Knor Jiri, Seblova Jana, Skulec Roman, Seblova Dominika, Jiri Malek
Emergency Medical Service of the Central Bohemian Region, Kladno, Czech Republic.
3rd Faculty of medicine, Charles University in Prague, Czech Republic.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2018 Mar;162(1):32-35. doi: 10.5507/bp.2017.053. Epub 2017 Dec 13.
The presence of gasping in out-of-hospital cardiac arrest (OHCA) patients predicts short-term prognosis. We performed a retrospective study to evaluate whether the presence of gasping at the time of Emergency Medical Service (EMS) arrival in the case OHCA patients of presumed cardian origin has any impact on six-month survival and/or sustained return of spontaneous circulation (ROSC).
We collected and analyzed Utstein Style data for all patients resuscitated for OHCA of presumed cardiac origin by the EMS of the Central Bohemian Region from July 1, 2013 to June 30, 2014.
During the data collection period, 565 cases of OHCA of presumed cardiac origin were reported. Gasping at the time of EMS arrival was identified in 23.9%. The presence of gasping was associated with a significantly increased frequency of sustained ROSC (48.1 versus 20.7%, P<0.001) and six-month survival (40.7 versus 16.7%, P<0.001) than in non-breathing patients. Presence of gasping upon EMS arrival has been found to be an independent positive predictor of sustained ROSC (OR 2.51, CI 95% 1.59-3.98, P<0.001). The occurrence of gasping at the time of EMS arrival at the scene was significantly related to response time from EMS activation to arrival.
The presence of gasping upon arrival of the EMS for the patient with OHCA of presumed cardiac origin predicts both improves short-term and long-term prognoses.
院外心脏骤停（OHCA）患者出现喘息预示着短期预后情况。我们进行了一项回顾性研究，以评估在疑似心源性OHCA患者中，紧急医疗服务（EMS）到达时出现喘息是否对六个月生存率和/或自主循环持续恢复（ROSC）有任何影响。
我们收集并分析了2013年7月1日至2014年6月30日期间，中波希米亚地区EMS对所有疑似心源性OHCA患者进行复苏的Utstein式数据。
在数据收集期间，共报告了565例疑似心源性OHCA病例。EMS到达时出现喘息的患者占23.9%。与无喘息的患者相比，出现喘息的患者持续ROSC的频率（48.l%对20.7%，P<0.001）和六个月生存率（40.7%对16.7%，P<0.001）显著更高。EMS到达时出现喘息是持续ROSC的独立阳性预测因素（比值比2.51，95%置信区间1.59 - 3.98，P<0.001）。EMS到达现场时出现喘息的情况与从EMS启动到到达的反应时间显著相关。
对于疑似心源性OHCA患者，EMS到达时出现喘息预示着短期和长期预后均得到改善。
