Anest. intenziv. Med. 2017;28(3):176-182

Epidemiology of out-of-hospital cardiac arrest in the Czech Republic - national results of the EuReCa ONE trialOriginal Article

R. Škulec^1,2,3,*, R. Šín^4,5, J. Knor^2,6, R. Sviták^7,8,9, O. Franěk¹⁰, P. Mokrejš^11,12, E. Smržová^1,13, J. Dudáková², A. Truhlář^3,14

¹ Klinika anesteziologie, perioperační a intenzivní medicíny, Masarykova nemocnice v Ústí nad Labem Univerzita J. E. Purkyně v Ústí nad Labem

² Zdravotnická záchranná služba Středočeského kraje, Kladno

³ Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Hradec Králové, Lékařská fakulta v Hradci Králové, Univerzita Karlova

⁴ Zdravotnická záchranná služba Plzeňského kraje, Plzeň

⁵ Fakulta biomedicínského inženýrství ČVUT v Praze, Kladno

⁶ 3. lékařská fakulta, Univerzita Karlova

⁷ Anesteziologicko-resuscitační oddělení, Nemocnice Hořovice

⁸ Jednotka intenzivní péče, Neurochirurgická klinika, Fakultní nemocnice Plzeň, Lékařská fakulta v Plzni Univerzita Karlova

⁹ Zdravotnická záchranná služba Plzeňského kraje, Plzeň

¹⁰ Zdravotnická záchranná služba hlavního města Prahy, Praha

¹¹ Anesteziologicko-resuscitační klinika 1. lékařské fakulty Univerzity Karlovy v Praze a Thomayerovy nemocnice Praha

¹² Zdravotnická záchranná služba Libereckého kraje, Liberec

¹³ Zdravotnická záchranná služba Ústeckého kraje, Ústí nad Labem

¹⁴ Zdravotnická záchranná služba Královéhradeckého kraje, Hradec Králové

Objective:
At present, there is still a knowledge gap regarding the epidemiology of out-of-hospital cardiac arrest (OHCA) in Europe and in the Czech Republic. Therefore, the EuReCa ONE (European Registry of Cardiac Arrest) international epidemiological study was performed to determine the incidence of OHCA, the cardiopulmonary resuscitation process and OHCA outcome throughout Europe. Here we present national data from the Czech Republic.

Design:
Prospective, observational, multicentre, epidemiological study.


Setting:
Emergency medical services.

Materials and methods:
Emergency medical services of the Central Bohemia, Hradec Kralove, Pilsen, Karlovy Vary, Liberec and Usti nad Labem regions and the City of Prague participated in the study. All the patients who suffered an OHCA during the month of October 2014 attended by the Emergency Medical Service were eligible for inclusion in the study. The data were collected and analysed according to the latest version of the Utstein style.

Results:
Data covering a population of 4,532,758 inhabitants were analysed. Incidence of confirmed OHCA events with any kind of cardiopulmonary resuscitation attempt was 98.19 cases/100,000 inhabitants/year. Initial shockable rhythm was recorded in 22.5 % patients. Incidence of return of spontaneous circulation was 30.18 cases/100,000 inhabitants/year. Total 16.69 % patients survived for at least 30 days or to hospital discharge, equivalent to 16.36 cases/100,000/ inhabitants/year. Clinically relevant interregional variability was observed in all parameters.

Conclusion:
The results of EuReCa ONE confirm that OHCA is a major public health problem with considerable incidence and clinically relevant interregional differences.

Keywords: out-of-hospital cardiac arrest; cardiopulmonary resuscitation; incidence

Received: January 11, 2017; Accepted: January 30, 2017; Published: June 1, 2017  Show citation