Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Outcome of Cardiopulmonary Resuscitation during Hajj

The annual Hajj (pilgrimage) to the Islamic holy shrines at the city of Makkah in the Kingdom of Saudi Arabia is one of the largest yearly recurring mass gatherings worldwide. We aim to evaluate the outcome of outside and inside the hospital cardiopulmonary resuscitation to resuscitate cardiopulmona...

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Main Authors: Bader Hamza Shirah, Fareed Abdulmuhsen Al Nozha, Syed Husham Zafar, Hussain Mohammed Kalumian
Format: Article
Language:English
Published: Springer 2019-03-01
Series:Journal of Epidemiology and Global Health
Subjects:
Online Access:https://www.atlantis-press.com/article/125905697/view
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author Bader Hamza Shirah
Fareed Abdulmuhsen Al Nozha
Syed Husham Zafar
Hussain Mohammed Kalumian
author_facet Bader Hamza Shirah
Fareed Abdulmuhsen Al Nozha
Syed Husham Zafar
Hussain Mohammed Kalumian
author_sort Bader Hamza Shirah
collection DOAJ
description The annual Hajj (pilgrimage) to the Islamic holy shrines at the city of Makkah in the Kingdom of Saudi Arabia is one of the largest yearly recurring mass gatherings worldwide. We aim to evaluate the outcome of outside and inside the hospital cardiopulmonary resuscitation to resuscitate cardiopulmonary arrest among pilgrims. In a prospective cohort study of cardiac arrest patients during Hajj period (January 2004–December 2007 and January 2010–December 2011), 426 patients were resuscitated. The mean age was 64.0 ± 12.0 years. A total of 252 (52.2%) patients had an outside the hospital cardiac arrest, whereas 174 (40.8%) patients had an inside the hospital cardiac arrest. The survival rate of outside the hospital was 5%, whereas inside the hospital was 30%. The overall survival rate was 15.5%. During Hajj, cardiopulmonary resuscitation inside the hospital was associated with better clinical outcomes than outside the hospital. Patients with cardiac arrest outside of the hospital are much less likely to survive due to the lack of immediately trained help and the delay of arrival of aid due to overcrowding. Sudden cardiac arrest leading to death could be minimized if cardiopulmonary resuscitation and defibrillation are delivered before the arrival of emergency medical services.
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spelling doaj.art-71e025901abe423591f2743153d584f12022-12-22T02:37:35ZengSpringerJournal of Epidemiology and Global Health2210-60062019-03-019110.2991/jegh.k.190218.001Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Outcome of Cardiopulmonary Resuscitation during HajjBader Hamza ShirahFareed Abdulmuhsen Al NozhaSyed Husham ZafarHussain Mohammed KalumianThe annual Hajj (pilgrimage) to the Islamic holy shrines at the city of Makkah in the Kingdom of Saudi Arabia is one of the largest yearly recurring mass gatherings worldwide. We aim to evaluate the outcome of outside and inside the hospital cardiopulmonary resuscitation to resuscitate cardiopulmonary arrest among pilgrims. In a prospective cohort study of cardiac arrest patients during Hajj period (January 2004–December 2007 and January 2010–December 2011), 426 patients were resuscitated. The mean age was 64.0 ± 12.0 years. A total of 252 (52.2%) patients had an outside the hospital cardiac arrest, whereas 174 (40.8%) patients had an inside the hospital cardiac arrest. The survival rate of outside the hospital was 5%, whereas inside the hospital was 30%. The overall survival rate was 15.5%. During Hajj, cardiopulmonary resuscitation inside the hospital was associated with better clinical outcomes than outside the hospital. Patients with cardiac arrest outside of the hospital are much less likely to survive due to the lack of immediately trained help and the delay of arrival of aid due to overcrowding. Sudden cardiac arrest leading to death could be minimized if cardiopulmonary resuscitation and defibrillation are delivered before the arrival of emergency medical services.https://www.atlantis-press.com/article/125905697/viewCardiac arrestcardiopulmonary resuscitationHajjmass gatheringUtstein-style
spellingShingle Bader Hamza Shirah
Fareed Abdulmuhsen Al Nozha
Syed Husham Zafar
Hussain Mohammed Kalumian
Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Outcome of Cardiopulmonary Resuscitation during Hajj
Journal of Epidemiology and Global Health
Cardiac arrest
cardiopulmonary resuscitation
Hajj
mass gathering
Utstein-style
title Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Outcome of Cardiopulmonary Resuscitation during Hajj
title_full Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Outcome of Cardiopulmonary Resuscitation during Hajj
title_fullStr Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Outcome of Cardiopulmonary Resuscitation during Hajj
title_full_unstemmed Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Outcome of Cardiopulmonary Resuscitation during Hajj
title_short Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Outcome of Cardiopulmonary Resuscitation during Hajj
title_sort mass gathering medicine hajj pilgrimage in saudi arabia the outcome of cardiopulmonary resuscitation during hajj
topic Cardiac arrest
cardiopulmonary resuscitation
Hajj
mass gathering
Utstein-style
url https://www.atlantis-press.com/article/125905697/view
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