624
8756558020012657114
www.iakardiologie.cz3408040010765133201214233274312354380428447495515563613632675690730769
PŮVODNÍ3938200012660132201274348422456
PRÁCE4415200012661124196256314
/4750200012632
ORIGINAL4803200012673138172244278352422477
PAPER5301200012661126189246311
Out-of-Hospital279936001063879112136178209238279320352387404436472503
Cardiac331836001063274110149167207240
Arrest357436001063873109141175208
in379836001061556
the387036001062971103
Karlovy398836001063476111143182219258
Vary426236001063672108144
Region442236001063365105122163204
in464236001061556
2023:47133600106336597130144
An487236001063879
Utstein-Style496736001063871103136168185226255284317356388420
Report540336001063365100141177209
re394062001093077
providers404462001095283135179202255302333371
through444262001093182113164216269321
status478962001093769115146197234
updates5050620010951104158203234280317
in539462001092274
car549462001094287118
computers394076001094292171224277309355387425
and439376001094597150
were4571760010968115147194
verified479276001094592123146174199247301
in512076001092274
Fleetware522276001094567114163195266312343390
software394090001093584109141208250279323
(Radium427890001092571114164184232306
s.r.o.,4598900010935548398146163182
CZ)4794900010952101127
using493690001094983103152201
GPS5152900010957104147
location531490001092169109152181201249298
and3940104001094394145
timestamps.4104104001093051126172208239283358410445465
The40801180010946101151
Cardiac42861180010954102135190215262307
Arrest4648118001095790124173213247
Registry49501180010950100155180219254287337
of5342118001095181
the5478118001093085134
Emergency39401320010945121168198250296347389435
Medical44011320010973120173195236281303
Services4730132001094592123170192234279315
in5072132001092172
the5170132001093081128
Karlovy5324132001094995125147198242289
Vary3940146001095092121167
Region4124146001094995146167217268
is4409146001092157
a44831460010943
closed4545146001094162112148193245
database4808146001095094124168219263299345
with5170146001096688118168
restricted53551460010930751111421711932343940160001093074125
access.4081160001094383122166201237256
All435216000109557697
data4465160001095093122166
protection4647160001095180129159203244275296345395
regulations5058160001092974125174195238267288337387422
are5496160001094372117
strictly394017400109366796118158190212255
adhered4219174001094395145191221266318
to,456117400109307997
and4682174001094494145
reports4852174001092974126177207239276
like515317400109214284129
this5306174001093080101136
one54671740010949100146
are3940188001094372116
presented4071188001095080124159203253282325376
without4462188001096586116165213263292
any4769188001094392132
patient-identifying4916188001095194123143188237266291312362407456485505531576598647696
information.394020200109217197147177253297326347397448467
Results39402270014768131181250281324375
In4080244001092271
2023,4175244001094691135180198
the4396244001093080125
Emergency45442440010945119164193243288338378422
Medical49902440010973118169190230273294
Services5308244001094489119164185225269304
of3940258001094975
the4038258001093079124
Karlovy4185258001094892121142191233278
Vary4486258001095090119164
Region4673258001094893144164213263
received4958258001093074115158179222266317
3925298258001094689133
calls5454258001094083104124159
indicating3940272001092273126148190235265287338391
signs4360272001093658110161198
of4587272001095178
cardiac4694272001094187117169191236278
arrest,5000272001094575106153190222241
of5270272001095178
which53772720010968120142184235
1723940286001094787134
patients4098286001095398127149195246276313
(43.94436286001092670115134179
%)4626286001097396
were47472860010968113143189
resuscitated.4961286001093076112162198239260291336366411463483
The5469286001094597143
incidence3940300001092170110130181225275315359
was43173000010966109144
1334479300001094786129
cardiac4627300001094084112162183225265
arrests4910300001094473102146181211247
per5175300001095297126
100,0005320300001094687134152198245292
inhabitants.3940314001092169117159209229258300348376412430
The4383314001094494138
most45343140010975123157186
common4734314001093986160233281330
reasons5078314001092972114148196245279
for5370314001092674103
not5486314001095098126
continuing3940328001094088138166187236284305354404
layperson4360328001092163104155201230266315364
CPR4740328001095299145
were49013280010966110140184
signs5101328001093555105154189
of5306328001094975
death5396328001095196139167216
(33.23940342001092669113130178
%,4127342001097191
n42383420010950
=42973420010954
130),4360342001094686131155171
the4551342001093079124
decision4695342001095196136156191211260310
of5025342001094975
the5120342001093079124
physician52643420010951101142177197236257299348
on3940356001094997
site405035600109355483125
(15.14188356001092566104120159
%,4356356001097088
n44573560010949
=45153560010952
59),4576356001094587109124
and4714356001094290139
the4866356001093077121
presence5000356001095179122156199248286329
of5342356001094873
signs5428356001093555103151184
of3940370001094975
life402937000109224268112
(7.4415637000109257079125
%,4290370001097291
n43953700010950
=44543700010954
29).4517370001094691114130
For4662370001094492121
further4797370001092676105136185230259
details,5071370001095095124168188208243261
refer5347370001092973100144173
to5535370001092977
the3940384001093079124
Utstein4084384001095988124154198218267
OHCA43723840010962121173228
flowchart462138400109264999164203252294323355
for4996384001092776105
system5121384001093679114144188262
effectiveness5404384001094571100145185394039800109305093137186231266301
(attempted426239800109266694126170244295324368419
resuscitation)4702398001093074109157192232252282325354374423473495
in5218398001092170
Figure5310398001094463113162190235
155663980010946
and3940412001094495147
the4111412001093181127
Utstein4263412001096090127158203224275
OHCA45634120010963123177234
flowchart4821412001092751102169209259303333366
for5211412001092777108
system5343412001093781117148193269
efficacy3940426001094571100123163206246290
(Utstein4247426001092683112148178222242291
comparator)4556426001094088163213256285328357405434457
in5031426001092170
Figure5118426001094464113162191235
2.5370426001094765
Layperson4080440001094491135189238270308361414
CPR45254400010953103153
was47094400010968114152
initiated489244000109227497129151197228275329
in5252440001092275
94.85358440001094797117167
%55394400010973
(n3940454001092572
=40224540010953
163)4085454001094586130152
of4252454001094975
cases,4342454001094083117162197215
with4572454001096586115164
dispatcher-assisted4751454001095071105155198227265314359388412455489524544579608652703
CPR5469454001095197144
provided3940468001095181130172193244289341
in4297468001092070
59.54383468001094689105153
%45474680010971
(n4633468001092673
=47174680010953
97).4781468001094690115132
In4929468001092171
1015016468001094587130
cases5162468001094083119164199
(625377468001092570114
%),5502468001097194111
chest-only3940482001094191137173204230283333355399
CPR43644820010953100148
was45384820010967111147
administered,4710482001094496172193243265301332377407453505524
while52604820010967118139160206
full549248200109277899121
CPR39404960010952100148
was41144960010966111147
provided4286496001095282132175197249295347
in4659496001092171
584756496001094793
cases4874496001094186121168204
(35.65104496001092570115133180
%).5296496001097195112
Data54344960010960104134178
on39405100010949100
the4063510001093080125
type4212510001092974127173
of4408510001095076
CPR45075100010952100147
provided4677510001095282131174196247293345
is5045510001092156
missing5124510001097597132168189239290
for5437510001092676106
455665100010946
cases.3940524001094084120165201220
The4176524001094596142
reasons4333524001093075118154204254289
for4638524001092676106
not47605240010950100129
providing4905524001095181131173195246267317368
telephone-assisted5289524001092974961411932432933940538001095096126170205241262297328373425
CPR43845380010952100147
are4550538001094473119
detailed4688538001095096127171192213259311
in5018538001092171
Table5108538001094583134156202
1.5329538001094661
Of4080552001096392
the4198552001093081128
patients,4352552001095298128150196248278316336
64.54714552001094796116165
%48915520010973
were49905520010967113144190
male,52065520010976121143190209
with5441552001096789120171
a39405660010945
median40065660010977125179202247300
age4334566001094598146
of4508566001095179
684616566001094897
years4742566001094390136167205
(IQR4976566001092649114165
1,3:5170566001094863114133
56;5331566001094896116
75).5475566001094893119137
Patient3940580001094891121142188238268
characteristics4233580001094191134164208249281326356378414445466507544
are4802580001094473119
further4946580001092777107140190236266
described5237580001095197133174204226277323375
in3940594001092170
Table4026594001094481132153198
1.4240594001094660
Fifty-four431659400109436389122166194221270319348
percent4680594001095196126165209259288
(n4983594001092572
=50665940010953
93)5130594001094589112
of5257594001094975
OHCAs53485940010961120172228264
occurred3940608001094991130180210240285337
at4301608001094373
home,43976080010950100176222240
and4661608001094393145
62.2%4829608001094691111159242
(n=107)5095608001092573138195238282307
were54266080010966111141186
witnessed3940622001096688118168214250285331383
by4342622001095194
someone.4455622001093585161207257308354372
The4080636001094596142
primary4247636001095282103179223252298
outcome45706360010950100131170219295341
of4936636001095077
OHCA,50386360010962122175232253
defined5316636001095197124148198244296
as3940650001094481
survival4047650001093687117165188233278300
to4373650001093081
hospital44806500010951102139191214245290312
admission,4819650001094496173195232268290341393413
was52586500010968113149
365434650001094794
%55406500010972
(n3940664001092674
=40266640010954
62;4092664001094793111
042296640010947
missing4302664001097698134170191242294
data).4622664001095196126171195212
The4860664001094698144
secondary5030664001093683125174226278322352399
outcomes,545566400109501001313940678001094192170218255275
defined42426780010952100128153205252306
as4575678001094582
survival4684678001093687118166189235280303
to5014678001093081
discharge5122678001095274111154206251282334381
or5530678001095182
303940692001094693
days,4058692001095195137173192
were42766920010966112142187
15.14489692001094687105146
%46476920010971
(n4744692001092674
=48296920010954
26;4894692001094792110
missing5030692001097597132168189240291
data5346692001095195125170
in5541692001092172
113940706001094786
cases).4053706001094187124171208232250
A43307060010956
good44067060010952103156209
neurological4642706001095198150181232255306359381424469492
outcome51607060010951103134175225303351
at5537706001094575
discharge3940720001095172108149198242272322368
or4333720001094979
304437720001094692
days4554720001095194136172
(CPC4751720001092576123176
149517200010947
or5022720001095080
2)5127720001094670
was52227200010966110145
recorded53927200010930751161651953940734001095096147
in4103734001092070
12.24189734001094585104152
%43527340010971
(n4438734001092673
=45227340010953
21;4586734001094587100
missing4702734001097596131166186236286
data5004734001095093123166
in5186734001092171
155272734001094686
cases).5374734001094084119164199222239
Detailed39407480010960106137181202223269321
results4284748001092974110159181211248
of4554748001095076
the4653748001093080126
core4801748001094089119164
and4988748001094394145
supplementary51557480010936851371892112563323784283940762001093076106153
items412076200109215298175212
of4359762001095077
the4463762001093081128
20244618762001094794139184
Utstein4829762001095990128160206228279
protocol5135762001095283133164215257307330
are5491762001094575122
provided3940776001095181131174195247292344
in4303776001092171
Table4393776001094583135157202
1.4614776001094761
Tab.34061001124992147170
1.52861001125071
Results64462001074482113157175201232
presented89362001074571108139176223248284330
as123962001074575
core133162001073780106143
and149062001074592137
supplementary164362001073175121167185224295333380405448474513
items21726200107194581152182
of237062001074568
the245562001072672110
2024258162001074282121158
Utstein275662001075479110136173191237
template301062001072662134179198243269305
Dispatch3717600985576110158200228264311
core6987600983681111153
Dispatcher371880095526999143180205239282322346
OHCA73488009554105151200
recognition9518800952463100141186229246271289332375
yes16888800953574104
no16889800954386
unknown168810800954286120164208266309
not168811800954386111
recorded181611800952463100141166209248293
15429348800953973113
4293498009539
14293410800953974
02934118009539
Dispatcher3711300095526999143180205239282322346
CRP73413000954686127
instructions8791300095165989115139183219246263306350380
yes168813000953574104
no168814000954386
unknown168815000954286120164208266309
not168816000954386111
recorded181616000952463100141166209248293
97293413000953976
73293414000953978
22934150009539
02934160009539
Reasons37117200954080116146189233263
dispatcher6511720095446190134172196231274313337
instructions10061720095175989115139183219246263306350380
NOT1403172009551106142
provided37118200954468111147164209248293
CA168817200954694
occurred180017200954279114157181205244289
later21061720095175378116140
CPR168818200954686125
in183118200951759
progress190818200954468111155179218248278
landline16881920095175396141158175217257
non168820200954386130
cooperating183520200953678122167207231268293310353397
not168821200954386111
recognized181621200952463100141186229246279318362
other168822200954367110150174
EMS188022200953799137
third16882320095256885109152
party185723200954482106133172
trapped16882420095254986131175216261
willing16882520095587592109126169213
but191825200954588113
unable204925200954285122166184224
not168826200954386111
recorded181626200952463100141166209248293
22293417200953978
52934182009539
12934192009539
42934202009539
22934212009539
24293422200953975
52934232009539
12934242009539
72934252009539
22934262009539
Dispatch37127400985576110158200228264311
supplemental69827400983379127175196239308350397425467488
Time37128600953756122161
to55028600952566
dispatcher6342860095436090134171196230274313337
OHCA989286009553104151199
recognition12062860095236299141185229245271288331374
(not37129600952162106130
recorded5192960095236299141165208248293
in82929600951760
6090629600953979
cases)100329600953673103142173192
1:5916882860095394888125
(1183028600952257
:1897286009514
21;19212860095397584
32022286009539
:2071286009514
10)20952860095397595
Patient37130800984585114135177224252
core64030800983681110152
Age37132000954790130
68168832000953979
(56;17853200095215998111
75)19143200095397696
Sex37133200953777112
male1688332009566102119159
female168834200952160126162180219
111293433200953970101
61293434200953973
Witnessed37135400956684109152192222252292337
arrest7253540095376085123154180
yes,168835400953574104119
bystander182435400954580110137174217261301324
EMS1688364009537100137
no168837400954386
unknown168838400954286120164208266309
65293435400953977
42293436400953976
22293437400953978
43293438400953976
Arrest3713960095477195134164190
location5793960095176097134159176219262
residence16883960095246292109153193236272310
public168840600954487132150166202
building190840600954487104121166183225270
street16884160095305680119159184
work/office1688426009558101125159192231253278296332370
long-term-care168843600951760104148173198237260327352390428451490
sport168844600953074118142170
facility18764460095215895112129145171209
EMS1688456009537100137
ambulance1843456009536102146190207243286323361
prison16884660095446886115159202
other168847600954367110150174
unknown168848600954286120164208266309
not168849600954386111
recorded181649600952463100141166209248293
93293439600953976
92934406009539
28293441600953977
32934426009539
13293443600953973
42934446009539
92934456009539
22934466009539
72934476009539
32934486009539
12934496009539
Bystander37150800954077107133170214258297321
CPR71050800954585125
CCO168850800954689140
CPR184650800954585125
full1688518009521658299
CPR180451800954686126
any168852800953679114
bystander181952800954580111137174217261301324
w/o216152800955884124
additional230252800953781125142168185228271308325
information16885380095176081123148214251275292335379
no168854800954386
CPR179254800954585125
unknown168855800954286120164208266309
101293450800953975110
58293451800953978
42934528009539
82934548009539
12934558009539
Bystander37157000954077107133170214258297321
AED71057000954784135
use86357000954272112
AED168857000954784136
used184157000954372112157
shock168858000953073116153187
delivered/AED189358000954383100117154192216255300329371409460
used237158000954272112157
no168859000954386
shock179259000953072116153187
delivered/AED199659000954483101118154193217256300330372410461
used247559000954272111156
unknown168860000954286120164208266309
shock/AED201560000953072116153187219262299350
not238360000954386111
used/not251160000954373112157187228271296
recorded16886100095246299141165208248293
11293457000953970
72934580009539
42934590009539
161293460000953974108
First3716220095375477108134
arresting5236220095366084123153179197239284
rhythm82462200952467102130173239
VF168862200954179
pulseless168863200954487105134174191230261291
VT199663200954183
PEA168864200954077125
asystole168865200953666103134160202219259
not168866200954386111
recorded181666200952463100141166209248293
48293462200953980
12934632009539
44293464200953981
74293465200953973
52934662009539
Presumed37167400954063102132174240280325
cause71367400953673116145185
medical1688674009566105150167203240258
trauma16886840095254986129194231
drowning/electrocution168869400954467110167211228271315345380398437474502526568605648673690733777
asphyxia168870400953666110154189226244280
Not168871400955195119
recorded18257140095236299141165208248292
153293467400953973110
72934684009539
12934694009539
82934704009539
32934714009539
Patient37172600984585114135177224252
supplemental64072600983379127174196238307349396425467488
CPR37173800954686125
first514738009521396293119
bystander168873800954480110136173216261300324
person168874800954484108139182226
sent193274800952969112136
to208674800952567
help217074800954383100144
EMS1688758009537100137
not168876800954386111
recorded181676800952463100141166209248293
96293473800953979
16293474800953974
59293475800953976
12934768009539
/26528040010732
Interv272980400107196895138164208
Akut2957804001075391139167
Kardiol.3144804001074587113162180228248264
2024;23(2-3):85-903428804001074386128168182226270293336361402423437481524552596641
/41148040010732
INTERVENČNÍ4192804001071978123168214262307366419478499
A47128040010753
AKUTNI4786804001075399158203263284
KARDIOLOGIE50928040010745103150210232294337396455476520