SUDDEN CARDIAC ARREST IN PATIENTS OVER 60 YEARS OF AGE IN THE OPERATION AREA OF EMERGENCY MEDICAL SERVICE IN SIEDLCE IN 2013-2017-Reference-Cited by-同舟云学术

SUDDEN CARDIAC ARREST IN PATIENTS OVER 60 YEARS OF AGE IN THE OPERATION AREA OF EMERGENCY MEDICAL SERVICE IN SIEDLCE IN 2013-2017

Published:2020 Issue:3 Volume:7 Page:170-177
ISSN:2391-7822
Container-title:Emergency Medical Service
language:en
Short-container-title:Emerg Med Serv

Author:

Hawrylewicz-Łuka Agnieszka¹,Gałązkowski Robert²,Celiński Daniel³,Mitura Krzysztof¹,Szpakowski Leszek¹,Pilip Sławomir¹,Świniarski Paweł⁴,Nadolny Klaudiusz⁵

Affiliation:

1. “RM MEDITRANS” EMERGENCY AND SANITARY TRANSPORT STATION IN SIEDLCE, SIEDLCE, POLAND

2. DEPARTMENT OF EMERGENCY MEDICAL SERVICE, MEDICAL UNIVERSITY OF WARSAW, WARSAW, POLAND

3. “RM MEDITRANS” EMERGENCY AND SANITARY TRANSPORT STATION IN SIEDLCE, SIEDLCE, POLAND; DEPARTMENT OF EMERGENCY MEDICAL SERVICE, MEDICAL UNIVERSITY OF WARSAW, WARSAW, POLAND

4. COLLEGE OF REHABILITATION, WARSAW, POLAND

5. DEPARTMENT OF EMERGENCY MEDICAL SERVICE, STRATEGIC PLANNING UNIVERSITY OF DABROWA GORNICZA, DABROWA GORNICZA, POLAND

Abstract

Introduction: Sudden cardiac arrest is an integral part of the end of every human life. The aim: To analyze and determine the characteristics of the geriatric patients with sudden cardiac arrest. Material and methods: This was a retrospective study covering the operation area of the Emergency Medical Service in Siedlce. Time range: from January 1, 2013 to December 31, 2017. The Chi2 test was used to assess the significant differences between the analyzed qualitative variables. The level of significance was 0.05. Results: Out of 182,584 emergency medical records collected over 5 years, 5682 cases were manually selected as interventions for a patient with sudden cardiac arrest. This represented 3.11% of all medical services provided, from which a group of n = 3840 patients over 60 years of age was selected. The patient had usually between 75 and 90 years of age. The mean age was 75.55 years. The mean arrival time to such a patient was 10.28 min. The most common ECG rhythm was asystole, followed by return of spontaneous circulation (ROSC) in 12.71% of cases (n = 67). No mechanical chest compression equipment was used. Most often adrenaline and fluid therapy were administered after obtaining intravenous access. Mostly, the witness of the event did not undertake rescue activities. The mean resuscitation time was 48.11 min in the case of ROSC, and 36.98 minutes, if there was no ROSC. Conclusions: In the studied group of patients over 60 years, the chances of ROSC clearly decreased with age.

Publisher

ALUNA

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