Epidemiology and outcomes of out-of-hospital cardiac arrest in Qatar : A nationwide observational study

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dc.contributor.author Irfan, Furqan B.
dc.contributor.author Bhutta, Zain Ali
dc.contributor.author Castren, Maaret
dc.contributor.author Straney, Lahn
dc.contributor.author Djarv, Therese
dc.contributor.author Tariq, Tooba
dc.contributor.author Thomas, Stephen Hodges
dc.contributor.author Alinier, Guillaume
dc.contributor.author Al Shaikh, Loua
dc.contributor.author Owen, Robert Campbell
dc.contributor.author Al Suwaidi, Jassim
dc.contributor.author Shuaib, Ashfaq
dc.contributor.author Singh, Rajvir
dc.contributor.author Cameron, Peter Alistair
dc.date.accessioned 2017-12-02T22:10:00Z
dc.date.available 2021-12-17T18:48:33Z
dc.date.issued 2016-11-15
dc.identifier.citation Irfan , F B , Bhutta , Z A , Castren , M , Straney , L , Djarv , T , Tariq , T , Thomas , S H , Alinier , G , Al Shaikh , L , Owen , R C , Al Suwaidi , J , Shuaib , A , Singh , R & Cameron , P A 2016 , ' Epidemiology and outcomes of out-of-hospital cardiac arrest in Qatar : A nationwide observational study ' , International Journal of Cardiology , vol. 223 , pp. 1007-1013 . https://doi.org/10.1016/j.ijcard.2016.08.299
dc.identifier.other PURE: 72332111
dc.identifier.other PURE UUID: 4a701f64-38ee-4fb4-8617-830efeadf713
dc.identifier.other WOS: 000387036200253
dc.identifier.other Scopus: 84985914225
dc.identifier.uri http://hdl.handle.net/10138/229027
dc.description.abstract Background: Out-of-hospital cardiac arrest (OHCA) studies from the Middle East and Asian region are limited. This study describes the epidemiology, emergency health services, and outcomes of OHCA in Qatar. Methods: This was a prospective nationwide population-based observational study on OHCA patients in Qatar according to Utstein style guidelines, from June 2012 to May 2013. Data was collected from various sources; the national emergency medical service, 4 emergency departments, and 8 public hospitals. Results: The annual crude incidence of presumed cardiac OHCA attended by EMS was 23.5 per 100,000. The age sex standardized incidence was 87.8 per 100,000 population. Of the 447 OHCA patients included in the final analysis, most were male (n = 360, 80.5%) with median age of 51 years (IQR = 39-66). Frequently observed nationalities were Qatari (n = 89, 19.9%), Indian (n = 74, 16.6%) and Nepalese (n = 52, 11.6%). Bystander cardiopulmonary resuscitation (CPR) was carried out in 92 (20.6%) OHCA patients. Survival rate was 8.1% (n = 36) and multivariable logistic regression indicated that initial shockable rhythm (OR 13.4, 95% CI 5.4-33.3, p = 0.001) was associated with higher odds of survival while male gender (OR 0.27, 95% CI 0.1-0.8, p = 0.01) and advanced cardiac life support (ACLS) (OR 0.15, 95% CI 0.04-0.5, p = 0.02) were associated with lower odds of survival. Conclusions: Standardized incidence and survival rates were comparable to Western countries. Although expatriates comprise more than 80% of the population, Qataris contributed 20% of the total cardiac arrests observed. There are significant opportunities to improve outcomes, including community-based CPR and defibrillation training. (C) 2016 Elsevier Ireland Ltd. All rights reserved. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof International Journal of Cardiology
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Cardiac arrest
dc.subject Cardiopulmonary resuscitation
dc.subject Emergency Medical Services
dc.subject Epidemiology
dc.subject Middle East
dc.subject Asia
dc.subject AMERICAN-HEART-ASSOCIATION
dc.subject SUDDEN UNEXPLAINED DEATH
dc.subject GENERAL-POPULATION
dc.subject SURVIVAL
dc.subject RATES
dc.subject ASIA
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Epidemiology and outcomes of out-of-hospital cardiac arrest in Qatar : A nationwide observational study en
dc.type Article
dc.contributor.organization Clinicum
dc.contributor.organization Department of Diagnostics and Therapeutics
dc.contributor.organization HUS Emergency Medicine and Services
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1016/j.ijcard.2016.08.299
dc.relation.issn 0167-5273
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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