799
881828020012657116
www.iakardiologie.cz48438040010765133201214233274312354380428447495515563613632675690730769
PŮVODNÍ341200012660132201274348422456
PRÁCE818200012661124196256314
/1153200012632
ORIGINAL1206200012673138172244278352422477
PAPER1704200012661126189246311
Out-of-Hospital34136001063879112136178209238279320352387404436472503
Cardiac86036001063274110149167207240
Arrest111636001063873109141175208
in134036001061556
the141236001062971103
Karlovy153036001063476111143182219258
Vary180436001063672108144
Region196436001063365105122163204
in218436001061556
2023:22553600106336597130144
An241436001063879
Utstein-Style250936001063871103136168185226255284317356388420
Report294536001063365100141177209
Discussion3406330014782114164219287338388419487556
This480650001094494115150
analysis645650001094392135156198233254288
is949650001092055
presented1020650001095079124159204253282326377
according1412650001094383122170199249270319369
to1796650001093078
the1889650001092978123
updated3406640010950103156201231277330
2024696664001094794139184
Utstein906664001095990128159205227278
protocol.1211664001095282133164214256306329348
The1585664001094698145
primary1756664001095283105182226340678001092975
outcome441678001094999129169218294339
–8066780010945
survival876678001093685115161183227271293
to1194678001093079
hospital12986780010950100136187209239283305
admission1628678001094495170192227263284334384
(36340692001092570115
%)466692001097194
–5756920010945
along636692001094364113163214
with865692001096688117167
secondary1047692001093681122170220271314343389
outcomes1451692001094999129168216291336372
such1839692001093584124174
as340706001094378
survival433706001093584113158179222265286
to735706001092977
discharge827706001095171106146195238267316361
or1203706001094979
301297706001094691
days1403706001095093134169
(15.11587706001092567107124164
%)1762706001097093
and1870706001094392142
good3407200010950100151203
neurological562720001095095145175225247297348369410454476
outcomes1057720001094999129169218293339375
(12.21451720001092668108128176
%),1638720001097295112
highlight17697200010950711221721942153407340010950100130
areas493734001094473119162198
of714734001095076
both8147340010951102131181
success1019734001093685126165210246281
and1324734001094393145
opportunities14927340010950101153204234267316367388418439485520
for340748001092676106
improvement.465748001092196148178227270315390436487516536
The480762001094494139
incidence634762001092069109129180224273313357
of1006762001094874
cardiac1095762001094083112162182225264
arrest1374762001094372101145180210
reported1599762001092973124173203234278329
in1943762001092169
the340776001093080126
EuReCa485776001094492141187241285
TWO7897760010944124186
study994776001093566116167210
was12247760010966110145
88.61388776001094794113160
per1568776001095197127
100,0001714776001094689137155202250298
inhabitants2140636001092274127173227251283329382414453
(992627636001092672122
per27836360010953101133
100,0002950636001094893143163213263314
in3298636001092274
the3406636001093184132
Czech3572636001095496144188241
Republic),2140650001095097150202255278300342368386
compared2552650001094292170223268299346399
to2978650001093081
1333086650001094789135
per32476500010953100131
100,0003405650001094791141160208258308
in3739650001092273
the2140664001093082129
Karlovy2296664001095096126149201245292
Vary2615664001095194125172
Region2814664001094996149171223275
(KV).3116664001092675131160178
The3321664001094698145
incidence34936640010922731151371902372892140678001094187
of2254678001095078
CPR23596780010953102151
provided,2537678001095283134178201254301354374
as2938678001094481
reported3046678001093077130182213247293347
in3419678001092273
EuReCa3519678001094595146193248294
TWO,21406920010944122182198
was23546920010965108142
56.32511692001094691109157
per2683692001095196125
100,0002823692001094587134152197244291
inhabitants3129692001092170119161212232262305354383419
(913563692001092567109
per3688692001095095124
100,0002140706001094689137155202250298
in2456706001092171
the2545706001093080126
Czech2689706001095293138180230
Republic),2937706001094894146196248270291331356373
compared3328706001094189165216261290335387
to3734706001092978
58.32140720001094691111159
per2314720001095197127
100,0002456720001094688135154200247295
in2766720001092171
the2852720001093079125
KV.29927200010949102116
In3123720001092271
the3210720001093079124
EuReCa3350720001094492140186238282
ONE36487200010961121165
study,2140734001093565114164207221
the2376734001093079123
reported2515734001092973124173202234278329
incidence2859734001092170110130181225275315358
of3232734001094975
cardiac3322734001094083112162183225265
arrest3602734001094372101146181211
and2140748001094494145
CPR23117480010952100148
in2484748001092172
the2581748001093080126
Czech2733748001095293139180230
Republic2989748001094995147197249271292333
was33477480010967111147
2443519748001094791140
per3684748001095298128
100,0002140762001094689137155202250298
and2456762001094393145
1042618762001094689137
per2772762001095298128
100,000,2917762001094789137156202250298317
respectively.3252762001092974110161208249281302346391413456471
In3741762001092171
the2140776001092978122
neighbouring2277776001094993114163212262311360388409457507
Pilsen279977600109476686121165214
Region,3028776001094892142162211260278
the3321776001092978122
incidence3458776001092169109129179223272312355
of394062001094976
cardiac403262001094085114165186230270
arrests431962001094373103148184215251
was4587620010966110145
128.9474862001094787132152197
per496162001095198128
100,000510562001094688136155201249298
inhabitants,541962001092171121164394076001095173103147197227264283
with424276001096688118168
a4429760010944
CPR449276001095299147
incidence465876001092171112133184230280321366
rate504376001092973103147
of520976001095076
88.2530476001094794114162
per548576001095198128
100,000394090001094687135153199246293
inhabitants,424990001092170119162213234263307356385421440
which4705900010965115136176225
is494590001092156
higher501790001094970120169214243
than527690001092979121171
that546290001093079122151
in3940104001092171
our40301040010950100129
region4178104001093075127148198248
(5,444510400109267088
6,4552104001094665
7).463610400109477289
Layperson4080118001094287129181228258294344395
CPR45001180010952100147
was46731180010966110146
initiated484411800109217192122143187217261313
in5183118001092171
94.8%5279118001094694113161232
of5536118001095076
cases3940132001094186123170207
in4173132001092273
the4273132001093081128
KV,44281320010949104119
compared4573132001094292169222267298344397
to4997132001093080
a51041320010944
58%5168132001094794167
rate5362132001093075105151
in5540132001092173
Europe3940146001094390119167217261
as4216146001094276
reported4306146001092973123172201232275325
in4645146001092169
EuReCa4728146001094491138182234277
TWO50191460010944121180
(and5214146001092564112162
82.5%5390146001094589108154222
for3940160001092677107
the4072160001093081127
Czech4224160001095394139181231
Republic)4481160001094995147197249271293334358
and4865160001094494146
48%5037160001094694166
in5229160001092171
EuReCa5326160001094493142188242287
ONE.39401740010964126173194
Both41611740010950103134186
EuReCa4374174001094596147194250296
TWO46971740010946128192
and4916174001094597150
the5093174001093183130
ERC5250174001094696151
20215428174001094794140185
guidelines3940188001095099119170214236256305350385
emphasize43411880010944119169219262296317355400
the4756188001092978123
importance4895188001092094145195224256299348389432
of5343188001094874
early5433188001094487116137179
CPR39402020010952100147
initiation411020200109217192122144187217238288338
by4471202001095194
bystanders,4587202001095294130161205255306352382419438
demonstrating5048202001095196172222273308339369413442463513564
that3940216001093081125155
regions4121216001093076128150201252288
with4435216001096789120171
higher4632216001095072123174221251
rates4909216001093075105150187
of5122216001095077
bystander5225216001095194131162207258310357387
CPR39402300010953100148
tend4114230001093075126178
to4318230001093079
have4423230001095094137182
better4630230001095299129162207237
survival4893230001093686116162185229273295
outcomes.52142300010949100130171220296342379398
The3940244001094596142
high4107244001095071122172
rates4304244001092974103148184
of4513244001094976
layperson4614244001092265107159205235272322372
CPR5012244001095299147
and5184244001094494145
dispatcher53542440010951721081592032333940258001094089135164
assistance4120258001094378113134169199243293333377
in4513258001092170
the4599258001092979124
Karlovy4739258001094892122143192235280
Vary5035258001095091120165
Region5216258001094893144165214264
are5496258001094372117
likely394027200109214283127148191
key4146272001094286128
factors4289272001092670110141190219255
contributing4560272001094088137166195216267316346367416466
to5042272001092977
the5135272001092978124
relatively527427200109297495138167188231275296339
high3940286001095071121170
survival4126286001093685114160181225268289
and4431286001094393144
neurological4591286001094995144174223244294345366406450471
outcome5078286001094999128168216291337
rates5430286001093073102147182
observed39403000010949101137183213259304356
(5,431530000109257087
6).442130000109477087
The4080314001094596142
median42473140010975121173194237287
age4560314001094394139
of4725314001094976
684826314001094693
years4944314001094388131161198
(IQR5167314001092546109158
1,3:5350314001094761110127
56;5502314001094692111
75)3940328001094690114
indicates4070328001092172123144185229259303339
that4426328001092979123153
patients4595328001095195125146192242272308
over4920328001094992137167
805103328001094693
years5213328001094287130160197
were54263280010966111141186
less3940342001092166102137
represented4093342001092974125155199235280330359403455
in4564342001092070
the4650342001092979124
study.4790342001093566115166209224
Initiating502934200109227192122143186215236285336
CPR5380342001095299146
in5542342001092170
older3940356001094971122167197
patients4153356001095195124145190240269306
involves4475356001092170112161182226270306
ethical4796356001094575125146186230251
considerations5063356001094089139174195246291321364394415464514549
and3940370001094392142
complex4097370001094087161212233278319
medical44323700010973118169189229272293
decision-making4740370001095095135155190210259308337412454496518567616
processes53713700010951801281692123940384001093571116152
(8).410738400109267094111
Fifty-four423438400109436390123167195222272321351
percent4601384001095096126166210260289
of4906384001094975
OHCAs49973840010961120173229266
occurred5279384001094990129178207237282333
at3940398001094372
home,4028398001095099174219237
compared4281398001094088163214257287331383
to4679398001093078
72.24773398001094691110158
%49423980010971
in5028398001092171
EuReCa5114398001094492141186239282
TWO,54123980010944123184201
while39404120010966116137158203
9.44159412001094662108
%42784120010970
of4364412001094976
OHCAs44554120010962121173229266
occurred4737412001094990129178208237282333
on5086412001094999
the5201412001093079124
streets,534141200109366695140186216252271
compared3940426001094191168221267297343397
to4363426001093081
16.3%4470426001094790111161245
in4742426001092173
the4841426001093082129
KV.49964260010950105120
A51424260010956
presumed5218426001095283130167217294341394
medical39404400010974119170190230273294
aetiology4249440001094388117138186208257307349
was46144400010965108143
reported4772440001092973124173202234278329
in5116440001092170
91.15201440001094587102142
%53534400010970
of5439440001094874
all552844000109436484
cases3940454001094085120166202
in4159454001092171
EuReCa4248454001094493142187241285
TWO,45504540010945125186203
which47714540010966116138178228
is5017454001092156
almost5091454001094365140190225256
identical53654540010921721181681982193940468001094085106
to4065468001093079
our4163468001094999129
result4311468001093075111160182212
of4542468001094976
894637468001094692
%47404680010971
(5,483046800109267088
6).493746800109467087
In4080482001092272
the4178482001092980126
KV,43294820010949103117
survival4472482001093685115161183227272293
to4791482001093079
hospital48964820010950100136187209239284305
admission5227482001094395170192228263284335385
was39404960010966110146
364105496001094692
%.4208496001097192
In4319496001092172
the4410496001092979125
EuReCa4554496001094593142188241285
TWO48584960010945125186
study,5063496001093667117168211226
hospital53084960010950100136187209239283304
survival3940510001093686116163185229274296
among42625100010943119170221273
patients4560510001095297127148194245275313
transported4899510001093060104155191243294324357403455
to5380510001093080
the5486510001093080126
hospital,39405240010951102139191213244290312331
where42985240010967119166197243
survival4567524001093787118165188233278300
status4893524001093668114144195232
was51515240010967112149
known,5326524001094396147215267286
was39405380010965108143
264098538001094589
%,4197538001097190
with4302538001096586115164
a44815380010943
range4542538001092972121171215
of4772538001094975
048625380010945
%49185380010970
to5003538001092977
485095538001094692
%.5198538001097089
Of5302538001096289
those5406538001092978127162206
admitted3940552001094495171193223255300353
with4318552001096789119170
return4513552001093075106156186237
of4776552001094976
spontaneous4878552001093687138189219264314360411462498
circulation540155200109416292132182394056600109216594115165216
(ROSC),4179566001092573136180232259276
354478566001094690
%45805660010971
were46745660010966111141186
discharged4883566001095172107148198242271322368419
alive.532556600109446586130175193
In5541566001092171
the3940580001093079125
KV,40815800010949102116
the4213580001093079125
survival4354580001093584114160182225269290
rate4660580001093073103147
for4823580001092776106
patients4945580001095195124145191241270307
transported52685800010930591031531882392893193940594001093075126
to4083594001093079
the4179594001093079125
hospital,43215940010950100136187208238283304323
where46615940010966117162192238
survival4915594001093685115161183227271292
status5224594001093667111141190226
was54675940010966110146
known,3940608001094295145211263282
was42486080010967111147
42.64421608001094690110157
%.4590608001097292
Of4708608001096291
those4825608001093080130166213
admitted5063608001094496172193224256302354
with5443608001096688119169
ROSC,39406220010949112156209230
36.14196622001094693112153
%43616220010972
were44596220010966112142187
discharged4672622001095173109150200244274325371424
alive.512162200109446687131176195
Overall53426220010962107152183227249270
survival3940636001093584113159180223267288
in4243636001092170
all432963600109436485
cases4429636001094084119164199
where46446360010966115161190235
CPR4894636001095298145
was50556360010966109144
attempted5214636001094372104148223274303347398
was39406500010966110146
15.14106650001094687105146
%,4263650001097191
compared4375650001094089164216260289335387
to4782650001093079
848816500010946
%49386500010972
in5030650001092171
EuReCa5121650001094593142188241285
TWO54276500010944124185
and3940664001094394145
104104664001094689
%42046640010971
in4294664001092171
EuReCa4384664001094593142188241285
ONE46886640010963123167
(5,487566400109256987
6).498166400109467087
The4080678001094494138
Utstein4232678001095887122152195216264
comparator4510678001094087161211254282325353401430
(cardiac4954678001092561104133182202244284
arrest5251678001094372101144179208
witnessed54736780010966871153940692001095095129164209260
by4214692001095192
a43216920010943
bystander4381692001095192127157200249300344373
and4769692001094392142
presenting4926692001095180124159204253282302351401
with5341692001096687116165
an5520692001094393
initial394070600109217090118138181201
shockable4155706001093584133173213257307328372
rhythm)4541706001092978118150199272294
was48497060010966109143
met50067060010975119149
in5168706001092170
11%5252706001094682147
of5413706001094975
cases,55027060010940823940720001093579113131
compared4085720001093986160209252280323373
to4472720001092976
134562720001094584
%46547200010971
in4738720001092169
EuReCa4821720001094390137181233275
TWO.51097200010945122181197
The5320720001094493137
rate5470720001093072100143
of3940734001094974
return4028734001092973102150178227
of4269734001094974
spontaneous4357734001093585134183211254302346395444478
circulation484973400109405987126174194236265284333381
(ROSC)5244734001092672133175226252
for5509734001092775103
this394074800109297797131
subgroup4084748001093583132182210257305355
was44527480010965107141
78.94607748001094588106149
%,4765748001097089
while48677480010966114134153197
overall5078748001094889132160202222242
survival5333748001093583111155176218260280
to3940762001093077
hospital4031762001095099133183204232276296
discharge4341762001095070105144193235264313357
was47127620010966109143
61.54869762001094686100147
%50267620010971
for5111762001092674103
those5228762001093079127162206
with5448762001096687116164
known3940776001094190138201249
hospital4202776001094997130179199227269288
survival4503776001093582110154174215257276
status.4792776001093564106134181214232
Among50377760010954126174222270
patients5320776001095092120139182230258292
Defibrillated3716100955292113131176200217234251288312350395
first78461009521386293119
AED16886100954784136
EMS168871009537100137
unknown16888100954286120164208266309
not16889100954386111
recorded18169100952463100141166209248293
7293461009539
5529347100953976
1293481009539
10929349100953975114
Process37110300984573119157198232266
intra-arrest6541030098206795124165192234263292334368398
core106810300983681111153
Response37111500954080110154198242272311
time70011500952542107147
(from8641150095224267109175
“call10571150095235693111128
answered120211500953679109168207231270314
by153411500954479
EMS”371125009537100137159
to54712500952567
“EMS63112500952462125162
arrived8111250095366084102139178222
at105112500953661
scene”)112912500953067105148187211235
6:5316881150095395393130
(4:44;18361150095215872111153166
10:27)20191150095397589129166188
Drugs37113700955276120164193
given5821370095436097136179
yes168813700953574104
no168814700954386
135293413700953973110
37293414700953975
Process37115900984573119157198232266
intra-arrest6541590098206795124165192234263292334368398
supplemental106815900983480127175197239308350397425467488
Time37117100953756122161
to55017100952566
first634171009521396393119
compression77117100953677144188212251281311328371414
3:2716881710095395291129
(±183417100952169
1:56)19201710095394988127148
Prehospital37118300954063102145189219263280306343360
airway7481830095375477138175210
management976183009565102145181226265331371414438
none168818300954386130169
used187518300954272112157
BMV1688193009540103144
supraglottic168820300953072116141178222239283307335352388
airway20932030095375477138175210
endotracheal168821300953982126169194218256292335375411428
tube213321300952568113153
multiple1688223009566108125150168212230269
not168823300954386111
recorded181623300952463100141166209248293
32934183009539
14293419300953974
52293420300953977
95293421300953978
22934223009539
62934233009539
Number37124500955194160204244268
of65724500954264
shocks73824500953073116153187220
recorded16882450095246299141165208248293
not168825500954386111
recorded181625500952463100141166209248293
65293424500953977
107293425500953975111
Vascular37126700954176106142185202239263
access65126700953673108146176206
type87526700952462108148
peripheral168826700954484108126170214253277315332
i.203726700951732
v.207926700953647
i.168827700951731
o.172927700954357
unkonwn168828700954286120162206263307
not168829700954386111
recorded181629700952463100141166209248293
143293426700953974111
17293427700953972
22934287009539
10293429700953975
Mechanical371309009562102139182219262278315352369
CPR75830900954585125
yes168830900953574104
no168831900954386
not168832900954386111
recorded181632900952463100141166209248293
52934309009539
161293431900953974108
62934329009539
Extracorporeal37134100953774102126163199241266311355379418454471
CPR85934100954686126
yes168834100953574104
no168835100954386
02934341009539
172293435100953972111
Outcome371363009856103132168213282324
core71236300983681110152
Survived37137500953779103143160197236281
event66937500953976114158182
yes168837500953574104
no168838500954386
not168839500954386111
recorded181639500952463100141166209248293
62293437500953977
110293438500953970106
02934395009539
Transported3714070095375694137167211255279307345390
to77840700952567
hospital86240700954387117161178204241258
yes168840700953574104
no168841700954386
72293440700953978
100293441700953975116
Survival37142900953779103143160197234252
to64042900952567
discharge7244290095446190127170206230273313
or105442900954367
30113842900954079
d1234429009544
(out129542900952162105131
of144342900954365
those37143900952568111142181
transported,5704390095244986129159203247271299337382396
n984439009542
=1036439009548
72)10944390095397898
yes168842900953574104
no168843900954386
unknown168844900954286120164208266309
26293442900953977
35293443900953976
11293444900953970
Neurological37146100955191134157200217261305322358396413
outcome80146100954386112146188254294
at111246100953761
discharge11914610095436090126169206230273312
or152146100954267
3037147100953978
d467471009543
(out52847100952162105130
of67647100954264
those75847100952468111141181
handovered95647100954380123167210246285309348393
to136647100952567
ED,145047100953789101
n371481009543
=424481009548
63)4824810095397796
CPC168846100954686132
11837461009539
CPC168847100954686132
21837471009539
CPC168848100954686132
31837481009539
CPC168849100954686132
41837491009539
CPC168850100954686132
51837501009539
not168851100954386111
recorded181651100952463100141166209248293
20293446100953978
12934471009539
12934481009539
02934491009539
26293450100953977
15293451100953973
Outcome371523009856103132168213282324
supplemental71252300983379127175196238307350396425467488
Scene37153500953774112155195
outcome58353500954386111146188254294
ROSC168853500954095132178
CPR168854500954686125
in183154500951759
progress190854500954468111155179218248278
deceased168855500954483120158194224264309
71293453500953976
12934545009539
100293455500953975116
Hospital37156700955094124168186211248265
arrival6545670095366084102139176193
outcome86556700954285111145187253293
(out117656700952162105130
of132456700954264
those140656700952468111141181
who371577009558101145
were53357700955897121159
transported7105770095254986129159203247271299337382
to111057700952466
the119457700952568107
hospital,131957700954386116160178203240258271
n371587009543
=424587009548
72)4825870095397798
transfer16885670095254986129159181220244
with195056700955875100144
ROSC211156700954095132178
transfer16885770095254986129159181220244
with195057700955875100144
ongoing211157700954386131174191234278
CPR240757700954585125
dead168858700954483119163
62293456700953977
12934577009539
92934587009539
Organ37159900955478121158201
donation59059900954386130167191208251295
(out90259900952162106131
of105059900954365
those113259900952568112142181
who1331599009558101145
were37160900955897121159
handovered54860900954379122166210246285309347392
to95760900952567
ED,104260900953788100
n1160609009543
=1213609009547
63)12706090095397897
yes168859900953574104
no168860900954386
unknown168861900954286120164208266309
42934599009539
28293460900953977
31293461900953974
INTERVENČNÍ341804001071978123168215263308366420478499
A8628040010752
AKUTNI936804001075299157202263284
KARDIOLOGIE12418040010745103150211232295337397456477520
/18078040010732
Interv188580400107196895137164208
Akut2112804001075391139167
Kardiol.2299804001074587114162181229248264
2024;23(2-3):85-892583804001074487128168183227271293336361402423438482525552598641
/32698040010731