Al Hasan Dalal, Yaseen Ameen, El Sayed Mazen
Department of Applied Medical Sciences, Health Sciences College, Public Authority of Applied Education and Training, Adailiyah, Kuwait.
Audit Department, Emergency Medicals Services, Adailiyah, Kuwait.
Emerg Med Int. 2020 Apr 23;2020:9861798. doi: 10.1155/2020/9861798. eCollection 2020.
Out-of-hospital cardiac arrest (OHCA) survival remains low in most countries. Few studies examine OHCA outcomes out of the Middle East region. This is the first study to describe characteristics and outcomes of patients with OHCA treated by emergency medical services (EMS) in regions of Kuwait.
To describe characteristics and outcomes of adult patients affected with OHCA in regions of Kuwait.
This was a retrospective observational study on all adult OHCA patients transported by EMS to regional emergency departments over a 10- month period (21 February-31 December 2017). Data were collected from various sources: national emergency medical services archived data, emergency department, intensive care unit, and cardiac care unit of two hospitals.
A total of 332 EMS-treated OHCA cases were reviewed, and 286 incidents with OHCA from cardiac aetiology were included in the study. Most were non-Kuwaiti (60.8%) males (67.1%) with mean age 61 (+-16) years. Most OHCA cases occurred at home (76%) but with low witness rate (11.5%). Bystander CPR rate was low (8.7%). ROSC was achieved in ten patients (3.5%), but only 1 (0.3%) patient survived to hospital discharge.
OHCA survival rates in this region of Kuwait are low. Targeted measures such as creating cardiac registry, dispatcher-assisted CPR with ongoing training and quality improvement, and community-based CPR education program are needed to improve the survival rates of OHCA victims.
在大多数国家，院外心脏骤停（OHCA）的生存率仍然很低。很少有研究在中东地区以外考察OHCA的结局。这是第一项描述科威特地区接受紧急医疗服务（EMS）治疗的OHCA患者特征和结局的研究。
描述科威特地区成年OHCA患者的特征和结局。
这是一项回顾性观察研究，研究对象为在10个月期间（2017年2月21日至12月31日）由EMS转运至地区急诊科的所有成年OHCA患者。数据从各种来源收集：国家紧急医疗服务存档数据、两家医院的急诊科、重症监护病房和心脏监护病房。
共审查了332例经EMS治疗的OHCA病例，其中286例心脏病因导致的OHCA事件纳入研究。大多数是非科威特人（60.8%）男性（67.1%），平均年龄61（±16）岁。大多数OHCA病例发生在家中（76%），但目击者比例较低（11.5%）。旁观者心肺复苏率较低（8.7%）。10例患者（3.5%）实现了自主循环恢复（ROSC），但只有1例（0.3%）患者存活至出院。
科威特该地区的OHCA生存率很低。需要采取针对性措施，如建立心脏登记系统、进行持续培训和质量改进的调度员辅助心肺复苏以及基于社区的心肺复苏教育项目，以提高OHCA受害者的生存率。
