ArticleBMC cardiovascular disorders2020
Factors associated with return of spontaneous circulation after out-of-hospital cardiac arrest in Poland: a one-year retrospective study.
Article in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 33 citations in OpenAlex.
- Knowledge, attitudes, and practices toward basic first aid skills among university students in China: a cross-sectional study.BMC public health · 2026Article
- Validation of the UB-ROSC Score for Predicting OHCA Survival in Chiayi City, Taiwan.Emergency medicine international · 2026Article
- Resuscitation outcomes and associated factors among out-of-hospital cardiac arrest patients at the National Referral Hospital, Bhutan: a prospective cohort study.International journal of emergency medicine · 2025Article
- Effectiveness of advanced cardiovascular life support in hyperkalemic cardiac arrest: A randomized experimental study in pigs.Heliyon · 2025Article
- Actions Taken by Bystanders During Sudden Cardiac Arrest: Analysis of Emergency Medical Service Documentation in Poland.Journal of clinical medicine · 2024Article
- The Interaction Effect of Age, Initial Rhythm, and Location on Outcomes After Out-of-Hospital Cardiac Arrest: A Retrospective Cohort Study.Journal of clinical medicine · 2024Article
- Development and evaluation of the model for acute kidney injury in patients with cardiac arrest after successful resuscitation.BMC cardiovascular disorders · 2024Article
- Machine Learning and Clinical Predictors of Mortality in Cardiac Arrest Patients: A Comprehensive Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Knowledge and attitudes towards performing resuscitation among seniors - a population-based study.Archives of public health = Archives belges de sante publique · 2024Article
- Factors Influencing Company Bus Drivers' Awareness and Attitudes towards Basic Life Support in Kigali.Rwanda journal of medicine and health sciences · 2024Article
- Mortality after cardiac arrest in children less than 2 years: relevant factors.Pediatric research · 2024Article
- Simulation-based Comparison of British and Australian Advanced Life Support Guidelines.The western journal of emergency medicine · 2023Article
- The Impact of Body Mass Index on In-Hospital Mortality in Post-Cardiac-Arrest Patients-Does Sex Matter?Nutrients · 2023Article
- Use of Mechanical Chest Compression for Resuscitation in Out-Of-Hospital Cardiac Arrest-Device Matters: A Propensity-Score-Based Match Analysis.Journal of clinical medicine · 2023Article
- Lactate versus Phosphate as Biomarkers to Aid Mechanical Circulatory Support Decisions in Patients with Out-of-Hospital Cardiac Arrest and Return of Spontaneous Circulation.Diagnostics (Basel, Switzerland) · 2023Article
- Developments in Post-Resuscitation Care for Out-of-Hospital Cardiac Arrests in Adults-A Narrative Review.Journal of clinical medicine · 2023Review
- Epidemiology of out-of-hospital cardiac arrest: comparison of Turkish nationals and refugees.Malawi medical journal : the journal of Medical Association of Malawi · 2023Article
- The Influence of the COVID-19 Pandemic on Emergency Medical Services to Out-of-Hospital Cardiac Arrests in a Low-Incidence Urban City: An Observational Epidemiological Analysis.International journal of environmental research and public health · 2023Observational
- Successful treatment of out-of-hospital cardiac arrest is still based on quick activation of the chain of survival.Frontiers in public health · 2023Article
- Traumatic Injuries Following Mechanical versus Manual Chest Compression.Open access emergency medicine : OAEM · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundOut-of-hospital cardiac arrest (OHCA) is a common reason for calls for intervention by emergency medical teams (EMTs) in Poland. Regardless of the mechanism, OHCA is a state in which the chance of survival is dependent on rapid action from bystanders and responding health professionals in emergency medical services (EMS). We aimed to identify factors associated with return of spontaneous circulation (ROSC).
methodsThe medical records of 2137 EMS responses to OHCA in the city of Wroclaw, Poland between July 2017 and June 2018 were analyzed.
resultsThe OHCA incidence rate for the year studied was 102 cases per 100,000 inhabitants. EMS were called to 2317 OHCA events of which 1167 (50.4%) did not have resuscitation attempted on EMS arrival. The difference between the number of successful and failed cardiopulmonary resuscitations (CPRs) was statistically significant (p < 0.001). Of 1150 patients in whom resuscitation was attempted, ROSC was achieved in 250 (27.8%). Rate of ROSC was significantly higher when CPR was initiated by bystanders (p < 0.001). Patients presenting with asystole or pulseless electrical activity (PEA) had a higher risk of CPR failure (86%) than those with ventricular fibrillation/ventricular tachycardia (VF/VT). Patients with VF/VT had a higher chance of ROSC (OR 2.68, 1.86-3.85) than those with asystole (p < 0.001). The chance of ROSC was 1.78 times higher when the event occurred in a public place (p < 0.001).
conclusionsThe factors associated with ROSC were occurrence in a public place, CPR initiation by witnesses, and presence of a shockable rhythm. Gender, age, and the type of EMT did not influence ROSC. Low bystander CPR rates reinforce the need for further efforts to train the public in CPR.
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