Árangur endurlífgunartilrauna utan spítala á Reykjavíkursvæðinu árin 2004-2007
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Authors
Brynjólfur Árni MogensenHjalti Már Björnsson
Gestur Þorgeirsson
Gísli Engilbert Haraldsson
Brynjólfur Mogensen
Issue Date
2015-03
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Results of pre-hospital cardiac resuscitation in the Reykjavik area 2004-2007.Citation
Læknablaðið 101 (3):137-141Abstract
Inngangur: Á Reykjavíkursvæðinu sinnti neyðarbíll með lækni hjartastoppum á árunum 1982-2007. Markmið rannsóknarinnar var að kanna árangur endurlífgunar utan sjúkrahúsa á höfuðborgarsvæðinu árin 2004-2007 og bera saman við niðurstöður fyrri rannsókna. Efniviður og aðferðir: Þýði rannsóknarinnar náði til allra einstaklinga sem fóru í hjartastopp árin 2004-2007 utan sjúkrahúsa á höfuðborgarsvæðinu af völdum hjartasjúkdóma þar sem endurlífgun var reynd. Gögn voru skráð samkvæmt Utstein-staðli um grunnþætti endurlífgunar. Niðurstöður: Á rannsóknartímabilinu höfðu 289 einstaklingar farið í hjartastopp. Var endurlífgun reynd hjá 279 (97%) og hjartasjúkdómur talin orsök hjartastopps í 200 tilvikum. Meðalaldur rannsóknarþýðisins var 67,7 ár og 76% voru karlar. Meðaltal útkallstíma var 6,3 mínútur. Lifandi á sjúkrahús komust 107 (54%) og 50 (25%) útskrifuðust af sjúkrahúsi miðað við 16-19% í fyrri uppgjörum (p=0,16). Hlutfall sleglatifs/sleglahraðtakts var 50%, rafleysu 30% og rafvirkni án dæluvirkni 20%. Árin 2004-2007 útskrifuðust 70% þeirra sem lögðust inn á gjörgæslu/legudeild og voru með sleglatif/sleglahraðtakt á fyrsta riti borið saman við 49% árin 1999-2002 (p=0,01). Í 120 (60%) tilvikum var vitni að hjartastoppi og í 62% af þeim tilvikum var grunnendurlífgun beitt fyrir komu neyðarbíls miðað við 54% í síðasta uppgjöri (p=0,26). Marktækur munur var á lifun ef vitni var að hjartastoppi 37 (31%) á móti 5 (8%) ef ekki var vitni (p<0,01). Ályktanir: Fjórðungur þeirra sem reynt er að endurlífga úr hjartastoppi útskrifast lifandi af sjúkrahúsi. Er árangurinn sambærilegur við síðustu uppgjör á höfuðborgarsvæðinu (16-19%) en mjög góður samanborið við erlendar niðurstöður (3-16%). Lifun sjúklinga sem lögðust inn á gjörgæslu/legudeild med sleglatif/sleglahraðtakt sem fyrsta takt var marktækt aukin miðað við fyrri uppgjör. Lifun var marktækt betri ef vitni var að hjartastoppi.Introduction In the Reykjavik area, a physician staffed ambulance -responded to cardiac arrests from 1982-2007. The aim of this study was to assess the outcome of attempted pre-hospital cardiac resuscitations in the period from 2004-2007 and compare to previous studies. Material and methods: All cases of attempted prehospital resuscitations in cardiac arrests of presumed cardiac etiology. Data was gathered according to the Utstein template. Results: Of a total of 289 cases in cardiac arrest, resuscitation was attempted in 279 and 200 of those were presumed to have a cardiac etiology. Men were 76% of the patients and the average age was 67.7 years. Average response time was 6.3 min. One hundred and seven (54%) survived to hospital admission and 50 (25%) survived to discharge compared to 16-19% in previous studies (p=0.16). The presenting rhythm was ventricular fibrillation/ventricular tachycardia (VF/VT) in 50% of the cases, 30% was in asystole and 20% in pulseless electrical activity (PEA). Of those admitted to intensive care unit/ department and had ventricular fibrillation on the first rhythm strip 70% were discharged during 2004-2007 compared to 49% during 1999-2002 (p=0.01). Bystander CPR was provided in 62% of witnessed cases compared to 54% in a previous study (p=0.26). One hundred and twenty (60%) were witnessed cases of which 37 (31%) survived to hospital discharge compared to 5 (8%)of non witnessed cases (p<0.01). Conclusion: One in every four cardiac arrest patients in the Reykjavik area survives to discharge. This is similar to previous studies in the area (16-19%) and high compared to international studies 3-16%. Survival of those admitted to intensive care unit/ department and had ventricular fibrillation on the first rhythm strip was significantly higher compared to previous studies. Survival was found to be significantly higher if the cardiac arrest was witnessed.
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