Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2020 Mar 1:148:218-226.
doi: 10.1016/j.resuscitation.2019.12.042. Epub 2020 Feb 3.

Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study

Jan-Thorsten Gräsner  1 , Jan Wnent  2 , Johan Herlitz  3 , Gavin D Perkins  4 , Rolf Lefering  5 , Ingvild Tjelmeland  6 , Rudolph W Koster  7 , Siobhán Masterson  8 , Fernando Rossell-Ortiz  9 , Holger Maurer  10 , Bernd W Böttiger  11 , Maximilian Moertl  12 , Pierre Mols  13 , Hajriz Alihodžić  14 , Irzal Hadžibegović  15 , Marios Ioannides  16 , Anatolij Truhlář  17 , Mads Wissenberg  18 , Ari Salo  19 , Josephine Escutnaire  20 , Nikolaos Nikolaou  21 , Eniko Nagy  22 , Bergthor Steinn Jonsson  23 , Peter Wright  24 , Federico Semeraro  25 , Carlo Clarens  26 , Steffie Beesems  27 , Grzegorz Cebula  28 , Vitor H Correia  29 , Diana Cimpoesu  30 , Violetta Raffay  31 , Stefan Trenkler  32 , Andrej Markota  33 , Anneli Strömsöe  34 , Roman Burkart  35 , Scott Booth  36 , Leo Bossaert  37
Affiliations
Multicenter Study

Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study

Jan-Thorsten Gräsner et al. Resuscitation. .

Abstract

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.

Keywords: Bystander CPR; European registry of cardiac arrest; Out-of-hospital cardiac arrest; Outcome after OHCA; Resuscitation.

PubMed Disclaimer

Publication types