Prepared for sudden cardiac arrest? A cross-sectional study of automated external defibrillators in amateur sport

BackgroundThe incidence of sports-related sudden cardiac arrest (SrSCA) in sub-Saharan Africa is unknown.ObjectiveTo determine the incidence of sudden cardiac arrest (SCA) in non-competitive athletes in an urban population of Cameroon, a country in sub-Saharan Africa.MethodsTwo study populations in Cameroon were used. A 12-month, multisource surveillance system of 86 189 inhabitants over 12 years old recorded all deaths in two administrative districts of Douala City. All fields of sports, emergency medical service, local medical examiners and district hospital mortuaries were surveyed. Two blinded cardiologists used a verbal autopsy protocol to determine the cause of death. SCA was identified for all deaths occurring within 1 hour of onset of symptoms. A cross-sectional study was conducted among 793 persons in Yaoundé City, which is the second study population aimed at determining the proportion of people who are physically active.ResultsThe mean age in the cross-sectional study was 27.3±10.7, with more men (56.2%). The cross-sectional study showed that 69.0% (95% CI 65.8 to 72.2) of the population could be considered to have at least 3 hours of physical activity per week. The surveillance found that among 288 all-cause deaths, 27 (9.4%) were due to SCA. One SrSCA was registered in a 35-year-old woman while running. Merging both sources revealed an SrSCA incidence of 1.7 (95% CI 0.2 to 12.0) cases per 100 000 athletes per year.ConclusionThis pioneer study reports the incidence estimates of SrSCA in a sub-Saharan African general population and should be regarded as a first step to a big problem.

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Outcomes of out-of-hospital cardiac arrest in Beijing: a 5-year cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-041917 ◽

2021 ◽

Vol 11 (4) ◽

pp. e041917

Author(s):

Fei Shao ◽

Haibin Li ◽

Shengkui Ma ◽

Dou Li ◽

Chunsheng Li

Keyword(s):

Cardiac Arrest ◽

Urban Areas ◽

Patient Characteristics ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Term Survival ◽

Shockable Rhythm ◽

Bystander Cpr ◽

Hospital Cardiac Arrest

ObjectiveThe purpose of this study was to assess the trends in outcomes of out-of-hospital cardiac arrest (OHCA) in Beijing over 5 years.DesignCross-sectional study.MethodsAdult patients with OHCA of all aetiologies who were treated by the Beijing emergency medical service (EMS) between January 2013 and December 2017 were analysed. Data were collected using the Utstein Style. Cases were followed up for 1 year. Descriptive statistics were used to characterise the sample and logistic regression was performed.ResultsOverall, 5016 patients with OHCA underwent attempted resuscitation by the EMS in urban areas of Beijing during the study period. Survival to hospital discharge was 1.2% in 2013 and 1.6% in 2017 (adjusted rate ratio=1.0, p for trend=0.60). Survival to admission and neurological outcome at discharge did not significantly improve from 2013 to 2017. Patient characteristics and the aetiology and location of cardiac arrest were consistent, but there was a decrease in the initial shockable rhythm (from 6.5% to 5.6%) over the 5 years. The rate of bystander cardiopulmonary resuscitation (CPR) increased steadily over the years (from 10.4% to 19.4%).ConclusionSurvival after OHCA in urban areas of Beijing did not improve significantly over 5 years, with long-term survival being unchanged, although the rate of bystander CPR increased steadily, which enhanced the outcomes of patients who underwent bystander CPR.

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Awareness of basic life support among undergraduate medical students in Syria, Iraq and Jordan: a cross sectional study

10.21203/rs.3.rs-315179/v1 ◽

2021 ◽

Author(s):

Mohammad Nour Shashaa ◽

Mohamad Shadi Alkarrash ◽

Mohammad Nour Kitaz ◽

Roaa Rhayim ◽

Mohammed Ismail ◽

...

Keyword(s):

Medical Students ◽

Basic Life Support ◽

Life Support ◽

Clinical Stage ◽

Sudden Cardiac Arrest ◽

Cross Sectional Study ◽

Sectional Study ◽

Undergraduate Medical Students ◽

Cross Sectional ◽

Significant Difference

Abstract Background Sudden cardiac arrest considers one of the most leading cause for death in all over the world. It is important for all medical students to train basic life support. This study evaluated the awareness of basic life support among medical students. Methods An electronic questionnaire based cross sectional study was conducted in November 2020 among 2114 medical student in Syria, Iraq and Jordan. We evaluated BLS skills according to mean score. A chi-squared test was used to determine if there were differences between those who attended a basic life support course and those who did not. Results 1656 of the participants (78.3%) stated that they did not attend a basic life support course. There was a significant difference between the participants from different countries where the mean score in Syria, Jordan and Iraq was 18.3, 24.3 and 18.8 respectively (p < 0.05). The participants were divided into 3 level according to total score; low (0–12), moderate (13–24) and high (25–37). In total, 18.3%, 72.8% and 8.9% of participants had high, intermediate and low level respectively. Conclusions The overall knowledge of basic life support among medical students is not adequate and need significant improvements. This study showed that an attendance a basic life support course previously had an effect on knowledge level. Hence, there is an urgent need to apply basic life support courses into the pre-clinical stage at universities.

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Effects of cholesterol levels on outcomes of out-of-hospital cardiac arrest: a cross-sectional study

Clinical and Experimental Emergency Medicine ◽

10.15441/ceem.18.057 ◽

2019 ◽

Vol 6 (3) ◽

pp. 242-249

Author(s):

Jong Hwan Kim ◽

Dae Han Wi ◽

Jun Hee Lee ◽

Hyung Jun Song ◽

Sang Do Shin ◽

...

Keyword(s):

Cardiac Arrest ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Cholesterol Levels ◽

Hospital Cardiac Arrest

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Abstract 162: Major Differences in the Intended Operation and Default Energy Setting in Automated External Defibrillators in Pediatric Cardiac Arrest

Circulation ◽

10.1161/circ.138.suppl_2.162 ◽

2018 ◽

Vol 138 (Suppl_2) ◽

Author(s):

Cecilie Budolfsen ◽

Dung T Nguyen ◽

Kasper G Lauridsen ◽

Mathilde Stærk ◽

Anders S Schmidt ◽

...

Keyword(s):

Cardiac Arrest ◽

Energy Level ◽

Energy Levels ◽

Cross Sectional Study ◽

Cross Sectional ◽

Human Errors ◽

Automated External Defibrillators ◽

Shock Energy ◽

Technical Specifications ◽

Pediatric Use

Introduction: Automated external defibrillators (AEDs) should be easy to use to improve survival from cardiac arrest. In pediatric cardiac arrest, defibrillation is recommended to be delivered with less energy compared with adults. Consequently, many AED manufacturers provide the possibility of “converting” an AED from adult to pediatric use. Aim: To study how different AEDs are intended to be operated in case of pediatric cardiac arrest and to investigate the default pediatric defibrillation energy levels. Methods: This nationwide cross-sectional study included information on all commercially available AEDs sold to laypersons in Denmark. Technical specifications and information on AED use in pediatric cardiac arrest were extracted from user manuals, data sheets, and from contact with AED distributors in Denmark. Results: Overall, 28 different AEDs were available in Denmark. Data on pediatric use were available for all 28 (100%) devices. Separate pediatric electrodes were required for 19 (68%) AEDs which were sold as an accessory. Activation of “pediatric mode” was available in 10 (36%) AEDs leading to an automatic adjustment of shock energy level thereby making the use of adult electrodes in children possible. This feature consisted of a “pediatric button” in 8 (29%) devices and 1 (4%) device required insertion of an accessory “child key”. Data on default energy levels were available for 27 (96%) of devices. Median first shock energy level was 50J (Q1; 50J, Q3; 50J) with a range from 15-50J. Median third shock energy level was 50J (Q1; 50J, Q3; 83.5J) with a range from 50-140J. Conclusion: There are major differences in the intended operation and default energy settings in automated external defibrillators used in pediatric cardiac arrest. Standardizing how AEDs should be operated in pediatric cardiac arrest may reduce the risk of human errors and improve survival.

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ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN EFIKASI DIRI REMAJA DALAM MELAKUKAN RESUSITASI JANTUNG PARU DI SMK NEGERI 2 SINGOSARI

Jurnal Ilmiah Kesehatan Media Husada ◽

10.33475/jikmh.v8i2.185 ◽

2019 ◽

Vol 8 (2) ◽

pp. 8-24

Author(s):

Ahsan Ahsan

Keyword(s):

Cardiac Arrest ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling ◽

Hospital Cardiac Arrest

Latar Belakang Angka kematian yang terjadi di luar rumah sakit akibat henti jantung atau Out-of-Hospital Cardiac Arrest (OHCA) menjadi salah satu fokus permasalahan kesehatan dunia karena angka kejadiannya yang tinggi dan meningkat setiap tahunnya. Penyebabnya adalah terlambatnya pelaporan dan pemberian tindakan RJP. Kepercayaan diri remaja dalam melakukan RJP dipengaruhi oleh banyak hal. Oleh karena itu beberapa faktor yang sangat penting untuk meningkatkan efikasi diri pada remaja semakin ditekankan untuk meningkatkan angka keselamatan pasien yang mengalami henti jantung di luar rumah sakit. Tujuan Menganalisis faktor-faktor yang berhubungan dengan efikasi diri remaja dalam melakukan Resusitasi Jantung Paru Metode Desain penelitian yang digunakan adalah cross-sectional study . Lokasi penelitian di SMK Negeri 2 Singosari Malang. Jumlah responden sebanyak 110 responden yang diambil dengan teknik purposive sampling. Analisa data menggunakan uji chi-square dan uji regresi logisitk. Hasil Hasil uji Chi-Square menunjukkan p value sebagai berikut variabel pengalaman yaitu nilai p = 0,007 (p<0,05) yang artinya ada hubungan yang signifikan antara pengalaman responden dengan efikasi diri remaja, untuk variabel persepsi didapatkan nilai p = 0,588 (p>0,05). Artinya tidak terdapat hubungan yang signifikan antara persepsi dengan efikasi diri remaja, untuk kesadaran nilai p = 0,000 (p <0,05) yang berarti hubungan yang signifikan antara kesadaran dengan efikasi diri, pada pengetahuan didapatkan nilai p = 0,663 (p>0,05), sehingga dapat disimpulkan bahwa tidak terdapat hubungan yang signifikan antara pengetahuan tentang resusitasi jantung paru dengan efikasi diri remaja. Uji regresi logistik dilakukan untuk mengetahui faktor yang paling berhubungan dengan efikasi diri remaja dalam melakukan resusitasi jantung paru adalah variabel kesadaran Kesimpulan Kesadaran situasional tentang henti jantung merupakan faktor prediktor yang dapat digunakan untuk memprediksi efikasi diri, dimana kesadaran merupakan faktor prediktor paling dominan dalam mempengaruhi efikasi diri remaja dalam melakukan resusitasi jantung paru di SMK Negeri 2 Singosari. Kata Kunci: Resusitasi Jantung Paru (RJP), Remaja, Efikasi Diri, Faktor Efikasi Diri

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ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN EFIKASI DIRI REMAJA DALAM MELAKUKAN RESUSITASI JANTUNG PARU DI SMK NEGERI 2 SINGOSARI

Care Jurnal Ilmiah Ilmu Kesehatan ◽

10.33366/cr.v5i3.721 ◽

2017 ◽

Vol 5 (3) ◽

pp. 477

Author(s):

Dudella Desnani Firman Yasin ◽

Ahsan Ahsan ◽

Septi Dewi Racmawati

Keyword(s):

Cardiac Arrest ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling ◽

Hospital Cardiac Arrest

Angka kematian yang terjadi di luar rumah sakit akibat henti jantung atau Out-of-Hospital Cardiac Arrest (OHCA) menjadi salah satu fokus permasalahan kesehatan dunia karena angka kejadiannya yang tinggi dan meningkat setiap tahunnya. Penyebabnya adalah terlambatnya pelaporan dan pemberian tindakan RJP. Kepercayaan diri remaja dalam melakukan RJP dipengaruhi oleh banyak hal. Oleh karena itu beberapa faktor yang sangat penting untuk meningkatkan efikasi diri pada remaja semakin ditekankan untuk meningkatkan angka keselamatan pasien yang mengalami henti jantung di luar rumah sakit.Tujuan penelitian untuk mnganalisis faktor-faktor yang berhubungan dengan efikasi diri remaja dalam melakukan Resusitasi Jantung Paru. Desain penelitian yang digunakan adalah cross-sectional study . Lokasi penelitian di SMK Negeri 2 Singosari Malang. Jumlah sampel sebanyak 110 responden yang diambil dengan teknik purposive sampling. Analisa data menggunakan uji chi-square dan uji regresi logisitk.Hasil uji Chi-Square menunjukkan p value sebagai berikut variabel pengalaman yaitu nilai p = 0,007 (p0,05), untuk kesadaran nilai p = 0,000 (p 0,05). Uji regresi logistik dilakukan untuk mengetahui faktor yang paling berhubungan dengan efikasi diri remaja dalam melakukan resusitasi jantung paru adalah variabel kesadaran Kesadaran situasional tentang henti jantung merupakan faktor prediktor yang dapat digunakan untuk memprediksi efikasi diri, dimana kesadaran merupakan faktor prediktor paling dominan dalam mempengaruhi efikasi diri remaja dalam melakukan resusitasi jantung paru di SMK Negeri 2 Singosari.

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Cardiac arrest management in general practice in Ireland: a 5-year cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2013-002563 ◽

2013 ◽

Vol 3 (5) ◽

pp. e002563 ◽

Cited By ~ 9

Author(s):

G Bury ◽

M Headon ◽

M Egan ◽

J Dowling

Keyword(s):

General Practice ◽

Cardiac Arrest ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Correlation between Patient’s Age and Advanced Response Time with Outcome of Cardio Pulmonary Resuscitation in Cardiac Arrest Patient

JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga ◽

10.20473/juxta.v10i22019.67-70 ◽

2019 ◽

Vol 10 (2) ◽

pp. 67

Author(s):

Debie Setiarini ◽

Prihatma Kriswidyatomo ◽

Gadis Meinar Sari

Keyword(s):

Cardiac Arrest ◽

Response Time ◽

Cross Sectional Study ◽

Primary Data ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Cardio Pulmonary Resuscitation ◽

Contingency Coefficient ◽

Over 40 Years

Introduction: This study is conducted to determine the correlation between patient’s age and advanced response time with the outcome of Cardio Pulmonary Resuscitation in cardiac arrest patients. Methods: This was an analytic observational cross-sectional study, evaluating correlation between patient’s age and advanced response time with the outcome of Cardio Pulmonary Resuscitation in cardiac arrest patients. This study used the primary data from Cardio Pulmonary Resuscitation sheets from February to August 2018 at Dr. Soetomo General Hospital, Surabaya. The data were analysed with Chi Square and Contingency Coefficient using SPSS version 22.0. Results: The results showed that 84.6% cardiac arrest patients who experience ROSC are over 40 years old, and 92.3% cardiac arrest patients who experience ROSC have advanced response time ≤ 5 minutes. After being tested using Chi Square, patient’s age was not statistically influencing the outcome in cardiac arrest patients (p = 0.507), but advanced response time was statistically influencing the outcome in cardiac arrest patients (p = 0.001). Conclusion: There was no statistically influence of patient’s age towards the outcome in cardiac arrest patients, but there was a significant influence of advance response time towards the outcome in cardiac arrest patients.

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Preventing Sudden Cardiac Death: Automated External Defibrillators in Ohio High Schools

Journal of Athletic Training ◽

10.4085/1062-6050-50.8.01 ◽

2015 ◽

Vol 50 (10) ◽

pp. 1054-1058 ◽

Cited By ~ 9

Author(s):

Aaron Lear ◽

Minh-Ha Hoang ◽

Stephen J. Zyzanski

Keyword(s):

Cardiac Arrest ◽

High Schools ◽

Survival Rate ◽

Public Funding ◽

Sudden Cardiac Arrest ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Automated External Defibrillators ◽

Frequency Of Use ◽

High School Athletic

Context Ohio passed legislation in 2004 for optional public funding of automated external defibrillators (AEDs) in all Ohio high schools. Objective To report occurrences of sudden cardiac arrest in which AEDs were used in Ohio high schools and to evaluate the adherence of Ohio high schools with AEDs to state law and published guidelines on AEDs and emergency action plans (EAPs) in schools. Design Cross-sectional survey. Setting Web-based survey. Patients or Other Participants A total of 264 of 827 schools that were members of the Ohio High School Athletic Association. Main Outcome Measure(s) We surveyed schools on AED use, AED maintenance, and EAPs. Results Twenty-five episodes of AED deployment at 22 schools over an 11-year period were reported; 8 (32%) involved students and 17 (68%) involved adults. The reported survival rate was 60% (n = 15). Most events (n = 20, 80%) in both students and adults occurred at or near athletic facilities. The annual use rate of AEDs was 0.7%. Fifty-three percent (n = 140) of schools reported having an EAP in place for episodes of cardiac arrest. Of the schools with EAPs, 57% (n = 80) reported having rehearsed them. Conclusions Our data supported the placement of AEDs in high schools given the frequency of use for sudden cardiac arrest and the survival rate reported. They also suggested the need for increased awareness of recommendations for EAPs and the need to formulate and practice EAPs. School EAPs should emphasize planning for events in the vicinity of athletic facilities.

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