Epidemiology and Outcomes from Out-of-Hospital Cardiac Arrest in Kuwait

Dalal Al Hasan 1, Ameen Yaseen 2, Mazen El Sayed 3

Affiliations

doi: 10.1155/2020/9861798

Abstract

Background: Out-of-hospital cardiac arrest (OHCA) survival remains low in most countries. Few studies examine OHCA outcomes out of the Middle East region. This is the first study to describe characteristics and outcomes of patients with OHCA treated by emergency medical services (EMS) in regions of Kuwait.

Objectives: To describe characteristics and outcomes of adult patients affected with OHCA in regions of Kuwait.

Methods: This was a retrospective observational study on all adult OHCA patients transported by EMS to regional emergency departments over a 10- month period (21 February-31 December 2017). Data were collected from various sources: national emergency medical services archived data, emergency department, intensive care unit, and cardiac care unit of two hospitals.

Results: A total of 332 EMS-treated OHCA cases were reviewed, and 286 incidents with OHCA from cardiac aetiology were included in the study. Most were non-Kuwaiti (60.8%) males (67.1%) with mean age 61 (+-16) years. Most OHCA cases occurred at home (76%) but with low witness rate (11.5%). Bystander CPR rate was low (8.7%). ROSC was achieved in ten patients (3.5%), but only 1 (0.3%) patient survived to hospital discharge.

Conclusion: OHCA survival rates in this region of Kuwait are low. Targeted measures such as creating cardiac registry, dispatcher-assisted CPR with ongoing training and quality improvement, and community-based CPR education program are needed to improve the survival rates of OHCA victims.

Conflict of interest statement

The authors report no conflicts of interest.

Figures

Figure 1 Gender and nationality frequency of OHCA patients in pilot regions of Kuwait, 2017.

Figure 1 Gender and nationality frequency of OHCA patients in pilot regions of Kuwait, 2017.

Figure 2 Pie chart of bystander description of OHCA during emergency calls registered by local EMS dispatch unit for pilot regions of Kuwait, 2017.

Figure 2 Pie chart of bystander description of OHCA during emergency calls registered by local EMS dispatch unit for pilot regions of Kuwait, 2017.

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References

  1.  
    1. Grasner J., Lefering R., Koster R. EuReCa ONE; 27 Nations, ONE Europe, ONE Registry: a prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation. 2016;105:188–195. - PubMed
  2.  
    1. Bobrow B. J., Spaite D. W., Vadeboncoeur T. F., et al. Implementation of a regional telephone cardiopulmonary resuscitation program and outcomes after out-of-hospital cardiac arrest. JAMA Cardiology. 2016;1(3):294–302. doi: 10.1001/jamacardio.2016.0251. - DOI - PubMed
  3.  
    1. Batt A., Al-Hajeri A., Cummins F. A profile of out-of-hospital cardiac arrests in Northern Emirates, United Arab Emirates. Saudi Medical Journal. 2016;37(11):1206–1213. doi: 10.15537/smj.2016.11.16126. - DOI - PMC - PubMed
  4.  
    1. Bin Salleeh H., Gabralla K., Leggio W., Al Aseri Z. Out-of-hospital adult cardiac arrests in a university hospital in central Saudi Arabia. Saudi Medical Journal. 2015;36(9):1071–1075. doi: 10.15537/smj.2015.9.12081. - DOI - PMC - PubMed
  5.  
    1. 2019. American Heart Association, Out-of-hospital Chain of Survival, American Heart association 2019, https://cpr.heart.org/AHAECC/CPRAndECC/AboutCPRFirstAid/CPRFactsAndStats....
  6.  
    1. Sasson C., Rogers M. A. M., Dahl J., Kellermann A. L. Predictors of survival from out-of-hospital cardiac arrest. Circulation: Cardiovascular Quality and Outcomes. 2010;3(1):63–81. doi: 10.1161/circoutcomes.109.889576. - DOI - PubMed
  7.  
    1. Global resuscitation alliance ‘improving survival of out- of—hospital cardiac arrest; acting on the call, Update from the Global Resuscitation Alliance, Including 27 Case Reports’ United states 2018, https://www.cercp.org/images/stories/recursos/articulos_docs_interes/doc....
  8.  
    1. El Sayed M., Assad R., Abbi Aad Y., Gharios M., Refaat M., Tamim H. Measuring the impact of emergency medical services (EMS) on out-of-hospital cardiac arrest survival in a developing country; a key metric for EMS systems’ performance. Medicine. 2017;96(29):p. 7570. doi: 10.1097/md.0000000000007570. - DOI - PMC - PubMed
  9.  
    1. Kuwait Emergency Medical Services Training Department. Cardiac arrest refreshment Program; instructor in field Kuwait. Kuwait Emergency Medical Services. 2015
  10.  
    1. The public authority of civil information ‘distribution of the population by gender and nationality in each governorate’ Kuwait, Statistics Services System, 2017.
  11.  
    1. Kuwait emergency medical services ‘operation department annual report, Kuwait; Kuwait Operation Unit 2013.
  12.  
    1. Irfan F. B., Bhutta Z. A., Castren M., et al. Epidemiology and outcomes of out-of-hospital cardiac arrest in Qatar: a Nation wide observational study. International Journal of Cardiology. 2016;223:1007–1013. doi: 10.1016/j.ijcard.2016.08.299. - DOI - PubMed
  13.  
    1. El Sayed M. J., Tamim H., Nasreddine Z., Dishjekenian M., Kazzi A. A. Out-of-hospital cardiac arrest survival in Beirut, Lebanon. European Journal of Emergency Medicine. 2014;21(4):281–283. doi: 10.1097/mej.0000000000000088. - DOI - PubMed
  14.  
    1. Lewis M., Lin F., Nanavati P. Estimated incidence and risk factors of sudden unexpected death. Open Heart. 2016;3(1):p. 321. doi: 10.1136/openhrt-2015-000321. - DOI - PMC - PubMed
  15.  
    1. Ministry of interior. General Department of Immigration. Visiting Visas’ Kuwait: Ministry of Interior; 2018.
  16.  
    1. Fan K., Leung L. Prognosis of patients with ventricular fibrillation in out-of-hospital cardiac arrest in Hong Kong: prospective study. Hong Kong Medicine Journal. 2002;8:318–321. - PubMed
  17.  
    1. Ong M. E. H., Shin S. D., De souza N. A., et al. Outcomes for out-of-hospital cardiac arrests across 7 countries in asia: the pan asian resuscitation outcomes study (PAROS) Resuscitation. 2015;96:100–108. doi: 10.1016/j.resuscitation.2015.07.026. - DOI - PubMed
  18.  
    1. Alnemer K., Alqumaizi K., Alnemer A., et al. Ambulance response time to cardiac emergencies in Riyadh. Imam Journal of Applied Science. 2016;1:33–38.
  19.  
    1. Dorian P., Lin S. Improving resuscitation rates after out-of-hospital cardiac arrest. Circulation. 2019;139(10):1272–1274. doi: 10.1161/circulationaha.118.038822. - DOI - PubMed
  20.  
    1. Kim L., Looser P., Swaminathan R., Horowtiz J., Friedman O., Shin J. Sex‐based disparities in incidence, treatment, and outcomes of cardiac arrest in the United States, 2003–2012. American Heart Association. 2016;5:p. 6. doi: 10.1161/jaha.116.003704. - DOI - PMC - PubMed

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