Open AccessSUDDEN CARDIAC ARREST IN PATIENTS OVER 60 YEARS OF AGE IN THE OPERATION AREA OF EMERGENCY MEDICAL SERVICE IN SIEDLCE IN 2013-2017
Author(s) -
Agnieszka Hawrylewicz-Łuka,
Robert Gałązkowski,
Daniel Celiński,
Krzysztof Mitura,
Leszek Szpakowski,
Sławomir Pilip,
Paweł Świniarski,
Klaudiusz Nadolny
Publication year - 2020
Publication title -
emergency medical service
Language(s) - English
Resource type - Journals
ISSN - 2391-7822
DOI - 10.36740/emems202003104
Subject(s) - return of spontaneous circulation , medicine , asystole , sudden cardiac arrest , resuscitation , emergency medical services , emergency medicine , sudden death , advanced life support , advanced cardiac life support , retrospective cohort study , psychological intervention , medical record , cardiopulmonary resuscitation , pulseless electrical activity , medical emergency , psychiatry
Sudden cardiac arrest is an integral part of the end of every human life.The aim: To analyze and determine the characteristics of the geriatric patients with sudden cardiac arrest.Material and methods: This was a retrospective study covering the operation area of the Emergency Medical Servicein Siedlce. Time range: from January 1, 2013 to December 31, 2017. The Chi2 test was used to assess the significantdifferences between the analyzed qualitative variables. The level of significance was 0.05.Results: Out of 182,584 emergency medical records collected over 5 years, 5682 cases were manually selected asinterventions for a patient with sudden cardiac arrest. This represented 3.11% of all medical services provided, fromwhich a group of n = 3840 patients over 60 years of age was selected. The patient had usually between 75 and 90 yearsof age. The mean age was 75.55 years. The mean arrival time to such a patient was 10.28 min. The most common ECGrhythm was asystole, followed by return of spontaneous circulation (ROSC) in 12.71% of cases (n = 67). No mechanicalchest compression equipment was used. Most often adrenaline and fluid therapy were administered after obtainingintravenous access. Mostly, the witness of the event did not undertake rescue activities. The mean resuscitation timewas 48.11 min in the case of ROSC, and 36.98 minutes, if there was no ROSC.Conclusions: In the studied group of patients over 60 years, the chances of ROSC clearly decreased with age.