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Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study.
University-Hospital Schleswig-Holstein, Institute for Emergency Medicine, Kiel, Germany; University-Hospital Schleswig-Holstein, Department of Anesthesiology and Intensive Care Medicine, Kiel, Germany. .
University-Hospital Schleswig-Holstein, Institute for Emergency Medicine, Kiel, Germany; University-Hospital Schleswig-Holstein, Department of Anesthesiology and Intensive Care Medicine, Kiel, Germany. .
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0003-4139-6235
Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, United Kingdom; University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom..
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2020 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 148, p. 218-226, article id S0300-9572(20)30046-0Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The epidemiology and outcome after out-of-hospital cardiac arrest (OHCA) varies across Europe. Following on from EuReCa ONE, the aim of this study was to further explore the incidence of and outcomes from OHCA in Europe and to improve understanding of the role of the bystander.

METHODS: This prospective, multicentre study involved the collection of registry-based data over a three-month period (1st October 2017 to 31st December 2017). The core study dataset complied with the Utstein-style. Primary outcomes were return of spontaneous circulation (ROSC) and survival to hospital admission. Secondary outcome was survival to hospital discharge.

RESULTS: All 28 countries provided data, covering a total population of 178,879,118. A total of 37,054 OHCA were confirmed, with CPR being started in 25,171 cases. The bystander cardiopulmonary resuscitation (CPR) rate ranged from 13% to 82% between countries (average: 58%). In one third of cases (33%) ROSC was achieved and 8% of patients were discharged from hospital alive. Survival to hospital discharge was higher in patients when a bystander performed CPR with ventilations, compared to compression-only CPR (14% vs. 8% respectively).

CONCLUSION: In addition to increasing our understanding of the role of bystander CPR within Europe, EuReCa TWO has confirmed large variation in OHCA incidence, characteristics and outcome, and highlighted the extent to which OHCA is a public health burden across Europe. Unexplained variation remains and the EuReCa network has a continuing role to play in improving the quality management of resuscitation.

Place, publisher, year, edition, pages
2020. Vol. 148, p. 218-226, article id S0300-9572(20)30046-0
Keywords [en]
Bystander CPR, European registry of cardiac arrest, Out-of-hospital cardiac arrest, Outcome after OHCA, Resuscitation
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Cardiac and Cardiovascular Systems
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URN: urn:nbn:se:hb:diva-24264DOI: 10.1016/j.resuscitation.2019.12.042ISI: 000516837300028PubMedID: 32027980Scopus ID: 2-s2.0-85079158573OAI: oai:DiVA.org:hb-24264DiVA, id: diva2:1506726
Available from: 2020-12-04 Created: 2020-12-04 Last updated: 2021-10-21Bibliographically approved

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