• Fernando Rosell Ortiz, Francisco Mellado Vergel, Juan Bautista López Messa, Patricia Fernández Valle, María M Ruiz Montero, Manuela Martínez Lara, Santiago Vergara Pérez, Itziar Vivar Díaz, Auxiliadora Caballero García, Ángel García Alcántara, and Javier García Del Águila.
• Empresa Pública de Emergencias Sanitarias de Andalucía, Consejería de Salud, Junta de Andalucía, Sevilla, Spain; Grupo de Cuidados Cardiológicos en Emergencias, Empresa Pública de Emergencias Sanitarias de Andalucía, Málaga, Spain. Electronic address: frosell@al.epes.es.
• Rev Esp Cardiol (Engl Ed). 2016 May 1; 69 (5): 494-500.

Introduction And ObjectivesThere is a paucity of data on prehospital cardiac arrest in Spain. Our aim was to describe the incidence, patient characteristics, and outcomes of out-of-hospital emergency care for this event.MethodsWe conducted a retrospective analysis of a prospective registry of cardiopulmonary arrest handled by an out-of-hospital emergency service between January 2008 and December 2012. The registry included all patients considered to have a cardiac etiology as the cause of arrest, with a descriptive analysis performed of general patient characteristics and factors associated with good neurologic outcome at hospital discharge.ResultsA total of 4072 patients were included, with an estimated incidence of 14.6 events per 100000 inhabitants and year; 72.6% were men. The mean age was 62.0 ± 15.8 years, 58.6% of cases occurred in the home, 25% of patients had initial defibrillable rhythm, 28.8% of patients arrived with a pulse at the hospital (58.3% of the group with defibrillable rhythm), and 10.2% were discharged with good neurologic outcome. The variables associated with this recovery were: witnessed arrest (P=.04), arrest witnessed by emergency team (P=.005), previous life support (P=.04), initial defibrillable rhythm (P=.0001), and performance of a coronary interventional procedure (P=.0001).ConclusionsMore than half the cases of sudden cardiac arrest occur at home, and the population was found to be relatively young. Although recovery was satisfactory in 1 out of every 10 patients, there is a need for improvement in the phase prior to emergency team arrival. Coronary interventional procedures had an impact on patient prognosis.Copyright © 2015 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

42 keywords...

hide…