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.
The aim of the EuReCa ONE study was to determine the incidence, process, and outcome for out of hospital cardiac arrest (OHCA) throughout Europe.



This was an international, prospective, multi-centre one-month study. Patients who suffered an OHCA during October 2014 who were attended and/or treated by an Emergency Medical Service (EMS) were eligible for inclusion in the study. Data were extracted from national, regional or local registries.



Data on 10,682 confirmed OHCAs from 248 regions in 27 countries, covering an estimated population of 174 million. In 7146 (66%) cases, CPR was started by a bystander or by the EMS. The incidence of CPR attempts ranged from 19.0 to 104.0 per 100,000 population per year. 1735 had ROSC on arrival at hospital (25.2%), Overall, 662/6414 (10.3%) in all cases with CPR attempted survived for at least 30 days or to hospital discharge.



The results of EuReCa ONE highlight that OHCA is still a major public health problem accounting for a substantial number of deaths in Europe. EuReCa ONE very clearly demonstrates marked differences in the processes for data collection and reported outcomes following OHCA all over Europe. Using these data and analyses, different countries, regions, systems, and concepts can benchmark themselves and may learn from each other to further improve survival following one of our major health care events.
University Hospital Schleswig-Holstein, Dep. Anaesthesiology and Intensive Care Medicine, Kiel, Germany; University Hospital Schleswig-Holstein, Institute for Emergency Medicine, Kiel, Germany. Electronic address: jan-thorsten.graesner@uksh.de.
Jan-Thorsten
JT
Gräsner
University Witten/Herdecke, Cologne, Germany.
Rolf
R
Lefering
Academic Medical Center, Amsterdam, The Netherlands.
Rudolph W
RW
Koster
National University of Ireland Galway, Ireland.
Siobhán
S
Masterson
University Hospital of Cologne, Germany.
Bernd W
BW
Böttiger
University of Borås, Sahlgrenska University Hospital, Sweden.
Johan
J
Herlitz
University Hospital Schleswig-Holstein, Dep. Anaesthesiology and Intensive Care Medicine, Kiel, Germany; University Hospital Schleswig-Holstein, Institute for Emergency Medicine, Kiel, Germany.
Jan
J
Wnent
Norwegian National Advisory Unit on Prehospital Emergency Medicine (NAKOS), Oslo, Norway.
Ingvild B M
IB
Tjelmeland
Empresa Pública de Emergencias Sanitarias, Almería, Spain.
Fernando Rosell
FR
Ortiz
University Hospital Schleswig-Holstein, Dep. Anaesthesiology and Intensive Care Medicine, Campus Lübeck, Germany.
Holger
H
Maurer
University Hospital Innsbruck, Austria.
Michael
M
Baubin
Centre Hospitalier Universitaire Saint-Pierre, Université Libre de Bruxelles, Belgium.
Pierre
P
Mols
Medical Faculty Osijek, Josip Juraj Strossmayer University, Osijek, Croatia.
Irzal
I
Hadžibegović
Nicosia General Hospital, Cyprus.
Marios
M
Ioannides
Emergency Medical Service of the Central Bohemian Region, Kladno, and J.E. Purkinje University, Masaryk Hospital Usti nad Labem, Czech Republic.
Roman
R
Škulec
Emergency Medical Services Copenhagen, University of Copenhagen, Denmark.
Mads
M
Wissenberg
Emergency Medical Services, Department of Emergency Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Ari
A
Salo
University of Lille, France.
Hervé
H
Hubert
Konstantopouleio General Hospital, Athens, Greece.
Nikolaos I
NI
Nikolaou
Health Care Centers of Csongrad County Hódmezővásárhely - Makó, Hungary.
Gerda
G
Lóczi
Akureyri Hospital/University of Akureyri, Iceland.
Hildigunnur
H
Svavarsdóttir
Ospedale Maggiore "Carlo Alberto Pizzardi" AUSL Bologna, Italy.
Federico
F
Semeraro
Health Service Executive Ballyshannon, Ireland.
Peter J
PJ
Wright
Luxembourg Resuscitation Council, Luxembourg.
Carlo
C
Clarens
Maastricht University, The Netherlands.
Ruud
R
Pijls
Jagiellonian University, Kraków, Poland.
Grzegorz
G
Cebula
Serviço de Emergência Médica Regional - SEMER/EMIR, Portugal.
Vitor Gouveia
VG
Correia
University of Medicine and Pharmacy Gr.T. Popa and University County Hospital Sf. Spiridon, Iaşi, Romania.
Diana
D
Cimpoesu
Municipal Institute for Emergency Medicine Novi Sad, Serbia.
Violetta
V
Raffay
P.J.Safarik University, Kosice, Slovakia.
Stefan
S
Trenkler
University Medical Centre Maribor, Maribor, Slovenia.
Andrej
A
Markota
Mälardalens University, Västerås, Sweden.
Anneli
A
Strömsöe
Fondazione Ticino Cuore, Breganzona, Switzerland.
Roman
R
Burkart
University of Warwick and Heart of England NHS Foundation Trust, Coventry, United Kingdom.
Gavin D
GD
Perkins
University of Antwerp, Department of Medicine and Health Sciences, Antwerp, Belgium.
Leo L
LL
Bossaert
D000368:Aged; D016887:Cardiopulmonary Resuscitation / Q000706:statistics & numerical data*; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D005060:Europe / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D058687:Out-of-Hospital Cardiac Arrest / Q000401:mortality* / Q000628:therapy; D011446:Prospective Studies; D012042:Registries; D016019:Survival Analysis
Cardiac arrest; Emergency medicine, Europe; Epidemiology; Resuscitation; Resuscitation registry