由麻醉师急诊医疗服务治疗的院外心脏骤停的流行病学和结果：弗留利-威尼斯-朱利亚地区的3年登记分析

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus Pub Date : 2025-06-10 DOI:10.1016/j.resplu.2025.101000

Carlo Pegani , Alberto Peratoner , Manila Andrian , Laura Magagnin , Luca Gambolò , Alice Pravisani , Michele Zuliani , Serena Rakar , Cristina Lutman , Alessio Della Mattia , Katya Fabretto , Annarita Tullio , Giuseppe Stirparo , Erik Roman Pognuz , Giuseppe Ristagno , FVG-OHCA registry network

{"title":"由麻醉师急诊医疗服务治疗的院外心脏骤停的流行病学和结果：弗留利-威尼斯-朱利亚地区的3年登记分析","authors":"Carlo Pegani , Alberto Peratoner , Manila Andrian , Laura Magagnin , Luca Gambolò , Alice Pravisani , Michele Zuliani , Serena Rakar , Cristina Lutman , Alessio Della Mattia , Katya Fabretto , Annarita Tullio , Giuseppe Stirparo , Erik Roman Pognuz , Giuseppe Ristagno , FVG-OHCA registry network","doi":"10.1016/j.resplu.2025.101000","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>Out-of-hospital cardiac arrest (OHCA) presents significant regional variations in incidence, management, and survival rates. The Friuli-Venezia-Giulia (FVG) region in northeastern Italy has established a cardiac arrest registry to evaluate epidemiological trends and the effectiveness of its emergency medical service (EMS) interventions. This study analyses EMS-treated OHCAs over a three-year period, focusing on patient characteristics, resuscitation practices, and survival outcomes.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted using prospectively collected data from the FVG-OHCA registry between January 2021-December 2023. All adult OHCAs where resuscitation was attempted by EMS were included. Demographics, OHCA characteristics, bystander interventions, EMS response and treatments, and outcomes were analysed. Logistic regression was used to identify factors associated with survival to hospital admission, six-month survival, and good neurological recovery (Cerebral Performance Category (CPC) 1–2).</div></div><div><h3>Results</h3><div>A total of 4,089 OHCA cases were recorded, with an incidence of 113/100,000 inhabitants/year. Although bystander CPR rate was 67%, public AED use was low (4.3%). Resuscitation was attempted by EMS in 48% of cases, and an advanced airway was placed in 75% of patients. Survival to hospital admission was 22.9%, while six-month survival was 9.7%, and 7.6% of patients had a CPC 1–2. Younger age, male gender, shockable rhythm, and public location were associated with long-term survival. High-quality bystander CPR, use of mechanical CPR, and advanced airway placement during CPR were associated only with survival to hospital admission.</div></div><div><h3>Conclusions</h3><div>This study provides comprehensive insights into OHCA epidemiology and outcomes in the FVG region and emphasises the importance of early intervention, high-quality bystander CPR, and specialised prehospital care.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"25 ","pages":"Article 101000"},"PeriodicalIF":2.1000,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Epidemiology and outcomes of out-of-hospital cardiac arrests treated by an anaesthetist-staffed emergency medical service: a 3-year registry analysis in The Friuli-Venezia-Giulia region\",\"authors\":\"Carlo Pegani , Alberto Peratoner , Manila Andrian , Laura Magagnin , Luca Gambolò , Alice Pravisani , Michele Zuliani , Serena Rakar , Cristina Lutman , Alessio Della Mattia , Katya Fabretto , Annarita Tullio , Giuseppe Stirparo , Erik Roman Pognuz , Giuseppe Ristagno , FVG-OHCA registry network\",\"doi\":\"10.1016/j.resplu.2025.101000\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>Out-of-hospital cardiac arrest (OHCA) presents significant regional variations in incidence, management, and survival rates. The Friuli-Venezia-Giulia (FVG) region in northeastern Italy has established a cardiac arrest registry to evaluate epidemiological trends and the effectiveness of its emergency medical service (EMS) interventions. This study analyses EMS-treated OHCAs over a three-year period, focusing on patient characteristics, resuscitation practices, and survival outcomes.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted using prospectively collected data from the FVG-OHCA registry between January 2021-December 2023. All adult OHCAs where resuscitation was attempted by EMS were included. Demographics, OHCA characteristics, bystander interventions, EMS response and treatments, and outcomes were analysed. Logistic regression was used to identify factors associated with survival to hospital admission, six-month survival, and good neurological recovery (Cerebral Performance Category (CPC) 1–2).</div></div><div><h3>Results</h3><div>A total of 4,089 OHCA cases were recorded, with an incidence of 113/100,000 inhabitants/year. Although bystander CPR rate was 67%, public AED use was low (4.3%). Resuscitation was attempted by EMS in 48% of cases, and an advanced airway was placed in 75% of patients. Survival to hospital admission was 22.9%, while six-month survival was 9.7%, and 7.6% of patients had a CPC 1–2. Younger age, male gender, shockable rhythm, and public location were associated with long-term survival. High-quality bystander CPR, use of mechanical CPR, and advanced airway placement during CPR were associated only with survival to hospital admission.</div></div><div><h3>Conclusions</h3><div>This study provides comprehensive insights into OHCA epidemiology and outcomes in the FVG region and emphasises the importance of early intervention, high-quality bystander CPR, and specialised prehospital care.</div></div>\",\"PeriodicalId\":94192,\"journal\":{\"name\":\"Resuscitation plus\",\"volume\":\"25 \",\"pages\":\"Article 101000\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-06-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Resuscitation plus\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666520425001377\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Resuscitation plus","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666520425001377","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}

引用次数: 0

摘要

院外心脏骤停（OHCA）在发病率、管理和生存率方面存在显著的地区差异。意大利东北部的弗留利-威尼斯-朱利亚（FVG）地区建立了心脏骤停登记处，以评估流行病学趋势及其紧急医疗服务（EMS）干预措施的有效性。本研究分析了三年来ems治疗的ohca，重点关注患者特征、复苏实践和生存结果。方法采用前瞻性收集的2021年1月至2023年12月FVG-OHCA登记数据进行回顾性队列研究。包括所有使用EMS进行复苏的成人ohca。分析了人口统计学、OHCA特征、旁观者干预、EMS反应和治疗以及结果。使用Logistic回归来确定与存活至入院、6个月生存率和良好神经恢复（脑功能分类（CPC） 1-2）相关的因素。结果共发现4089例OHCA病例，发病率为113/10万人/年。虽然旁观者CPR使用率为67%，但公共场所AED使用率较低（4.3%）。48%的病例尝试了EMS复苏，75%的患者放置了先进的气道。到住院的生存率为22.9%，而6个月生存率为9.7%，7.6%的患者有CPC 1-2。较年轻的年龄、男性、休克节律和公共场所与长期生存率有关。高质量的旁观者心肺复苏术、机械心肺复苏术的使用以及在心肺复苏术中进行先进的气道放置仅与存活到住院有关。本研究为FVG地区OHCA流行病学和预后提供了全面的见解，并强调了早期干预、高质量的旁观者CPR和专门的院前护理的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Epidemiology and outcomes of out-of-hospital cardiac arrests treated by an anaesthetist-staffed emergency medical service: a 3-year registry analysis in The Friuli-Venezia-Giulia region

Objectives

Out-of-hospital cardiac arrest (OHCA) presents significant regional variations in incidence, management, and survival rates. The Friuli-Venezia-Giulia (FVG) region in northeastern Italy has established a cardiac arrest registry to evaluate epidemiological trends and the effectiveness of its emergency medical service (EMS) interventions. This study analyses EMS-treated OHCAs over a three-year period, focusing on patient characteristics, resuscitation practices, and survival outcomes.

Methods

A retrospective cohort study was conducted using prospectively collected data from the FVG-OHCA registry between January 2021-December 2023. All adult OHCAs where resuscitation was attempted by EMS were included. Demographics, OHCA characteristics, bystander interventions, EMS response and treatments, and outcomes were analysed. Logistic regression was used to identify factors associated with survival to hospital admission, six-month survival, and good neurological recovery (Cerebral Performance Category (CPC) 1–2).

Results

A total of 4,089 OHCA cases were recorded, with an incidence of 113/100,000 inhabitants/year. Although bystander CPR rate was 67%, public AED use was low (4.3%). Resuscitation was attempted by EMS in 48% of cases, and an advanced airway was placed in 75% of patients. Survival to hospital admission was 22.9%, while six-month survival was 9.7%, and 7.6% of patients had a CPC 1–2. Younger age, male gender, shockable rhythm, and public location were associated with long-term survival. High-quality bystander CPR, use of mechanical CPR, and advanced airway placement during CPR were associated only with survival to hospital admission.

Conclusions

This study provides comprehensive insights into OHCA epidemiology and outcomes in the FVG region and emphasises the importance of early intervention, high-quality bystander CPR, and specialised prehospital care.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Resuscitation plus Critical Care and Intensive Care Medicine, Emergency Medicine

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

52 days