Evaluation of frequency of return of spontaneous circulation depending on the heart rhythms in the first moment of heart electrical activity.Material and methods. Analysis of 105 cases of sudden cardiac arrest in out-of-hospital conditions on the premises of Brzozow Emergency Medical Service from September 2016 to the end of February 2018. The data was collected from intervention medical cards and medical rescue procedure cards. Statistical analysis was carried out using STATISTICA software. Statistical significance was assumed to be p<0.05.Results. Sudden cardiac arrest in the analysed group applied to 62.9% of men. Return of spontaneous circulation was achieved only in 16 out of 105 cases (15.2%) of sudden cardiac arrest. The analysis has indicated that ROSC was successful among 66.67% of patients, who during the first analysis of the rhythm, represented cardiac arrest in VF/pVT, what constituted 75% of all ROSC cases in the analysed group. Comparison between ROSC and rhythm during the first evaluation of the rhythm showed statistical significance (p=0.00). Statistical significance was also shown in the relationship between ROSC and the average age of the patient (p=0.0155).Conclusions. Sudden cardiac arrest, when diagnosed in the first analysis of the rhythm VF/pVT, has bigger chances for return of spontaneous circulation than it has in other rhythms.

Abstract 13131: The Priority of Coronary Arteriography and Therapeutic Hypothermia After Return of Spontaneous Circulation in Patients With Out-of-hospital Cardiac Arrest. the Result of Sos-kanto 2012 Study

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Shuichi Hagiwara ◽  
Kiyohiro Oshima ◽  
Masato Murata ◽  
Makoto Aoki ◽  
Kei Hayashida ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Therapeutic Hypothermia ◽  
Statistical Significance ◽  
Coronary Arteriography ◽  
Spontaneous Circulation ◽  
P Value ◽  
Return Of Spontaneous Circulation ◽  
Overall Performance ◽  
The Mean ◽  
Hospital Cardiac Arrest

Aim: To evaluate the priority of coronary angiography (CAG) and therapeutic hypothermia therapy (TH) after return of spontaneous circulation (ROSC) in patients with out-of-hospital cardiac arrest (OHCA). Patients and Methods: SOS-KANTO 2012 study is a prospective, multicenter (69 emergency hospitals) and observational study and includes 16,452 patients with OHCA. Among the cases with ROSC in that study, we intended for patients treated with both CAG and TH within 24 hours after arrival. Those patients were divided into two groups; patients in whom TH was firstly performed (TH group), and the others in whom CAG was firstly done (CAG group). We statistically compared the prognosis between the two groups. SPSS Statistics 22 (IBM, Tokyo, Japan) was used for the statistical analysis. Statistical significance was assumed to be present at a p value of less than 0.05. Result: 233 patients were applied in this study. There were 86 patients in the TH group (M/F: 74/12, mean age; 60.0±15.2 y/o) and 147 in the CAG group (M/F: 126/21, mean age: 63.4±11.1 y/o) respectively, and no significant differences were found in the mean age and M/F ratio between the two groups. The overall performance categories (OPC) one month after ROSC in the both groups were as follows; in the TH group, OPC1: 21 (24.4%), OPC2: 3 (3.5%), OPC3: 7 (8.1%), OPC4: 8 (9.3%), OPC5: 43 (50.0%), unknown: 4 (4.7%), and in the CAG group, OPC1: 38 (25.9%), OPC2: 13 (8.8%), OPC3: 15 (10.2%), OPC4: 18 (12.2%), OPC5: 57 (38.8%), unknown: 6 (4.1%). There were no significant differences in the prognosis one month after ROSC between the two groups. Conclusion: The results which of TH and CAG you give priority to over do not affect the prognosis in patients with OHCA.

Abstract 270: Non-Invasive Cerebral Perfusion and Autoregulation Monitoring Post-Cardiac Arrest

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Reem Kashlan ◽  
Kaleem Chaudhry ◽  
Eric Ohlson ◽  
Joseph B Miller
Keyword(s):  
Cardiac Arrest ◽  
Pilot Study ◽  
Cerebral Edema ◽  
Cerebral Perfusion ◽  
Statistical Significance ◽  
Pulseless Electrical Activity ◽  
Spontaneous Circulation ◽  
Perfusion Measurement ◽  
Non Invasive ◽  
Perfusion Measurements

Objective: The primary aim of this study was to test the feasibility of non-invasive cerebral perfusion monitoring post-arrest. We secondarily tested the association between measured autoregulation, the presence of cerebral edema, and neurological recovery. Methods: This was a prospective, pilot study inclusive of patients successfully resuscitated from cardiac arrest in the Emergency Department (ED). After return of spontaneous circulation, an investigator placed non-invasive, bifrontal monitoring to measure cerebral perfusion. The device uses an acousto-optic sensor to measure continuous cerebral perfusion and measurements are arbitrary units between 0-100, where 0 represents no flow (Ornim, Tel Aviv). Subjects had invasive, continuous arterial monitoring to assess mean arterial pressure (MAP). Multimodal measurements continued for 60 minutes. We calculated a Pearson coefficient between the perfusion measurements and MAP as an assessment of cerebral autoregulation, where a correlation coefficient > 0.3 indicates poor autoregulation, and a coefficient of 1 indicates completely passive cerebral perfusion to changes in MAP. Head computed tomography defined the presence of cerebral edema in the ED. Results: We enrolled 14 patients post-arrest with sustained return of circulation. The mean age was 55 ± 14 years, 7 were female, and 10 were African American. Six patients had pulseless electrical activity, 5 asystole, and 2 ventricular fibrillation. Bystander CPR rates were low (4 of 14, 31%). Two patients (14%) survived to hospital discharge. Cerebral perfusion was comparable between patients that survived and those that died (difference 3.1, 95% CI -14 to 8). Cerebral perfusion measurement was higher in patients with cerebral edema (difference 6.1, 95% CI 0.2 - 11.9). Autoregulation was worse in the presence of edema (0.30) compared to no edema (0.14), though this difference did not reach statistical significance (95% CI -0.7 to 0.4). Conclusions: In a pilot study, non-invasive post-arrest perfusion measurements plus coupling with MAP for autoregulation was feasible. Perfusion measurements were increased in the presence of cerebral edema but whether such measurements have prognostic value requires further study.

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