Characteristics of out-of-hospital cardiac arrest patients in Riyadh province, Saudi Arabia: a cross-sectional study

Alyaman Almiro1,2, Osamah AlQassab2, Rasmieh Alzeidan2

  • 1College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.

Insights

Out-of-hospital cardiac arrest (OHCA) in Saudi Arabia shows young patients and low bystander cardiopulmonary resuscitation (CPR) rates. Children and in-hospital arrests were more likely to receive bystander CPR.

Area of Science:

  • Emergency medicine
  • Public health

Background:

  • Limited research exists on out-of-hospital cardiac arrest (OHCA) in Saudi Arabia.
  • Understanding OHCA patient characteristics and bystander cardiopulmonary resuscitation (CPR) predictors is crucial for improving outcomes.

Purpose of the Study:

  • To characterize out-of-hospital cardiac arrest (OHCA) patients in Saudi Arabia.
  • To identify predictors of bystander cardiopulmonary resuscitation (CPR) in OHCA cases.

Main Methods:

  • Cross-sectional study using data from the Saudi Red Crescent Authority (SRCA) emergency medical services (EMS).
  • Included 1,023 OHCA cases in Riyadh province from June 2020 to May 2021.
  • Multivariate regression analysis was used to determine independent predictors of bystander CPR.

Main Results:

  • The average age of OHCA patients was 57.2 years, with 65.2% being male.
  • Bystander CPR was performed in 12.7% of cases, significantly higher in children (27.3%) versus adults (12.1%).
  • Independent predictors for bystander CPR included being a child (OR=3.26) and OHCA occurring in a healthcare institution (OR=6.35).

Conclusions:

  • Saudi Arabian OHCA cases present with distinct characteristics, including younger age, low bystander CPR rates, and long EMS response times.
  • Urgent attention is needed to improve OHCA care in Saudi Arabia.
  • Being a child and the location of OHCA (healthcare institution) are significant predictors of bystander CPR.
Abstract

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