Epidemiology and outcomes of out of hospital cardiac arrest in Saudi Arabia: Findings from the Saudi Out of Hospital cardiac Arrest Registry (SOHAR)
Aim: The Saudi Out-of-Hospital Cardiac Arrest Registry (SOHAR) is the first out-of-hospital cardiac arrest (OHCA) registry in Saudi Arabia. This study aimed to describe the epidemiology and outcomes of OHCA in Saudi Arabia. Methods: The SOHAR is a prospective data collection system. Data were collec...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520423001595 |
| _version_ | 1797242950744276992 |
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| author | Abdullah Alabdali Abdulrhman Alghamdi Meshary Binhotan Abdullah Alshibani Meshal Alharbi Alanowd Alghaith Mohammad Altuwaijri Saad Albaiz Omar Aldibasi Mohammed Alwarhi Noura Alquraishi Nawfal Aljerian |
| author_facet | Abdullah Alabdali Abdulrhman Alghamdi Meshary Binhotan Abdullah Alshibani Meshal Alharbi Alanowd Alghaith Mohammad Altuwaijri Saad Albaiz Omar Aldibasi Mohammed Alwarhi Noura Alquraishi Nawfal Aljerian |
| author_sort | Abdullah Alabdali |
| collection | DOAJ |
| description | Aim: The Saudi Out-of-Hospital Cardiac Arrest Registry (SOHAR) is the first out-of-hospital cardiac arrest (OHCA) registry in Saudi Arabia. This study aimed to describe the epidemiology and outcomes of OHCA in Saudi Arabia. Methods: The SOHAR is a prospective data collection system. Data were collected monthly from defined regions, and registry measured variables were adopted from the Utstein recommendations. Results: During the period from 01/01/2019 to 31/12/2022, 3671 patients were included in the registry. The mean age was 62 years, and 6.5% (240) of patients were under the age of 18 years. The most common cause of OHCA was medical 3439 (93.6%). A total of 641 (17.4%) and 129 (3.9%) had presumed cardiac and respiratory causes. Additionally, most OHCA in Saudi Arabia (3034, 82.6%) occurred at home. Prehospital Return Of Spontaneous Circulation (ROSC) was achieved in 275 (7.4%) cases, and 491 (13.3%) patients were pronounced dead upon arrival at the hospital. Survival to hospital discharge was achieved in 107 (2.9%) of the cases, and good neurological outcomes, defined as a Cerebral Performance Category (CPC) of 1–3, occurred in < 0.5% of patients. Conclusion: The Saudi out-of-hospital ROSC was 7.4%. The survival to hospital discharge rate was 2.9%, and less than 1% of patients were discharged with good neurological outcomes. Further research and the continuation of registry data collection is highly recommended. Additionally, a national-level out-of-hospital cardiac arrest system is recommended to ensure the standardization of medical care provided to patients with OHCA. |
| first_indexed | 2024-03-09T14:03:51Z |
| format | Article |
| id | doaj.art-609b319f320341d98f41a55c1a4f2523 |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-04-24T18:47:22Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-609b319f320341d98f41a55c1a4f25232024-03-27T04:52:56ZengElsevierResuscitation Plus2666-52042024-03-0117100516Epidemiology and outcomes of out of hospital cardiac arrest in Saudi Arabia: Findings from the Saudi Out of Hospital cardiac Arrest Registry (SOHAR)Abdullah Alabdali0Abdulrhman Alghamdi1Meshary Binhotan2Abdullah Alshibani3Meshal Alharbi4Alanowd Alghaith5Mohammad Altuwaijri6Saad Albaiz7Omar Aldibasi8Mohammed Alwarhi9Noura Alquraishi10Nawfal Aljerian11Emergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; Corresponding author at: King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), P.O. Box 3660 Riyadh 11481, Saudi Arabia.Emergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi ArabiaEmergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi ArabiaEmergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi ArabiaEmergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi ArabiaEmergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi ArabiaMedial Affairs Department, Saudi Red Crescent Authority, Riyadh, Saudi ArabiaEmergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; Department of Emergency Medicine, King Abdulaziz Medical City Riyadh, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaKing Abdullah International Medical Research Center, Riyadh, Saudi Arabia; King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaDepartment of Emergency Medicine, King Abdulaziz Medical City Riyadh, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaDepartment of Emergency Medicine, King Abdulaziz Medical City Riyadh, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaEmergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; Medical Referral Center, Ministry of Health, Riyadh, Saudi ArabiaAim: The Saudi Out-of-Hospital Cardiac Arrest Registry (SOHAR) is the first out-of-hospital cardiac arrest (OHCA) registry in Saudi Arabia. This study aimed to describe the epidemiology and outcomes of OHCA in Saudi Arabia. Methods: The SOHAR is a prospective data collection system. Data were collected monthly from defined regions, and registry measured variables were adopted from the Utstein recommendations. Results: During the period from 01/01/2019 to 31/12/2022, 3671 patients were included in the registry. The mean age was 62 years, and 6.5% (240) of patients were under the age of 18 years. The most common cause of OHCA was medical 3439 (93.6%). A total of 641 (17.4%) and 129 (3.9%) had presumed cardiac and respiratory causes. Additionally, most OHCA in Saudi Arabia (3034, 82.6%) occurred at home. Prehospital Return Of Spontaneous Circulation (ROSC) was achieved in 275 (7.4%) cases, and 491 (13.3%) patients were pronounced dead upon arrival at the hospital. Survival to hospital discharge was achieved in 107 (2.9%) of the cases, and good neurological outcomes, defined as a Cerebral Performance Category (CPC) of 1–3, occurred in < 0.5% of patients. Conclusion: The Saudi out-of-hospital ROSC was 7.4%. The survival to hospital discharge rate was 2.9%, and less than 1% of patients were discharged with good neurological outcomes. Further research and the continuation of registry data collection is highly recommended. Additionally, a national-level out-of-hospital cardiac arrest system is recommended to ensure the standardization of medical care provided to patients with OHCA.http://www.sciencedirect.com/science/article/pii/S2666520423001595Emergency Medical servicesAmbulanceCardiac arrestRegistryEpidemiologyCPR |
| spellingShingle | Abdullah Alabdali Abdulrhman Alghamdi Meshary Binhotan Abdullah Alshibani Meshal Alharbi Alanowd Alghaith Mohammad Altuwaijri Saad Albaiz Omar Aldibasi Mohammed Alwarhi Noura Alquraishi Nawfal Aljerian Epidemiology and outcomes of out of hospital cardiac arrest in Saudi Arabia: Findings from the Saudi Out of Hospital cardiac Arrest Registry (SOHAR) Resuscitation Plus Emergency Medical services Ambulance Cardiac arrest Registry Epidemiology CPR |
| title | Epidemiology and outcomes of out of hospital cardiac arrest in Saudi Arabia: Findings from the Saudi Out of Hospital cardiac Arrest Registry (SOHAR) |
| title_full | Epidemiology and outcomes of out of hospital cardiac arrest in Saudi Arabia: Findings from the Saudi Out of Hospital cardiac Arrest Registry (SOHAR) |
| title_fullStr | Epidemiology and outcomes of out of hospital cardiac arrest in Saudi Arabia: Findings from the Saudi Out of Hospital cardiac Arrest Registry (SOHAR) |
| title_full_unstemmed | Epidemiology and outcomes of out of hospital cardiac arrest in Saudi Arabia: Findings from the Saudi Out of Hospital cardiac Arrest Registry (SOHAR) |
| title_short | Epidemiology and outcomes of out of hospital cardiac arrest in Saudi Arabia: Findings from the Saudi Out of Hospital cardiac Arrest Registry (SOHAR) |
| title_sort | epidemiology and outcomes of out of hospital cardiac arrest in saudi arabia findings from the saudi out of hospital cardiac arrest registry sohar |
| topic | Emergency Medical services Ambulance Cardiac arrest Registry Epidemiology CPR |
| url | http://www.sciencedirect.com/science/article/pii/S2666520423001595 |
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