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https://hdl.handle.net/11499/7048
Title: | Evaluation of the Outcome of Out-of-Hospital Cardiac Arrest Resuscitation Efforts in Denizli, Turkey | Authors: | Erdur, Bülent Ergin, Ahmet Türkçüer, İbrahim Ergin, Nesrin Parlak, I. Serinken, M. Bozkir, M. |
Keywords: | cardiac arrest emergency medical services epidemiology resuscitation adult aged article blood pressure measurement breathing clinical evaluation controlled study emergency ward female follow up heart arrest heart rhythm hospital discharge human long term care major clinical study male outpatient priority journal survival rate treatment outcome Turkey (republic) Adolescent Adult Aged Cardiopulmonary Resuscitation Emergency Medical Services Female Heart Arrest Humans Male Middle Aged Treatment Outcome Turkey Young Adult |
Abstract: | The objective of this study was to evaluate the outcomes and associated factors for short-term success and long-term survival rates of resuscitated non-traumatic out-of-hospital cardiac arrest (OHCAs) in Denizli, Turkey. All non-traumatic OHCA patients from the Emergency Departments of the Pamukkale University and City Hospitals between the dates of January 1, 2004 and March 1, 2005 were included in this study. A successful outcome was defined as the return of spontaneous circulation or breathing, or evidence of a palpable pulse or a measurable blood pressure. Information on post-resuscitation long-term survival up to 9 months also was obtained by telephone. A total of 222 adults experiencing OHCAs were resuscitated. The number of successful outcomes was 85 (38.3%); 25 (11.2%) were discharged alive; and 21 (9.4%) were alive at the 9-month follow-up. The predicted mean arrest time was 11.7 min (95% confidence interval 10.27-13.2). Type of transportation to the Emergency Department (ambulance, 32.1% vs. private vehicle, 44.5%; p = 0.057), place of arrest (home, 32.6% vs. other, 44.0%; p = 0.08), first rhythm at the scene (asystole, 22.9% vs. ventricular fibrillation-pulseless ventricular tachycardia, 48.0%, vs. pulseless electrical activity, 12.5%; p = 0.056), and advanced cardiac life support starting time (the first 8 min, 46.8% vs. later than 8 min, 32.0%; p = 0.025) had an effect on outcome. Intensive public education for diagnosis and appropriate reporting of OHCA, the importance of bystander cardiopulmonary resuscitation, and the use of automated external defibrillators have an impact on the potential to increase the number of survivors. © 2008 Elsevier Inc. All rights reserved. | URI: | https://hdl.handle.net/11499/7048 https://doi.org/10.1016/j.jemermed.2007.06.029 |
ISSN: | 0736-4679 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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