[Sudden cardiac arrests in years 2013-2016 within operation area of siedlce emergency ambulance service].

Autor:	Celiński D; Zakład Ratownictwa Medycznego, Warszawski Uniwersytet Medyczny, Warszawa, Polska, SP ZOZ 'RM Meditrans' Stacja Pogotowia Ratunkowego i Transportu Sanitarnego w Siedlcach, Siedlce, Polska., Mitura K; SP ZOZ 'RM Meditrans' Stacja Pogotowia Ratunkowego i Transportu Sanitarnego w Siedlcach, Siedlce, Polska., Szpakowski L; SP ZOZ 'RM Meditrans' Stacja Pogotowia Ratunkowego i Transportu Sanitarnego w Siedlcach, Siedlce, Polska., Pilip S; Zakład Ratownictwa Medycznego, Warszawski Uniwersytet Medyczny, Warszawa, Polska, SP ZOZ 'RM Meditrans' Stacja Pogotowia Ratunkowego i Transportu Sanitarnego w Siedlcach, Siedlce, Polska., Nadolny K; Klinika Medycyny Ratunkowej, Uniwersytet Medyczny W Białymstoku, Białystok, Polska, Wyższa Szkoła Planowania Strategicznego w Dąbrowie Górniczej, Dąbrowa Górnicza, Polska., Gałązkowski R; Zakład Ratownictwa Medycznego, Warszawski Uniwersytet Medyczny, Warszawa, Polska.
Jazyk:	polština
Zdroj:	Wiadomosci lekarskie (Warsaw, Poland : 1960) [Wiad Lek] 2018; Vol. 71 (9), pp. 1729-1737.
Abstrakt:	Objective: Introduction: SCA is an unexpected, and potentially of reversible effect, in which occurs a cessation of hemodynamically heart beat as a pump, and cessation of cardiovascular circulation. Patients and Methods: Materials and methods: Our analysis is based on 1032 SCA occurrences where cardiopulmonary resuscitation have been applied. The analysis covers operating region of Siedlce Emergency Medical Services in years 2013-2016. The study is of retrospective nature. The analysis has been based on all cases of cardiac arrests. Successful rate of medical assistance at patients with SCA have been assessed. Results: Results: CPR have been applied 1032 times, out of which 45,3& of cases have resulted in spontaneous recovery of circulation, and in 54,7& such action have failed. however the efficiency of CPR applied K-2 call-outs was higher (p=0.016). It was noted that there was significantly higher (p = 0,010) number of interventions due to SCA with males (n = 744) than females (n = 288). Also, there was higher successful rate for SCA treatment with females than males. It was proven that the number of SCA have grown in line with an age, however successful rate of SCA treatment have been comparable among all age groups (p = 0,553). Most numerous group of patients with SCA have been 75 year old and above (n = 281). It was noted that significant factor in SCA and CPR successful treatment was the time of the day (p = 0,021). There was more SCA as well as successful CPRs before afternoon and afternoon in comparison with evening and night time. The time of arrival for Ambulance crews for patients with spontaneous was significantly shorter (p = 0,000) in comparison with patients who have failed to recover (on average 7,3± 5,96 vs. 9,8± 6,42 min). In rhythm to defibrilation or PEA, ROSC took place significantly more often than at patients with asystole (p = 0,000). Conclusion: Conclusions: A successful resuscitation depends on the quality of emergency medical procedures performed at the place of incident. The highest probability of ROSC is related with defibrillation, intubation, the application of a respirator and performing mechanical ventilation, as well as shorter time from dispatch to arrival.
Databáze:	MEDLINE
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