Zunajbolnišnični srčni zastoj v Sloveniji - rezultati raziskave EuReCa3

Izvleček (v slovenščini)

Zunajbolnišnični srčni zastoj je v razvitem svetu eden izmed vodilnih vzrokov smrti. EuReCa (European Registry of Cardiac arrest) je vse-evropska inciativa, ki spodbuja organizirano zbiranje podatkov za srčne zastoje in promovira organizacijo registrov za zunjabolnišnične srčne zastoje tako regionalno kot na nacionalnem nivoju. V letu 2022 je bila EuReCa študija izvedena že tretjič. V to opazovalno presečno prospektivno študijo so bili vključeni bolniki, ki so doživeli zunajbolnišnični srčni zastoj (OHCA, ang. Out-of-hospital cardiac arrest), med 1. septembrom 2022 in 30. novembrom 2022, obdobje spremljanja po OHCA je trajalo 1 mesec. Podatki so bili zbrani in analizirani v skladu s predlogo za poročanje Utstein 2015 in EuReCa 3. Študija je zajela 294 primerov zunajbolnišničnih srčnih zastojev. Letno incidenco OHCA ocenjujemo na 77,32  na 100.000 prebivalcev. Največ zastojev se je zgodilo na domu (69 %). Večina se je zgodila v prisotnosti očividca 57 %. AED je bil uporabljen v 22 % primerov. ROSC (povrnitev spontanega krvnega obtoka; ang. return of spontaneous circulation) je bil dosežen v 41 %. 30-dnevno preživetje po OHCA je bilo 15 %. Do odpusta iz bolnišnice je preživelo 13 %. CPC 1-2 ob odpustu iz bolnišnice je bil  pri 12 % pacientih. Trenutno v Sloveniji še vedno nimamo sistemskega in stalnega zbiranja podatkov o zunajbolnišničnih srčnih zastojih, kar je potrebno v prihodnosti spremeniti in na pridobljenih podatkih spreminjati zdravstveno politiko.

Abstract (In English)

Out-of-hospital cardiac arrest is one of the leading causes of death in the developed world. EuReCa (European Registry of Cardiac Arrest) is a pan-European initiative that promotes organised data collection for cardiac arrest and promotes the organisation of registries for out-of-hospital cardiac arrest both regionally and nationally. In 2022, the EuReCa study was conducted for the third time. This observational cross-sectional prospective study included patients who experienced OHCA between 1 September 2022 and 30 November 2022, with a follow-up period of 1 month. Data were collected and analysed according to the Utstein 2015 reporting template and EuReCa 3. The study included 294 cases of out-of-hospital cardiac arrest. The annual incidence of OHCA was estimated at 77.32 per 100,000 population. The majority of cardiac arrests occurred in the home (69%). The majority occurred in the presence of an eyewitness (57%). An AED was used in 22% of cases. ROSC (return of spontaneous circulation) was achieved in 41%. 30-day survival after OHCA was 15%. 13% survived to hospital discharge. CPC 1-2 at hospital discharge was in 12% of patients. Currently, there is still no systematic and continuous data collection on out-of-hospital cardiac arrests in Slovenia, which needs to be changed in the future and health policy needs to be modified based on the data obtained.