Advertisement

 

 

Mortality after out-of-hospital cardiac arrest in a Spanish Region.

Mortality after out-of-hospital cardiac arrest in a Spanish Region.
Author Information (click to view)

Requena-Morales R, Palazón-Bru A, Rizo-Baeza MM, Adsuar-Quesada JM, Gil-Guillén VF, Cortés-Castell E,


Requena-Morales R, Palazón-Bru A, Rizo-Baeza MM, Adsuar-Quesada JM, Gil-Guillén VF, Cortés-Castell E, (click to view)

Requena-Morales R, Palazón-Bru A, Rizo-Baeza MM, Adsuar-Quesada JM, Gil-Guillén VF, Cortés-Castell E,

Advertisement

PloS one 2017 04 1312(4) e0175818 doi 10.1371/journal.pone.0175818
Abstract
AIMS
To determine out-of-hospital cardiac arrest mortality in the province of Alicante (Spain) and its associated factors.

METHODS
Cross-sectional observational study of all patients who received cardiopulmonary resuscitation (CPR) by the Emergency Medical Services (EMS) (n = 422) in the province of Alicante in 2013. To determine associated factors, a binary logistic regression model was constructed. Primary outcome: death before arriving at the hospital. Predictive variables: gender, age, artificial respiration, prior functional status, asystole, cardiogenic aetiology, bystander CPR, time from the cardiac arrest to the arrival of the EMS and location of cardiac arrest.

RESULTS
There were 337 deaths (79.9%; 95% CI: 76.0-83.7%). Factors independently associated (p<0.05) with death were: male gender (OR = 2.11; 95% CI: 1.20-3.72; p = 0.010), asystole (OR = 1.99, 95% CI: 1.17-3.39; p = 0.012), cardiac arrest at home (OR = 2.44; 95% CI: 1.42-4.18; p = 0.001) and an increased time between arrest and EMS arrival (OR = 1.05, 95% CI: 1.01-1.09, p = 0.009). Having a worse prior functional status had a tendency towards significance (OR = 0.56, 95% CI: 0.31-1.02, p = 0.059). CONCLUSIONS
Mortality was high. The associated factors were: male gender, asystole, worse prior functional status, longer time from the cardiac arrest to the arrival of the EMS and having the cardiac arrest at home. The clearly negative impact of experiencing a cardiac arrest at home necessitates modifying training policies in Spain. These policies should be focused on providing information about CPR in schools in order to decrease the mortality of these events.

Submit a Comment

Your email address will not be published. Required fields are marked *

16 − 11 =

[ HIDE/SHOW ]