EuReCa 2017: Follow up in Republic of Serbia: Six months report

• Main Authors: Tijanić Jelena, Raffay Violetta, Budimski Mihaela
• Format: Article
• Language: English
• Published: Serbian Resuscitation Council, Novi Sad 2017-01-01
• Series: Journal Resuscitatio Balcanica
• Subjects: cardiopulmonary resuscitation; Emergency medical service; out-of hospital-cardiac arrest
• Online Access: https://scindeks-clanci.ceon.rs/data/pdf/2466-2623/2017/2466-26231707037T.pdf
• ISSN: 2466-2623; 2620-021X

Aims and goals: EuReCa-Serbia 2017 data analysis in comparison with previous EuReCa-Serbia results. Methodology: Prospective study of an observational trail of the European Resuscitation Council registered Clinical Trial NCT02236819 and approved by the US healthcare authorities. The data’s from the Serbian cardiac arrest register has been analyzed in period of 1st of January 2017 until 1st of July 2017, Data’s has been uploaded by lead investigators from each participating center into an online database and application at www.eureca. rs. Collected data’s cover the population of 902.970 citizens in Republic of Serbia. Results: Cardiac arrest occurred in 446 cases (49.5/100.000) during first 6 months of 2017, with 199 male and with 81 females. Cardiopulmonary resuscitation (CPR) is initiated in 280 (31.3/100.000) patients. The etiology of cardiac arrest (CA) in most of the cases had cardiac cause in 204 cases (22.6/100.000). The most frequent location of CA was at home with 210 cases (23.3/100.000). CA has been witnessed in 201 cases (22.3/100.000). In 36 (4/100.000) cases CPR was initiated by the witnesses (CPR 20, CCO 16). In 30 (3.3/100.000) cases CPR was dispatcher assisted. The initial rhythm was shockable in 80 cases (8.8/100.000) ROSC achieved in 63 (7/100.000) patients. Patients with ROSC delivered to hospital were 54 (6/100.000). Conclusion: By monitoring of the incidence, the epidemiology, the process itself and the outcomes of cardiac arrest in the observed period of 2015-2017 i is concluded that there is an increase in the return of spontaneous circulation, which is encouraging. Further monitoring of these parameters is necessary and essential to indicate which factors should be improved to bring the incidence of spontaneous circulation closer to the countries with higher standards.