ArticlePostepy w kardiologii interwencyjnej = Advances in interventional cardiology2021
Epidemiology, management, and survival rate of out-of-hospital cardiac arrest in Upper Silesia, Poland: an Utstein-style report.
Article in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- National AED registries and coordinated AED systems as a system-level intervention to improve outcomes after out-of-hospital cardiac arrest: lessons from Japan for Poland.Frontiers in public health · 2026Pooled it
- ICD-Related Emergencies in Prehospital Care: A Descriptive Survey of Self-Reported Experience and Equipment Availability Among Polish Paramedics.Emergency medicine international · 2026Article
- Out-of-hospital emergency medical services in Poland: organization, challenges, and modern solutions.Frontiers in public health · 2026Review
- Cluster Analysis as a Statistical Method for Planning the Optimal Placement of Automated External Defibrillators.Journal of clinical medicine · 2025Article
- Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in Poland.ClinicoEconomics and outcomes research : CEOR · 2025Article
- Actions Taken by Bystanders During Sudden Cardiac Arrest: Analysis of Emergency Medical Service Documentation in Poland.Journal of clinical medicine · 2024Article
- Impact of COVID-19 Pandemic on Patients with ST-Segment-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest.International journal of environmental research and public health · 2022Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDespite the growing number of studies on the epidemiology of out-of-hospital cardiac arrest (OHCA) in Poland, this issue has not been sufficiently studied. Notably, there has been a lack of uniform Utstein-style data reporting.
aimTo evaluate the epidemiology of OHCA, patient characteristics, the laypeople and emergency medical service (EMS) response to cardiac arrest, and outcomes of OHCA patients, based on a prospective registry encompassing a population of 2.7 million Poles. MATERIAL AND
methodsConsecutive, adult, EMS-treated OHCA cases in 2018 were analyzed. Prehospital data were collected using case report forms by EMS. Information on in-hospital procedures and outcomes was based on data from the public payer of health care services. Multivariable logistic regression analysis was performed to find independent predictors of survival to discharge.
resultsA total of 1392 patients were included. Most OHCA occurred at home (74.7%). In 66.8% of OHCA cases, the cardiac arrest was witnessed by bystanders and in another 20.4% by EMS. Laypeople performed cardiopulmonary resuscitation (CPR) in 54.4% of non-EMS-witnessed events, and an automated external defibrillator (AED) was used in 4.6% of patients who received bystander CPR. Finally, 30.7% of all patients were transported to the hospital, and 9.2% survived to hospital discharge. Epinephrine administration, unwitnessed OHCA, longer response time, older age, and initial non-shockable rhythm were independently associated with lower survival to discharge.
conclusionsThe prognosis of OHCA patients in Poland is poor. There is still room for improvement in increasing the prevalence of bystander CPR and AED use before EMS arrival.
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