A concept for the development of a pioneer regional Out-of-Hospital Cardiac Arrest Program to improve patient outcomes
BACKGROUND Immediate initiation of cardiopulmonary resuscitation (CPR) increases chances of restoring spontaneous circulation and survival after out-of-hospital cardiac arrest (OHCA). For some refractory cases, extended cardiopulmonary resuscitation (ECPR) may be a promising option. AIMS The aim of...
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| Veröffentlicht in: | Kardiologia polska 2020-09, Vol.78 (9), p.875-881 |
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| container_title | Kardiologia polska |
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| creator | Sip, Maciej Puslecki, Mateusz Klosiewicz, Tomasz Zalewski, Radoslaw Dabrowski, Marek Ligowski, Marcin Goszczynska, Ewa Paprocki, Christopher Grygier, Marek Lesiak, Maciej Jemielity, Marek Perek, Bartlomiej |
| description | BACKGROUND Immediate initiation of cardiopulmonary resuscitation (CPR) increases chances of restoring spontaneous circulation and survival after out-of-hospital cardiac arrest (OHCA). For some refractory cases, extended cardiopulmonary resuscitation (ECPR) may be a promising option.
AIMS The aim of the study was to estimate the possibility of implementation of ECPR procedure to improve current early outcomes of patients after OHCA.
METHODS The medical charts of the Province Emergency Station in Poznan from a 12-month period were assessed retrospectively. All OHCA cases were identified and the following potential inclusion criteria for ECPR were analyzed: initial defibrillation rhythm, age between 18 and 65 years, CPR conducted by bystanders, and time to hospital arrival less than 40 minutes.
RESULTS In 576 (46.7%) of 1233 identified OHCA cases, CPR was initiated by bystanders and automated external defibrillator was applied only 17 times. An initial defibrillation rhythm was noted in 138 individuals (11.2%). Out of 65 patients who met the ECPR age criterion, 55 underwent CPR by bystanders which lead to a no-flow time that did not exceed 10 minutes. The additional 9 of them would be excluded due to time to hospital arrival. This means that ECPR would be applicable in 46 patients after OHCA.
CONCLUSIONS Our analysis showed that in some patients after sudden cardiac arrest, it would have been possible to implement ECPR as a crucial part of the Regional Out-of-Hospital Cardiac Arrest (OHCA) Program, and in consequence, probably to improve early outcomes of patients with refractory and potentially reversible cardiac arrest. |
| doi_str_mv | 10.33963/KP.15433 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_webof</sourceid><recordid>TN_cdi_webofscience_primary_000575729400007</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>32550730</sourcerecordid><originalsourceid>FETCH-LOGICAL-c320t-83d5cdeb8bf94a277705bfc08d0365e227e080c6ae5628622a7579088fa2080b3</originalsourceid><addsrcrecordid>eNqNkE1PwzAMhiMEgjE48AdQrggV3GRp0uNU8aVN2g5wrtLUGUXrUiXZEP-eaAPOnGzLj2y9DyFXOdxxXhb8fra8y8WE8yMyylUpswmT5TEZATCWlcDZGTkP4SONqsjzU3LGmRAgOYzIbkqN2xgcIrXO0_iOtMUdrt3Q4yZSZ6mmQ-c2iJ56XKVOr-liGzNns2cXhi6mudK-7bShU-8xRLr0buV1T6OjXT94t0M66Njt722jcT2GC3Ji9Trg5U8dk7fHh9fqOZsvnl6q6TwznEHMFG-FabFRjS0nmkkpQTTWgGqBFwIZkwgKTKFRFCkbY1oKWYJSVrO0aPiY3BzuGu9C8GjrwXe99l91DvXeXT1b1nt3ib0-sMO26bH9I39lJeD2AHxi42wwKZHBPwwARPrOyknqEj8m6v90lTzGJLdy203k31wLitI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>A concept for the development of a pioneer regional Out-of-Hospital Cardiac Arrest Program to improve patient outcomes</title><source>MEDLINE</source><source>Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>EZB Electronic Journals Library</source><creator>Sip, Maciej ; Puslecki, Mateusz ; Klosiewicz, Tomasz ; Zalewski, Radoslaw ; Dabrowski, Marek ; Ligowski, Marcin ; Goszczynska, Ewa ; Paprocki, Christopher ; Grygier, Marek ; Lesiak, Maciej ; Jemielity, Marek ; Perek, Bartlomiej</creator><creatorcontrib>Sip, Maciej ; Puslecki, Mateusz ; Klosiewicz, Tomasz ; Zalewski, Radoslaw ; Dabrowski, Marek ; Ligowski, Marcin ; Goszczynska, Ewa ; Paprocki, Christopher ; Grygier, Marek ; Lesiak, Maciej ; Jemielity, Marek ; Perek, Bartlomiej</creatorcontrib><description>BACKGROUND Immediate initiation of cardiopulmonary resuscitation (CPR) increases chances of restoring spontaneous circulation and survival after out-of-hospital cardiac arrest (OHCA). For some refractory cases, extended cardiopulmonary resuscitation (ECPR) may be a promising option.
AIMS The aim of the study was to estimate the possibility of implementation of ECPR procedure to improve current early outcomes of patients after OHCA.
METHODS The medical charts of the Province Emergency Station in Poznan from a 12-month period were assessed retrospectively. All OHCA cases were identified and the following potential inclusion criteria for ECPR were analyzed: initial defibrillation rhythm, age between 18 and 65 years, CPR conducted by bystanders, and time to hospital arrival less than 40 minutes.
RESULTS In 576 (46.7%) of 1233 identified OHCA cases, CPR was initiated by bystanders and automated external defibrillator was applied only 17 times. An initial defibrillation rhythm was noted in 138 individuals (11.2%). Out of 65 patients who met the ECPR age criterion, 55 underwent CPR by bystanders which lead to a no-flow time that did not exceed 10 minutes. The additional 9 of them would be excluded due to time to hospital arrival. This means that ECPR would be applicable in 46 patients after OHCA.
CONCLUSIONS Our analysis showed that in some patients after sudden cardiac arrest, it would have been possible to implement ECPR as a crucial part of the Regional Out-of-Hospital Cardiac Arrest (OHCA) Program, and in consequence, probably to improve early outcomes of patients with refractory and potentially reversible cardiac arrest.</description><identifier>ISSN: 0022-9032</identifier><identifier>EISSN: 1897-4279</identifier><identifier>DOI: 10.33963/KP.15433</identifier><identifier>PMID: 32550730</identifier><language>eng</language><publisher>WARSZAWA: Polskie Towarzystowo Kardiologiczne</publisher><subject>Adolescent ; Adult ; Aged ; Cardiac & Cardiovascular Systems ; Cardiopulmonary Resuscitation ; Cardiovascular System & Cardiology ; Hospitals ; Humans ; Life Sciences & Biomedicine ; Middle Aged ; Out-of-Hospital Cardiac Arrest - therapy ; Retrospective Studies ; Science & Technology ; Young Adult</subject><ispartof>Kardiologia polska, 2020-09, Vol.78 (9), p.875-881</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000575729400007</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c320t-83d5cdeb8bf94a277705bfc08d0365e227e080c6ae5628622a7579088fa2080b3</citedby><cites>FETCH-LOGICAL-c320t-83d5cdeb8bf94a277705bfc08d0365e227e080c6ae5628622a7579088fa2080b3</cites><orcidid>0000-0003-2398-9571 ; 0000-0002-1134-7099</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930,28253</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32550730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sip, Maciej</creatorcontrib><creatorcontrib>Puslecki, Mateusz</creatorcontrib><creatorcontrib>Klosiewicz, Tomasz</creatorcontrib><creatorcontrib>Zalewski, Radoslaw</creatorcontrib><creatorcontrib>Dabrowski, Marek</creatorcontrib><creatorcontrib>Ligowski, Marcin</creatorcontrib><creatorcontrib>Goszczynska, Ewa</creatorcontrib><creatorcontrib>Paprocki, Christopher</creatorcontrib><creatorcontrib>Grygier, Marek</creatorcontrib><creatorcontrib>Lesiak, Maciej</creatorcontrib><creatorcontrib>Jemielity, Marek</creatorcontrib><creatorcontrib>Perek, Bartlomiej</creatorcontrib><title>A concept for the development of a pioneer regional Out-of-Hospital Cardiac Arrest Program to improve patient outcomes</title><title>Kardiologia polska</title><addtitle>KARDIOL POL</addtitle><addtitle>Kardiol Pol</addtitle><description>BACKGROUND Immediate initiation of cardiopulmonary resuscitation (CPR) increases chances of restoring spontaneous circulation and survival after out-of-hospital cardiac arrest (OHCA). For some refractory cases, extended cardiopulmonary resuscitation (ECPR) may be a promising option.
AIMS The aim of the study was to estimate the possibility of implementation of ECPR procedure to improve current early outcomes of patients after OHCA.
METHODS The medical charts of the Province Emergency Station in Poznan from a 12-month period were assessed retrospectively. All OHCA cases were identified and the following potential inclusion criteria for ECPR were analyzed: initial defibrillation rhythm, age between 18 and 65 years, CPR conducted by bystanders, and time to hospital arrival less than 40 minutes.
RESULTS In 576 (46.7%) of 1233 identified OHCA cases, CPR was initiated by bystanders and automated external defibrillator was applied only 17 times. An initial defibrillation rhythm was noted in 138 individuals (11.2%). Out of 65 patients who met the ECPR age criterion, 55 underwent CPR by bystanders which lead to a no-flow time that did not exceed 10 minutes. The additional 9 of them would be excluded due to time to hospital arrival. This means that ECPR would be applicable in 46 patients after OHCA.
CONCLUSIONS Our analysis showed that in some patients after sudden cardiac arrest, it would have been possible to implement ECPR as a crucial part of the Regional Out-of-Hospital Cardiac Arrest (OHCA) Program, and in consequence, probably to improve early outcomes of patients with refractory and potentially reversible cardiac arrest.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cardiac & Cardiovascular Systems</subject><subject>Cardiopulmonary Resuscitation</subject><subject>Cardiovascular System & Cardiology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Middle Aged</subject><subject>Out-of-Hospital Cardiac Arrest - therapy</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Young Adult</subject><issn>0022-9032</issn><issn>1897-4279</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><recordid>eNqNkE1PwzAMhiMEgjE48AdQrggV3GRp0uNU8aVN2g5wrtLUGUXrUiXZEP-eaAPOnGzLj2y9DyFXOdxxXhb8fra8y8WE8yMyylUpswmT5TEZATCWlcDZGTkP4SONqsjzU3LGmRAgOYzIbkqN2xgcIrXO0_iOtMUdrt3Q4yZSZ6mmQ-c2iJ56XKVOr-liGzNns2cXhi6mudK-7bShU-8xRLr0buV1T6OjXT94t0M66Njt722jcT2GC3Ji9Trg5U8dk7fHh9fqOZsvnl6q6TwznEHMFG-FabFRjS0nmkkpQTTWgGqBFwIZkwgKTKFRFCkbY1oKWYJSVrO0aPiY3BzuGu9C8GjrwXe99l91DvXeXT1b1nt3ib0-sMO26bH9I39lJeD2AHxi42wwKZHBPwwARPrOyknqEj8m6v90lTzGJLdy203k31wLitI</recordid><startdate>20200925</startdate><enddate>20200925</enddate><creator>Sip, Maciej</creator><creator>Puslecki, Mateusz</creator><creator>Klosiewicz, Tomasz</creator><creator>Zalewski, Radoslaw</creator><creator>Dabrowski, Marek</creator><creator>Ligowski, Marcin</creator><creator>Goszczynska, Ewa</creator><creator>Paprocki, Christopher</creator><creator>Grygier, Marek</creator><creator>Lesiak, Maciej</creator><creator>Jemielity, Marek</creator><creator>Perek, Bartlomiej</creator><general>Polskie Towarzystowo Kardiologiczne</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0003-2398-9571</orcidid><orcidid>https://orcid.org/0000-0002-1134-7099</orcidid></search><sort><creationdate>20200925</creationdate><title>A concept for the development of a pioneer regional Out-of-Hospital Cardiac Arrest Program to improve patient outcomes</title><author>Sip, Maciej ; Puslecki, Mateusz ; Klosiewicz, Tomasz ; Zalewski, Radoslaw ; Dabrowski, Marek ; Ligowski, Marcin ; Goszczynska, Ewa ; Paprocki, Christopher ; Grygier, Marek ; Lesiak, Maciej ; Jemielity, Marek ; Perek, Bartlomiej</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-83d5cdeb8bf94a277705bfc08d0365e227e080c6ae5628622a7579088fa2080b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cardiac & Cardiovascular Systems</topic><topic>Cardiopulmonary Resuscitation</topic><topic>Cardiovascular System & Cardiology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Middle Aged</topic><topic>Out-of-Hospital Cardiac Arrest - therapy</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sip, Maciej</creatorcontrib><creatorcontrib>Puslecki, Mateusz</creatorcontrib><creatorcontrib>Klosiewicz, Tomasz</creatorcontrib><creatorcontrib>Zalewski, Radoslaw</creatorcontrib><creatorcontrib>Dabrowski, Marek</creatorcontrib><creatorcontrib>Ligowski, Marcin</creatorcontrib><creatorcontrib>Goszczynska, Ewa</creatorcontrib><creatorcontrib>Paprocki, Christopher</creatorcontrib><creatorcontrib>Grygier, Marek</creatorcontrib><creatorcontrib>Lesiak, Maciej</creatorcontrib><creatorcontrib>Jemielity, Marek</creatorcontrib><creatorcontrib>Perek, Bartlomiej</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Kardiologia polska</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sip, Maciej</au><au>Puslecki, Mateusz</au><au>Klosiewicz, Tomasz</au><au>Zalewski, Radoslaw</au><au>Dabrowski, Marek</au><au>Ligowski, Marcin</au><au>Goszczynska, Ewa</au><au>Paprocki, Christopher</au><au>Grygier, Marek</au><au>Lesiak, Maciej</au><au>Jemielity, Marek</au><au>Perek, Bartlomiej</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A concept for the development of a pioneer regional Out-of-Hospital Cardiac Arrest Program to improve patient outcomes</atitle><jtitle>Kardiologia polska</jtitle><stitle>KARDIOL POL</stitle><addtitle>Kardiol Pol</addtitle><date>2020-09-25</date><risdate>2020</risdate><volume>78</volume><issue>9</issue><spage>875</spage><epage>881</epage><pages>875-881</pages><issn>0022-9032</issn><eissn>1897-4279</eissn><abstract>BACKGROUND Immediate initiation of cardiopulmonary resuscitation (CPR) increases chances of restoring spontaneous circulation and survival after out-of-hospital cardiac arrest (OHCA). For some refractory cases, extended cardiopulmonary resuscitation (ECPR) may be a promising option.
AIMS The aim of the study was to estimate the possibility of implementation of ECPR procedure to improve current early outcomes of patients after OHCA.
METHODS The medical charts of the Province Emergency Station in Poznan from a 12-month period were assessed retrospectively. All OHCA cases were identified and the following potential inclusion criteria for ECPR were analyzed: initial defibrillation rhythm, age between 18 and 65 years, CPR conducted by bystanders, and time to hospital arrival less than 40 minutes.
RESULTS In 576 (46.7%) of 1233 identified OHCA cases, CPR was initiated by bystanders and automated external defibrillator was applied only 17 times. An initial defibrillation rhythm was noted in 138 individuals (11.2%). Out of 65 patients who met the ECPR age criterion, 55 underwent CPR by bystanders which lead to a no-flow time that did not exceed 10 minutes. The additional 9 of them would be excluded due to time to hospital arrival. This means that ECPR would be applicable in 46 patients after OHCA.
CONCLUSIONS Our analysis showed that in some patients after sudden cardiac arrest, it would have been possible to implement ECPR as a crucial part of the Regional Out-of-Hospital Cardiac Arrest (OHCA) Program, and in consequence, probably to improve early outcomes of patients with refractory and potentially reversible cardiac arrest.</abstract><cop>WARSZAWA</cop><pub>Polskie Towarzystowo Kardiologiczne</pub><pmid>32550730</pmid><doi>10.33963/KP.15433</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2398-9571</orcidid><orcidid>https://orcid.org/0000-0002-1134-7099</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Cardiac & Cardiovascular Systems Cardiopulmonary Resuscitation Cardiovascular System & Cardiology Hospitals Humans Life Sciences & Biomedicine Middle Aged Out-of-Hospital Cardiac Arrest - therapy Retrospective Studies Science & Technology Young Adult |
| title | A concept for the development of a pioneer regional Out-of-Hospital Cardiac Arrest Program to improve patient outcomes |
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