Use this url to cite publication: https://hdl.handle.net/20.500.12512/116224
Options
Short- and long-term survival after out-of-hospital cardiac arrest in Kaunas (Lithuania) from 2016 to 2018 / Linas Darginavicius, Ilona Kajokaite, Nerijus Mikelionis, Jone Vencloviene, Paulius Dobozinskas, Egle Vaitkaitiene, Dinas Vaitkaitis, Asta Krikscionaitiene
Type of publication
Straipsnis Web of Science duomenų bazėje / Article in Web of Science database (S1a)
Author(s)
Kajokaitė, Ilona | Viešoji įstaiga Kauno miesto greitosios medicinos pagalbos stotis | |
Mikelionis, Nerijus | Viešoji įstaiga Kauno miesto greitosios medicinos pagalbos stotis | |
Title
Short- and long-term survival after out-of-hospital cardiac arrest in Kaunas (Lithuania) from 2016 to 2018 / Linas Darginavicius, Ilona Kajokaite, Nerijus Mikelionis, Jone Vencloviene, Paulius Dobozinskas, Egle Vaitkaitiene, Dinas Vaitkaitis, Asta Krikscionaitiene
Publisher (trusted)
London : BioMed Central |
Is Referenced by
Date Issued
Date Issued |
---|
2022-12-03 |
Extent
p. 1-8
Is part of
BMC cardiovascular disorders. London : BioMed Central, 2022, vol. 22, no. 1.
Version
Originalus / Original
Description
art. no. 519.
OA, (CC BY) license.
Field of Science
Abstract
Background: No studies analysing out-of-hospital cardiac arrest (OHCA) epidemiology and outcomes in Lithuania were published in the last decade. Methods: We conducted a retrospective analysis of prospectively collected data. The incidence of OHCA and the demographics and outcomes of patients who were treated for OHCA between 1 and 2016 and 31 December 2018 at Kaunas Emergency Medical Service (EMS) were collected and are reported in accordance with the Utstein recommendations. Multivariable logistic regression analysis was used to identify predictors of survival to hospital discharge. Results: In total, 838 OHCA cases of EMS-treated cardiac arrest (CA) were reported (95.8 per 100.000 inhabitants). The median age was 71 (IQR 58-81) years of age, and 66.7% of patients were males. A total of 73.8% of OHCA cases occurred at home, 59.3% were witnessed by a bystander, and 54.5% received bystander cardiopulmonary resuscitation. The median EMS response time was 10 min. Cardiac aetiology was the leading cause of CA (78.8%). The initial rhythm was shockable in 27.6% of all cases. Return of spontaneous circulation at hospital transfer was evident in 24.9% of all cases. The survival to hospital discharge rate was 10.9%, and the 1-year survival rate was 6.9%. The survival to hospital discharge rate in the Utstein comparator group was 36.1%, and the 1-year survival rate was 27.2%. Five factors were associated with improved survival to hospital discharge: shockable rhythm, time from call to arrival at the patient less than 10 min, witnessed OHCA, age < 80 years, and male sex. Conclusion: This is the first OHCA study from Lithuania examining OHCA epidemiology and outcomes over a three year period. Routine OHCA data collection and analysis will allow us to track the efficacy of service improvements and should become a standard practice in all Lithuanian regions. Trial registration: This research was registered in the clinicaltrials.gov database: Identifiers: NCT04784117, Unique Protocol ID: LITOHCA. Brief Title: Out-of-hospital Cardiac Arrest Epidemiology and Outcomes in Kaunas 2016-2021.
Type of document
type::text::journal::journal article
ISSN (of the container)
1471-2261
1471-2261
WOS
000915264300001
Other Identifier(s)
(LSMU ALMA)991681687207106
Coverage Spatial
Jungtinė Karalystė / United Kingdom of Great Britain and Northern Ireland (GB)
Language
Anglų / English (en)
Bibliographic Details
16
Access Rights
Prieiga intranete / Intranet Access
File(s)12872_2022_Article_2964.pdf (847.91 KB) Intranet Access
Journal | IF | AIF | AIF (min) | AIF (max) | Cat | AV | Year | Quartile |
---|---|---|---|---|---|---|---|---|
BMC Cardiovascular Disorders | 2.1 | 5.2 | 5.2 | 5.2 | 1 | 0.404 | 2022 | Q3 |
Journal | IF | AIF | AIF (min) | AIF (max) | Cat | AV | Year | Quartile |
---|---|---|---|---|---|---|---|---|
BMC Cardiovascular Disorders | 2.1 | 5.2 | 5.2 | 5.2 | 1 | 0.404 | 2022 | Q3 |
5.3 |
Journal | Cite Score | SNIP | SJR | Year | Quartile |
---|---|---|---|---|---|
BMC Cardiovascular Disorders | 3 | 0.807 | 0.601 | 2022 | Q2 |