Out-of-hospital cardiac arrest in Bahrain: National retrospective cohort study
Aim: There is limited research on Out-of-hospital cardiac arrest (OHCA) in the Gulf Cooperation Council (GCC) and especially in Bahrain. This is the first study to describe the incidence, characteristics, and outcomes of OHCA in Bahrain. Methods: This was a retrospective national observational study...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520424002297 |
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| author | Feras Husain Abuzeyad Yasser Chomayil Moonis Farooq Hamid Zafar Ghada Al Qassim Emad Minwer Saad Albashtawi Leena Alqasem Naser Mohammed Ali Mansoor Danya Adel AlAseeri Ahmed Zuhair Salman Muhammad Murad Ashraf Maryam Ahmed Shams Faisal Sami Alserdieh Mustafa Ali AlShaaban Abdulla Fuad Mubarak |
| author_facet | Feras Husain Abuzeyad Yasser Chomayil Moonis Farooq Hamid Zafar Ghada Al Qassim Emad Minwer Saad Albashtawi Leena Alqasem Naser Mohammed Ali Mansoor Danya Adel AlAseeri Ahmed Zuhair Salman Muhammad Murad Ashraf Maryam Ahmed Shams Faisal Sami Alserdieh Mustafa Ali AlShaaban Abdulla Fuad Mubarak |
| author_sort | Feras Husain Abuzeyad |
| collection | DOAJ |
| description | Aim: There is limited research on Out-of-hospital cardiac arrest (OHCA) in the Gulf Cooperation Council (GCC) and especially in Bahrain. This is the first study to describe the incidence, characteristics, and outcomes of OHCA in Bahrain. Methods: This was a retrospective national observational study on OHCA patients in Bahrain using the Utstein framework for resuscitation. Data was collected between 1st July 2022 to 30th June 2023 from the electronic medical records of the only three governmental hospitals emergency departments (EDs) and National Ambulance (NA). Results: The annual incidence of OHCA attended by (Emergency Medical Services) EMS was nearly 21 per 100,000 population. The majority were males (n = 228, 68.8 %) with median age of 65 years (IQR=49–78). Most OHCA cases were witnessed (n = 265, 81 %), with (n = 247, 76 %) happened at home/residence. Rates for bystander CPR was low (n = 122, 36.8 %) and bystander automated external defibrillator (AED) was not performed in any of the cases. The OHCA cases transported by the NA was (n = 314, 94.8 %), with median response time of 9 min (IQR=7–12). However, only (n = 20, 6.0 %) were witnessed by EMS, and (n = 7, 2.1 %) received EMS defibrillation for shockable rhythms. First monitored rhythms included shockable rhythm in (n = 28, 8.5 %) versus non-shockable rhythm in (n = 303, 91.5 %). In the EDs, return of spontaneous circulation was achieved in (n = 60, 18.1 %) cases. But survival rate to hospital discharge at 30-day was (n = 4, 1.2 %) and survival rate to hospital discharge with good neurological outcomes was (n = 0, 0 %). Conclusion: In Bahrain the estimated annual incidence of OHCA is 21 individuals per 100,000 population, with a very low survival rate. Solutions should focus on community-level CPR and AED training, evaluating OHCA care provided by EMS, and establishing OHCA registry. |
| format | Article |
| id | doaj-art-a8574599eaef4172a1d32e94c38c989b |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-a8574599eaef4172a1d32e94c38c989b2024-12-21T04:29:49ZengElsevierResuscitation Plus2666-52042024-12-0120100778Out-of-hospital cardiac arrest in Bahrain: National retrospective cohort studyFeras Husain Abuzeyad0Yasser Chomayil1Moonis Farooq2Hamid Zafar3Ghada Al Qassim4Emad Minwer Saad Albashtawi5Leena Alqasem6Naser Mohammed Ali Mansoor7Danya Adel AlAseeri8Ahmed Zuhair Salman9Muhammad Murad Ashraf10Maryam Ahmed Shams11Faisal Sami Alserdieh12Mustafa Ali AlShaaban13Abdulla Fuad Mubarak14Department of Emergency Medicine , Farwaniya Hospital, Farwaniya, Kuwait; Corresponding author at: Consultant Department of Emergency Medicine, Farwaniya Hospital, Farwaniya, Kuwait.Department of Emergency Medicine, King Hamad University Hospital, Building 2345, Road 2835, Block 228, P. O. Box 24343, Busaiteen, BahrainDepartment of Emergency Medicine, King Hamad University Hospital, Building 2345, Road 2835, Block 228, P. O. Box 24343, Busaiteen, BahrainDepartment of Emergency Medicine, Queen Elizabeth Hospital, London, United KingdomPediatric Emergency , Military Hospital-Royal Medical Services, Bahrain Defence Force, Riffa, BahrainNational Ambulance Centre, Ministry of Interior, BahrainAuthority for Medical Responsibility, KuwaitDepartment of Emergency Medicine, Salmaniya Medical Complex, P.O. Box 12, Manama, BahrainDepartment of Emergency Medicine, King Hamad University Hospital, Building 2345, Road 2835, Block 228, P. O. Box 24343, Busaiteen, BahrainDepartment of Emergency Medicine, Salmaniya Medical Complex, P.O. Box 12, Manama, BahrainDepartment of Emergency Medicine, Military Hospital-Royal Medical Services, Bahrain Defence Force, Riffa, BahrainDepartment of Emergency Medicine, Salmaniya Medical Complex, P.O. Box 12, Manama, BahrainDepartment of Emergency Medicine, King Hamad University Hospital, Building 2345, Road 2835, Block 228, P. O. Box 24343, Busaiteen, BahrainDepartment of Emergency Medicine, King Hamad University Hospital, Building 2345, Road 2835, Block 228, P. O. Box 24343, Busaiteen, BahrainRoyal College of Surgeons in Ireland – Bahrain, Building No. 2441, Road 2835, Busaiteen 228, BahrainAim: There is limited research on Out-of-hospital cardiac arrest (OHCA) in the Gulf Cooperation Council (GCC) and especially in Bahrain. This is the first study to describe the incidence, characteristics, and outcomes of OHCA in Bahrain. Methods: This was a retrospective national observational study on OHCA patients in Bahrain using the Utstein framework for resuscitation. Data was collected between 1st July 2022 to 30th June 2023 from the electronic medical records of the only three governmental hospitals emergency departments (EDs) and National Ambulance (NA). Results: The annual incidence of OHCA attended by (Emergency Medical Services) EMS was nearly 21 per 100,000 population. The majority were males (n = 228, 68.8 %) with median age of 65 years (IQR=49–78). Most OHCA cases were witnessed (n = 265, 81 %), with (n = 247, 76 %) happened at home/residence. Rates for bystander CPR was low (n = 122, 36.8 %) and bystander automated external defibrillator (AED) was not performed in any of the cases. The OHCA cases transported by the NA was (n = 314, 94.8 %), with median response time of 9 min (IQR=7–12). However, only (n = 20, 6.0 %) were witnessed by EMS, and (n = 7, 2.1 %) received EMS defibrillation for shockable rhythms. First monitored rhythms included shockable rhythm in (n = 28, 8.5 %) versus non-shockable rhythm in (n = 303, 91.5 %). In the EDs, return of spontaneous circulation was achieved in (n = 60, 18.1 %) cases. But survival rate to hospital discharge at 30-day was (n = 4, 1.2 %) and survival rate to hospital discharge with good neurological outcomes was (n = 0, 0 %). Conclusion: In Bahrain the estimated annual incidence of OHCA is 21 individuals per 100,000 population, with a very low survival rate. Solutions should focus on community-level CPR and AED training, evaluating OHCA care provided by EMS, and establishing OHCA registry.http://www.sciencedirect.com/science/article/pii/S2666520424002297Out of hospital cardiac arrestEmergency medical servicesCardiopulmonary resuscitationBystander CPROHCA registry |
| spellingShingle | Feras Husain Abuzeyad Yasser Chomayil Moonis Farooq Hamid Zafar Ghada Al Qassim Emad Minwer Saad Albashtawi Leena Alqasem Naser Mohammed Ali Mansoor Danya Adel AlAseeri Ahmed Zuhair Salman Muhammad Murad Ashraf Maryam Ahmed Shams Faisal Sami Alserdieh Mustafa Ali AlShaaban Abdulla Fuad Mubarak Out-of-hospital cardiac arrest in Bahrain: National retrospective cohort study Resuscitation Plus Out of hospital cardiac arrest Emergency medical services Cardiopulmonary resuscitation Bystander CPR OHCA registry |
| title | Out-of-hospital cardiac arrest in Bahrain: National retrospective cohort study |
| title_full | Out-of-hospital cardiac arrest in Bahrain: National retrospective cohort study |
| title_fullStr | Out-of-hospital cardiac arrest in Bahrain: National retrospective cohort study |
| title_full_unstemmed | Out-of-hospital cardiac arrest in Bahrain: National retrospective cohort study |
| title_short | Out-of-hospital cardiac arrest in Bahrain: National retrospective cohort study |
| title_sort | out of hospital cardiac arrest in bahrain national retrospective cohort study |
| topic | Out of hospital cardiac arrest Emergency medical services Cardiopulmonary resuscitation Bystander CPR OHCA registry |
| url | http://www.sciencedirect.com/science/article/pii/S2666520424002297 |
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