Jan-Thorsten Gräsner1, Rolf Lefering2, Rudolph W Koster3, Siobhán Masterson4, Bernd W Böttiger5, Johan Herlitz6, Jan Wnent7, Ingvild B M Tjelmeland8, Fernando Rosell Ortiz9, Holger Maurer10, Michael Baubin11, Pierre Mols12, Irzal Hadžibegović13, Marios Ioannides14, Roman Škulec15, Mads Wissenberg16, Ari Salo17, Hervé Hubert18, Nikolaos I Nikolaou19, Gerda Lóczi20, Hildigunnur Svavarsdóttir21, Federico Semeraro22, Peter J Wright23, Carlo Clarens24, Ruud Pijls25, Grzegorz Cebula26, Vitor Gouveia Correia27, Diana Cimpoesu28, Violetta Raffay29, Stefan Trenkler30, Andrej Markota31, Anneli Strömsöe32, Roman Burkart33, Gavin D Perkins34, Leo L Bossaert35. 1. University Hospital Schleswig-Holstein, Dep. Anaesthesiology and Intensive Care Medicine, Kiel, Germany; University Hospital Schleswig-Holstein, Institute for Emergency Medicine, Kiel, Germany. Electronic address: jan-thorsten.graesner@uksh.de. 2. University Witten/Herdecke, Cologne, Germany. 3. Academic Medical Center, Amsterdam, The Netherlands. 4. National University of Ireland Galway, Ireland. 5. University Hospital of Cologne, Germany. 6. University of Borås, Sahlgrenska University Hospital, Sweden. 7. University Hospital Schleswig-Holstein, Dep. Anaesthesiology and Intensive Care Medicine, Kiel, Germany; University Hospital Schleswig-Holstein, Institute for Emergency Medicine, Kiel, Germany. 8. Norwegian National Advisory Unit on Prehospital Emergency Medicine (NAKOS), Oslo, Norway. 9. Empresa Pública de Emergencias Sanitarias, Almería, Spain. 10. University Hospital Schleswig-Holstein, Dep. Anaesthesiology and Intensive Care Medicine, Campus Lübeck, Germany. 11. University Hospital Innsbruck, Austria. 12. Centre Hospitalier Universitaire Saint-Pierre, Université Libre de Bruxelles, Belgium. 13. Medical Faculty Osijek, Josip Juraj Strossmayer University, Osijek, Croatia. 14. Nicosia General Hospital, Cyprus. 15. Emergency Medical Service of the Central Bohemian Region, Kladno, and J.E. Purkinje University, Masaryk Hospital Usti nad Labem, Czech Republic. 16. Emergency Medical Services Copenhagen, University of Copenhagen, Denmark. 17. Emergency Medical Services, Department of Emergency Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. 18. University of Lille, France. 19. Konstantopouleio General Hospital, Athens, Greece. 20. Health Care Centers of Csongrad County Hódmezővásárhely - Makó, Hungary. 21. Akureyri Hospital/University of Akureyri, Iceland. 22. Ospedale Maggiore "Carlo Alberto Pizzardi" AUSL Bologna, Italy. 23. Health Service Executive Ballyshannon, Ireland. 24. Luxembourg Resuscitation Council, Luxembourg. 25. Maastricht University, The Netherlands. 26. Jagiellonian University, Kraków, Poland. 27. Serviço de Emergência Médica Regional - SEMER/EMIR, Portugal. 28. University of Medicine and Pharmacy Gr.T. Popa and University County Hospital Sf. Spiridon, Iaşi, Romania. 29. Municipal Institute for Emergency Medicine Novi Sad, Serbia. 30. P.J.Safarik University, Kosice, Slovakia. 31. University Medical Centre Maribor, Maribor, Slovenia. 32. Mälardalens University, Västerås, Sweden. 33. Fondazione Ticino Cuore, Breganzona, Switzerland. 34. University of Warwick and Heart of England NHS Foundation Trust, Coventry, United Kingdom. 35. University of Antwerp, Department of Medicine and Health Sciences, Antwerp, Belgium.
Abstract
INTRODUCTION: The aim of the EuReCa ONE study was to determine the incidence, process, and outcome for out of hospital cardiac arrest (OHCA) throughout Europe. METHODS: This was an international, prospective, multi-centre one-month study. Patients who suffered an OHCA during October 2014 who were attended and/or treated by an Emergency Medical Service (EMS) were eligible for inclusion in the study. Data were extracted from national, regional or local registries. RESULTS: Data on 10,682 confirmed OHCAs from 248 regions in 27 countries, covering an estimated population of 174 million. In 7146 (66%) cases, CPR was started by a bystander or by the EMS. The incidence of CPR attempts ranged from 19.0 to 104.0 per 100,000 population per year. 1735 had ROSC on arrival at hospital (25.2%), Overall, 662/6414 (10.3%) in all cases with CPR attempted survived for at least 30 days or to hospital discharge. CONCLUSION: The results of EuReCa ONE highlight that OHCA is still a major public health problem accounting for a substantial number of deaths in Europe. EuReCa ONE very clearly demonstrates marked differences in the processes for data collection and reported outcomes following OHCA all over Europe. Using these data and analyses, different countries, regions, systems, and concepts can benchmark themselves and may learn from each other to further improve survival following one of our major health care events.
INTRODUCTION: The aim of the EuReCa ONE study was to determine the incidence, process, and outcome for out of hospital cardiac arrest (OHCA) throughout Europe. METHODS: This was an international, prospective, multi-centre one-month study. Patients who suffered an OHCA during October 2014 who were attended and/or treated by an Emergency Medical Service (EMS) were eligible for inclusion in the study. Data were extracted from national, regional or local registries. RESULTS: Data on 10,682 confirmed OHCAs from 248 regions in 27 countries, covering an estimated population of 174 million. In 7146 (66%) cases, CPR was started by a bystander or by the EMS. The incidence of CPR attempts ranged from 19.0 to 104.0 per 100,000 population per year. 1735 had ROSC on arrival at hospital (25.2%), Overall, 662/6414 (10.3%) in all cases with CPR attempted survived for at least 30 days or to hospital discharge. CONCLUSION: The results of EuReCa ONE highlight that OHCA is still a major public health problem accounting for a substantial number of deaths in Europe. EuReCa ONE very clearly demonstrates marked differences in the processes for data collection and reported outcomes following OHCA all over Europe. Using these data and analyses, different countries, regions, systems, and concepts can benchmark themselves and may learn from each other to further improve survival following one of our major health care events.
Authors: Jerry P Nolan; Robert A Berg; Clifton W Callaway; Laurie J Morrison; Vinay Nadkarni; Gavin D Perkins; Claudio Sandroni; Markus B Skrifvars; Jasmeet Soar; Kjetil Sunde; Alain Cariou Journal: Intensive Care Med Date: 2018-06-02 Impact factor: 17.440