The end result of sudden cardiac arrest is fatal, regardless of where it occurs. The disease is also the most common cause of death in other people with diabetes, heart failure, or coronary heart disease, making it a common form of poor health.
The existing study, published in the European Heart Journal, includes data from the Swedish Cardiopulmonary Resuscitation Registry on 106,296 cases of out-of-hospital cardiac arrest (OHCA) in the years 1990-2020. The study also includes data on 30,032 cases of hospital cardiac arrest (IHCA) in the 2004-2020 era.
three development
Araz Rawshani, a researcher at the Sahlgrenska Academy of the University of Gothenburg and a specialist physician at the Sahlgrenska University Hospital, is the corresponding of the study.
“This is a comprehensive study that describes care and survival after sudden cardiac arrest. It is a detailed report that clarifies the three-decade resuscitation in Sweden as a whole, and shows that the situation has changed for patients and care providers. “
The effects show that for OHCA, survival more than doubled in 1990-2020 to around 11%. All of this increase occurred in the late 1990s and early 2000s, and there has been no further increase in survival in the last decade.
For the IHCA, survival increased 1. 2-fold between 2004 and 2020, reaching about 35%. This improvement occurred largely from 2010 and, according to the researchers, due to greater capacities and resources in the health picture.
“In the event of a cardiac arrest outside the hospital,” Rawshani says, “the growing number of other people trained to perform CPR is likely the driving force behind this positive trend. Millions of Swedes have been trained in this important skill, which can come into use at any time, and those other people are intervening more and more often. Today, non-professionals (bystanders) initiate CPR in most cases of cardiac arrest outside of a hospital.
Delays in ambulances, more complicated cases
“The upward trend in survival outside the hospital has ended for several reasons,” Rawshani continues. “First, ambulances don’t arrive on time for patients; delays in achieving this have continued to increase. Second, the proportion of patients who are easy to care for. “resuscitation, that is, those whose centers prevent due to chronic coronary or coronary heart disease, has been drastically reduced in recent decades. “
The fact that difficult-to-treat cases (e. g. , cardiac arrests caused by lung disease or central failure) are a developing category means that successful resuscitation will be more difficult to achieve in the future. represented in this category, which explains the gender survival gap. In 2020, only about 14% of men, compared to about 8% of women, survived OHCA.
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