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Out-of-hospital cardiac arrest (OHCA) Survey in Lombardy: data analysis through prospective short time period assessment

Background and aim of the work: The results of out-of-hospital cardiac arrests (OHCA) are usually reported through data collected collected via “ad hoc” registries, but in large populations, samples of short time periods can be used to apply the results to the entire population. We would like to des...

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Autores principales: Villa, Guido Francesco, Kette, Fulvio, Balzarini, Federica, Riccò, Matteo, Manera, Matteo, Solaro, Nadia, Pagliosa, Andrea, Zoli, Alberto, Migliori, Maurizio, Sechi, Giuseppe Maria, Odone, Anna, Signorelli, Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233661/
https://www.ncbi.nlm.nih.gov/pubmed/31517891
http://dx.doi.org/10.23750/abm.v90i9-S.8710
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author Villa, Guido Francesco
Kette, Fulvio
Balzarini, Federica
Riccò, Matteo
Manera, Matteo
Solaro, Nadia
Pagliosa, Andrea
Zoli, Alberto
Migliori, Maurizio
Sechi, Giuseppe Maria
Odone, Anna
Signorelli, Carlo
author_facet Villa, Guido Francesco
Kette, Fulvio
Balzarini, Federica
Riccò, Matteo
Manera, Matteo
Solaro, Nadia
Pagliosa, Andrea
Zoli, Alberto
Migliori, Maurizio
Sechi, Giuseppe Maria
Odone, Anna
Signorelli, Carlo
author_sort Villa, Guido Francesco
collection PubMed
description Background and aim of the work: The results of out-of-hospital cardiac arrests (OHCA) are usually reported through data collected collected via “ad hoc” registries, but in large populations, samples of short time periods can be used to apply the results to the entire population. We would like to describe the situation of Lombardy to provide evidence on successful procedures, which may be carried out in a larger context. Methods: Observational, prospective, analytical, single cohort study in Lombardy population. Data of OHCA of cardiac aetiology, according to “Utstein Style”, with resuscitation attempts started by the Emergency Medical Service (EMS), were collected for 40 days subdivided in 10-day-periods in all seasons 2014-15 via Operating System “Emergency Management” (EmMa). Results: Of 1219 cases, 536 events of witnessed OHCA of presumed cardiac etiology were analyzed. Outcomes were: sustained Return Of Spontaneous Circulation ROSC (25.6%), Survival Event in Emergency Department (22.8%), Survival after 24 hours (21.2%) and Survival after hospital discharge at home 30 days after (11.2%). Statistically significant results were found in age, rhythm of presentation, and resuscitation by bystanders. Sex, seasonality and rescue timing did not differ statistically. Conclusions: Overall the thirty-day survival rate was similar to studies with larger databases. Our data are consistent with the concept that all emergency service should provide CPR instructions for every citizen who activate the EMS in the suspect of a SCA; further investigation should clarify how long interval could be useful for ROSC and sustained ROSC in patients resuscitated by lay people using CPR instructions. (www.actabiomedica.it)
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spelling pubmed-72336612020-05-19 Out-of-hospital cardiac arrest (OHCA) Survey in Lombardy: data analysis through prospective short time period assessment Villa, Guido Francesco Kette, Fulvio Balzarini, Federica Riccò, Matteo Manera, Matteo Solaro, Nadia Pagliosa, Andrea Zoli, Alberto Migliori, Maurizio Sechi, Giuseppe Maria Odone, Anna Signorelli, Carlo Acta Biomed Original Article Background and aim of the work: The results of out-of-hospital cardiac arrests (OHCA) are usually reported through data collected collected via “ad hoc” registries, but in large populations, samples of short time periods can be used to apply the results to the entire population. We would like to describe the situation of Lombardy to provide evidence on successful procedures, which may be carried out in a larger context. Methods: Observational, prospective, analytical, single cohort study in Lombardy population. Data of OHCA of cardiac aetiology, according to “Utstein Style”, with resuscitation attempts started by the Emergency Medical Service (EMS), were collected for 40 days subdivided in 10-day-periods in all seasons 2014-15 via Operating System “Emergency Management” (EmMa). Results: Of 1219 cases, 536 events of witnessed OHCA of presumed cardiac etiology were analyzed. Outcomes were: sustained Return Of Spontaneous Circulation ROSC (25.6%), Survival Event in Emergency Department (22.8%), Survival after 24 hours (21.2%) and Survival after hospital discharge at home 30 days after (11.2%). Statistically significant results were found in age, rhythm of presentation, and resuscitation by bystanders. Sex, seasonality and rescue timing did not differ statistically. Conclusions: Overall the thirty-day survival rate was similar to studies with larger databases. Our data are consistent with the concept that all emergency service should provide CPR instructions for every citizen who activate the EMS in the suspect of a SCA; further investigation should clarify how long interval could be useful for ROSC and sustained ROSC in patients resuscitated by lay people using CPR instructions. (www.actabiomedica.it) Mattioli 1885 2019 2019-09-13 /pmc/articles/PMC7233661/ /pubmed/31517891 http://dx.doi.org/10.23750/abm.v90i9-S.8710 Text en Copyright: © 2019 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Article
Villa, Guido Francesco
Kette, Fulvio
Balzarini, Federica
Riccò, Matteo
Manera, Matteo
Solaro, Nadia
Pagliosa, Andrea
Zoli, Alberto
Migliori, Maurizio
Sechi, Giuseppe Maria
Odone, Anna
Signorelli, Carlo
Out-of-hospital cardiac arrest (OHCA) Survey in Lombardy: data analysis through prospective short time period assessment
title Out-of-hospital cardiac arrest (OHCA) Survey in Lombardy: data analysis through prospective short time period assessment
title_full Out-of-hospital cardiac arrest (OHCA) Survey in Lombardy: data analysis through prospective short time period assessment
title_fullStr Out-of-hospital cardiac arrest (OHCA) Survey in Lombardy: data analysis through prospective short time period assessment
title_full_unstemmed Out-of-hospital cardiac arrest (OHCA) Survey in Lombardy: data analysis through prospective short time period assessment
title_short Out-of-hospital cardiac arrest (OHCA) Survey in Lombardy: data analysis through prospective short time period assessment
title_sort out-of-hospital cardiac arrest (ohca) survey in lombardy: data analysis through prospective short time period assessment
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233661/
https://www.ncbi.nlm.nih.gov/pubmed/31517891
http://dx.doi.org/10.23750/abm.v90i9-S.8710
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