Prospective, multicenter, Turkish out-of-hospital cardiac arrest study: TROHCA

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dc.authorscopusid57378181700
dc.authorscopusid6602502315
dc.authorscopusid57210209772
dc.authorscopusid15122131400
dc.authorscopusid26637049200
dc.authorscopusid36623392500
dc.authorscopusid36819842700
dc.contributor.authorŞener A.
dc.contributor.authorPekdemir M.
dc.contributor.authorİslam M.M.
dc.contributor.authorAksay E.
dc.contributor.authorKarahan S.
dc.contributor.authorAksel G.
dc.contributor.authorDoğan N.Ö.
dc.date.accessioned2024-08-04T20:03:41Z
dc.date.available2024-08-04T20:03:41Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVES: There is no sufficient data to provide a clear picture of out-of-hospital cardiac arrest (OHCA) across Türkiye. This study is the first to present the prognostic outcomes of OHCA cases and the factors associated with these outcomes. MATERIALS AND METHODS: The study was conducted in a prospective, observational, multicenter design under the leadership of the Emergency Medicine Association of Turkey Resuscitation Study Group. OHCA cases aged 18 years and over who were admitted to 28 centers from Türkiye were included in the study. Survived event, return of spontaneous circulation (ROSC), survival to hospital discharge, and neurological outcome at discharge were investigated as primary outcomes. RESULTS: One thousand and three patients were included in the final analysis. 61.1% of the patients were male, and the average age was 67.0 ± 15.2. Cardiopulmonary resuscitation (CPR) was performed on 86.5% of the patients in the prehospital period by emergency medical service, and bystander CPR was performed on only 2.9% by nonhealth-care providers. As a result, the survived event rate was found to be 6.9%. The survival rate upon hospital discharge was 4.4%, with 2.7% of patients achieving a good neurological outcome upon discharge. In addition, the overall ROSC and sustained ROSC rates were 45.2% and 33.4%, respectively. In the multiple logistic regression analysis, male gender, initial shockable rhythm, a shorter prehospital duration of CPR, and the lack of CPR requirement in the emergency department were determined to be independent predictors for the survival to hospital discharge. CONCLUSION: Compared to global data, survival to hospital discharge and good neurological outcome rates appear to be lower in our study. We conclude that this result is related to low bystander CPR rates. Although not the focus of this study, inadequate postresuscitative care and intensive care support should also be discussed in this regard. It is obvious that this issue should be carefully addressed through political moves in the health and social fields. © 2024 Turkish Journal of Emergency Medicine | Published by Wolters Kluwer - Medknow.en_US
dc.identifier.doi10.4103/tjem.tjem_73_24
dc.identifier.endpage144en_US
dc.identifier.issn2452-2473
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85197504196en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage133en_US
dc.identifier.urihttps://doi.org/10.4103/tjem.tjem_73_24
dc.identifier.urihttps://hdl.handle.net/11616/92020
dc.identifier.volume24en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofTurkish Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBystander cardiopulmonary resuscitationen_US
dc.subjectcardiopulmonary resuscitationen_US
dc.subjectcardiopulmonary resuscitationen_US
dc.subjectout-of-hospital cardiac arresten_US
dc.subjectregistryen_US
dc.subjectreturn of spontaneous circulationen_US
dc.subjectsurvivalen_US
dc.subjectsurvived eventen_US
dc.subjectTurkeyen_US
dc.subjectTürkiyeen_US
dc.titleProspective, multicenter, Turkish out-of-hospital cardiac arrest study: TROHCAen_US
dc.typeArticleen_US

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