EuReCa_Serbia Subotica 2014-2021. Epidemiology of Out-of-Hospital Cardiac Arrest
Abstract
Aims and goals
Continuous monitoring of epidemiology, treatment and outcome of out of hospital cardiac arrest on the territory of Subotica municipality.
Methodology
EuReCa Serbia is a part of international, prospective, multicentric, EuReCa_One project, which records survival of patients (epidemiology, treatment, outcome) with out of hospital cardiac arrest in Europe, who are registered on „clinicaltrials.gov (registration number: NCT02236819) by ERC. Data gathered by research center Subotica from October 1, 2014 to December 31, 2021. have been observed. Statistical software SPSS Statistics for Windows v27.0 was used for analysis. Variables are presented through incidence and percentage, and Chi-Square test was used for connection testing between categorical variables.
Results
During the observed time period, the incidence of EuReCa events was 171,67/100.000. Annual incidence of initiated cardiopulmonary resuscitation was 60.75/100000. Age Median for both sexes was 71 (IQR 62-81). Incidence of out of hospital cardiac arrest in patients“ residences, per year, was 157.08 /100.000. Yearly Incidence of provided basic life support was 11.07. Return of spontaneous circulation (ROSC) was achieved in 164 patients of 516 cases (31.78%), which makes the incidence of achieved ROSC, per year, 19.31/100 000.
Conclusion
Incidence of initiated cardiopulmonary resuscitation and achieved return of spontaneous circulation can be compared with results of european countries. Further monitoring of OHCA is necessary so that the reasons for poor laymen involvement can be determined.
References
Nichols M, Townsend N, Scarborough P, Rayner M. Cardiovascular disease in Europe 2014: epidemiological update. Eur Heart J. 2014;35(42):2950–9. https://doi.org/ 10.1093/eurheartj/ehu299.
https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Causes_of_death_statistics
Republički zavod za statistiku, Republika Srbija. Demografska statistika republike Srbije 2023.
Gräsner, J. T., Herlitz, J., Tjelmeland, I. B. M., Wnent, J., Masterson, S., Lilja, G., Bein, B., Böttiger, B. W., Rosell-Ortiz, F., Nolan, J. P., Bossaert, L., & Perkins, G. D. (2021). European Resuscitation Council Guidelines 2021: Epidemiology of cardiac arrest in Europe. Resuscitation, 161, 61–79. https://doi.org/10.1016/j.resuscitation.2021.02.007.
Frisk Torell M, Strömsöe A, Herlitz J, Claesson A, Svensson L, Börjesson M. Outcome of exercise-related out-of-hospital cardiac arrest is dependent on location: Sports arenas vs outside of arenas. PLoS One. 2019 Feb 1;14(2):e0211723. https://doi.org/10.1371/journal.pone.0211723
Weizman, O., Empana, J. P., Blom, M., Tan, H. L., Jonsson, M., Narayanan, K., Ringh, M., Marijon, E., Jouven, X., & ESCAPE-NET Investigators (2023). Incidence of Cardiac Arrest During Sports Among Women in the European Union. Journal of the American College of Cardiology, 81(11), 1021–1031. https://doi.org/10.1016/j.jacc.2023.01.015
Budimski, M., Momirović Stojković, M., Gavrilović, N., & Jakšić Horvat, K. (2016). Cardiac arrest on sports grounds: Eureca one 2014-2015. Journal Resuscitatio Balcanica, 2(4), 19-20. https://doi.org/10.5937/JRB160401
Gräsner, J. T., Lefering, R., Koster, R. W., Masterson, S., Böttiger, B. W., Herlitz, J., Wnent, J., Tjelmeland, I. B., Ortiz, F. R., Maurer, H., Baubin, M., Mols, P., Hadžibegović, I., Ioannides, M., Škulec, R., Wissenberg, M., Salo, A., Hubert, H., Nikolaou, N. I., Lóczi, G., … EuReCa ONE Collaborators (2016). EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation, 105, 188–195. https://doi.org/10.1016/j.resuscitation.2016.06.004
Gräsner, J. T., Wnent, J., Herlitz, J., Perkins, G. D., Lefering, R., Tjelmeland, I., Koster, R. W., Masterson, S., Rossell-Ortiz, F., Maurer, H., Böttiger, B. W., Moertl, M., Mols, P., Alihodžić, H., Hadžibegović, I., Ioannides, M., Truhlář, A., Wissenberg, M., Salo, A., Escutnaire, J., … Bossaert, L. (2020). Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study. Resuscitation, 148, 218–226. https://doi.org/10.1016/j.resuscitation.2019.12.042
Fišer Z, Raffay V, Vlajović S, Kličković A, Lazić A, Jakšić Horvat K. The program of monitoring the occurrence of cardiac arrest EURECA ONE - Serbia 2014. Journal Resuscitatio Balcanica. 2015;1(1):5-8. https://doi.org/ 10.5937/JRB1501005F
Republika Srbija, republički Zavod za statistiku Opštine i regioni u Republici Srbiji 2021. P.18.
Ivošević, A., Tomić, B. and Lajko, N. (2018) 'Sensitivity of OHCA recognition in the emergency dispatch center of Subotica', Journal Resuscitatio Balcanica, 4(9), pp. 85-88. https://doi.org/10.5937/JRB1809085I.
Momirović Stojković M, Gavrilović N, Jakšić Horvat K. EuReCa Serbia Subotica 2015-2016: Does the system strengthening lead to better results?. Journal Resuscitatio Balcanica. 2017;3(7):33-6. https://doi.org/10.5937/JRB1707009M
Budimski M, Momirović Stojković M, Gavrilović N, Jakšić Horvat K. EuReCa Serbia one 2014 - Research center Subotica: Sudden cardiac arrest: Six month follow up. ABC - časopis urgentne medicine. 2015;15(3):45-9.
Tijanić J, Raffay V, Budimski M. EuReCa 2017: Follow up in Republic of Serbia: Six months report. Journal Resuscitatio Balcanica. 2017;3(7):37-40. https://doi.org/10.5937/JRB1707013T
Fišer Z, Vlajović S, Jakšić Horvat K, Raffay V. EURECA Serbia ONE 2014: Out of hospital cardiac arrest: Venue of accident. Journal Resuscitatio Balcanica. 2015;1(1):9-11. https://doi.org/10.5937/JRB1501009F
Raffay V, Tijanić J, Fišer Z. Učešće laika u započinjanju kardiopulmonalne resuscitacije - zašto laici ne pomažu? EuReCa Srbija. Journal Resuscitatio Balcanica. 2017;3(7):41-5. https://doi.org/10.5937/JRB1707017R
Souers, A., Zuver, C., Rodriguez, A., Van Dillen, C., Hunter, C., & Papa, L. (2021). Bystander CPR occurrences in out of hospital cardiac arrest between sexes. Resuscitation, 166, 1–6. https://doi.org/10.1016/j.resuscitation.2021.06.021.
Fišer Z, Raffay V, Budimski M, Đorđević Vujović N, Obradović I. Bilo kakav pokušaj Resuscitacije od strane svedoka je bolji nego nikakav pokušaj Resuscitacija - urbani mit, zabluda ili dokazana istina?. Journal Resuscitatio Balcanica. 2018;4(11):126-30. https://doi.org/10.5937/JRB1811126F
Randjelovic, S. S., Nikolovski, S. S., Tijanic, J. Z., Obradovic, I. A., Fiser, Z. Z., Lazic, A. D., & Raffay, V. I. (2023). Out-of-Hospital Cardiac Arrest Prospective Epidemiology Monitoring during the First Five Years of EuReCa Program Implementation in Serbia. Prehospital and disaster medicine, 38(1), 1–8. Advance online publication. https://doi.org/10.1017/S1049023X22002424
Nikolovski SS, Lazic AD, Fiser ZZ, Obradovic IA, Randjelovic SS, Tijanic JZ, Raffay VI. Initial Outcomes and Survival of Out-of-Hospital Cardiac Arrest: EuReCa Serbia Multicenter Cohort Study. Cureus. 2021 Oct 6;13(10):e18555. https://doi.org/10.7759/cureus.18555
Lazić A, Milić S, Fišer Z. KPR pružena od strane laika - EuReCa_ Srbija 2014-2019. Journal Resuscitatio Balcanica. 2020;6(15):223-6. https://doi.org/10.5937/jrb5-27193