Journal of Epidemiology and Global Health

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Volume 9, Issue 1, March 2019, Pages 71 - 75

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

Authors
Bader Hamza Shirah1, *, Fareed Abdulmuhsen Al Nozha2, Syed Husham Zafar3, Hussain Mohammed Kalumian3
1King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
2Al Ansar General Hospital, Al Madina Al Munawarrah, Saudi Arabia
3Department of Medicine, Al Ansar General Hospital, Al Madina Al Munawarrah, Saudi Arabia
*Corresponding author. Email: shirah007@ksau-hs.edu.sa
Corresponding Author
Bader Hamza Shirah
Received 12 February 2017, Accepted 5 April 2018, Available Online 27 March 2019.
DOI
10.2991/jegh.k.190218.001How to use a DOI?
Keywords
Cardiac arrest; cardiopulmonary resuscitation; Hajj; mass gathering; Utstein-style
Abstract

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.

Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Journal of Epidemiology and Global Health
Volume-Issue
9 - 1
Pages
71 - 75
Publication Date
2019/03/27
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.2991/jegh.k.190218.001How to use a DOI?
Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Bader Hamza Shirah
AU  - Fareed Abdulmuhsen Al Nozha
AU  - Syed Husham Zafar
AU  - Hussain Mohammed Kalumian
PY  - 2019
DA  - 2019/03/27
TI  - Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Outcome of Cardiopulmonary Resuscitation during Hajj
JO  - Journal of Epidemiology and Global Health
SP  - 71
EP  - 75
VL  - 9
IS  - 1
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.190218.001
DO  - 10.2991/jegh.k.190218.001
ID  - Shirah2019
ER  -