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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study

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  1. Age-specific trends in incidence and survival of out-of-hospital cardiac arrest from presumed cardiac cause in Denmark 2002-2014

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  2. Occurrence of shockable rhythm in out-of-hospital cardiac arrest over time: a report from the COSTA group

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  1. Formodet SARS-CoV-2-dødsfald hos en tidligere rask 50-årig mand

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  2. Regional variation in out-of-hospital cardiac arrest: incidence and survival - a nationwide study of regions in Denmark

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  3. Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest: A nationwide Danish study

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  • Jan-Thorsten Gräsner
  • Jan Wnent
  • Johan Herlitz
  • Gavin D Perkins
  • Rolf Lefering
  • Ingvild Tjelmeland
  • Rudolph W Koster
  • Siobhán Masterson
  • Fernando Rossell-Ortiz
  • Holger Maurer
  • Bernd W Böttiger
  • Maximilian Moertl
  • Pierre Mols
  • Hajriz Alihodžić
  • Irzal Hadžibegović
  • Marios Ioannides
  • Anatolij Truhlář
  • Mads Wissenberg
  • Ari Salo
  • Josephine Escutnaire
  • Nikolaos Nikolaou
  • Eniko Nagy
  • Bergthor Steinn Jonsson
  • Peter Wright
  • Federico Semeraro
  • Carlo Clarens
  • Steffie Beesems
  • Grzegorz Cebula
  • Vitor H Correia
  • Diana Cimpoesu
  • Violetta Raffay
  • Stefan Trenkler
  • Andrej Markota
  • Anneli Strömsöe
  • Roman Burkart
  • Scott Booth
  • Leo Bossaert
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BACKGROUND: The epidemiology and outcome after out-of-hospital cardiac arrest (OHCA) varies across Europe. Following on from EuReCa ONE, the aim of this study was to further explore the incidence of and outcomes from OHCA in Europe and to improve understanding of the role of the bystander.

METHODS: This prospective, multicentre study involved the collection of registry-based data over a three-month period (1st October 2017 to 31st December 2017). The core study dataset complied with the Utstein-style. Primary outcomes were return of spontaneous circulation (ROSC) and survival to hospital admission. Secondary outcome was survival to hospital discharge.

RESULTS: All 28 countries provided data, covering a total population of 178,879,118. A total of 37,054 OHCA were confirmed, with CPR being started in 25,171 cases. The bystander cardiopulmonary resuscitation (CPR) rate ranged from 13% to 82% between countries (average: 58%). In one third of cases (33%) ROSC was achieved and 8% of patients were discharged from hospital alive. Survival to hospital discharge was higher in patients when a bystander performed CPR with ventilations, compared to compression-only CPR (14% vs. 8% respectively).

CONCLUSION: In addition to increasing our understanding of the role of bystander CPR within Europe, EuReCa TWO has confirmed large variation in OHCA incidence, characteristics and outcome, and highlighted the extent to which OHCA is a public health burden across Europe. Unexplained variation remains and the EuReCa network has a continuing role to play in improving the quality management of resuscitation.

Original languageEnglish
JournalResuscitation
Volume148
Pages (from-to)218-226
Number of pages9
ISSN0300-9572
DOIs
Publication statusPublished - 1 Mar 2020

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