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

Gräsner, Jan-Thorsten, Wnent, Jan, Herlitz, Johan, Perkins, Gavin D, Lefering, Rolf, Tjelmeland, Ingvild, Koster, Rudolph W, Masterson, Siobhán, Rossell-Ortiz, Fernando, Maurer, Holger, Böttiger, Bernd W, Moertl, Maximilian, Mols, Pierre, Alihodžić, Hajriz, Hadžibegović, Irzal, Ioannides, Marios, Truhlář, Anatolij, Wissenberg, Mads, Salo, Ari, Escutnaire, Josephine, Nikolaou, Nikolaos, Nagy, Eniko, Jonsson, Bergthor Steinn, Wright, Peter, Semeraro, Federico, Clarens, Carlo, Beesems, Steffie, Cebula, Grzegorz, Correia, Vitor H, Cimpoesu, Diana, Raffay, Violetta, Trenkler, Stefan, Markota, Andrej, Strömsöe, Anneli, Burkart, Roman, Booth, Scott and Bossaert, Leo (2020) Survival after out-of-hospital cardiac arrest in Europe - results of the EuReCa TWO study. Resuscitation. ISSN 1873-1570.

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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.


This prospective, multicentre study involved the collection of registry-based data over a three-month period (1 October 2017 to 31 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.


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).


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.

Item Type: Article
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin > WD400 Emergency medicine
WG Cardiovascular system. Cardiology
Divisions: Emergency Services
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Depositing User: Miss Emily Johnson
Date Deposited: 07 Feb 2020 12:37
Last Modified: 07 Feb 2020 13:04

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