Introduction:
Out-of-Hospital Cardiac Arrest (OHCA) is one of the common reasons for Emergency Medical Services (EMS) calls. Every minute delayed in initiating cardiopulmonary resuscitation reduces patient's chance of survival by 10%1. Middle Eastern countries have low survival rates and there is still a lack of data on OHCA 2. In this study we aimed to determine Saudi OHCA survival rate.
Method:
This is a prospective registry; Saudi Arabia is divided into 13 regions and the data is being entered on monthly basis following the Utsetine template for the data collection form. In this analysis, data was extracted from Saudi Out of Hospital Cardiac Arrest registry (SOHAR) from January 2019 to December 2021 in Riyadh, Saudi Arabia.
Result:
In our analysis we included a total of 2127 patients, 62.9% of SOHAR patients were male. Adults more than 14 years represent 91.8%. Overall, Bystander Cardiopulmonary Resuscitation (BCPR) were initiated in 943 (44.3%). Dispatch assisted CPR accounted for 1005 (47.2%) of the total cases. Return of Spontaneous Circulation (ROSC) was achieved in 11.4% during the study period. A total of 208 (9.7%) patients were admitted to hospital, and thirty-days survival rate was less than 1%.
Conclusion:
In conclusion, BCPR was performed on less than half of the patients, and only 11.4% of the patient’s achieved ROSC. Further analysis into hospitalized and discharged OHCA is required. Also, no public AED was used, so nationwide training on public AED is recommended and an educational campaign is required to improve the community BCPR performance.
References:
1-Mani, Geetha, Kalaivani Annadurai, and Raja Danasekaran. "Letter to the Editor: Bystander cardiopulmonary resuscitation in out of hospital cardiac arrest: need of the hour." African health sciences 15.1 (2015): 307-309. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370160/]
2-Batt, Alan M., et al. "Out of hospital cardiac arrests in the Gulf Region: a scoping review." medRxiv (2020): 19014118. [https://pubmed.ncbi.nlm.nih.gov/34369586/]

Saudi Out of Hospital Cardiac Arrest Registry (SOHAR): Riyadh Region Outcomes 2019-2021

Implementation of the Guidelines - How do we put the new ERC Guidelines into practice?

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