Requena-Morales, Rosa, Palazón Bru, Antonio, Rizo-Baeza, Mercedes, Adsuar-Quesada, José Manuel, Gil Guillén, Vicente, Cortés Castell, Ernesto
Mortality after out-of-hospital cardiac arrest in a Spanish Region
Requena-Morales R, Palazón-Bru A, Rizo-Baeza MM, Adsuar-Quesada JM, Gil-Guillén VF, Cortés-Castell E (2017) Mortality after out-of-hospital cardiac arrest in a Spanish Region. PLoS ONE 12(4): e0175818. https://doi.org/10.1371/journal.pone.0175818
URI: http://hdl.handle.net/10045/65472
DOI: 10.1371/journal.pone.0175818
ISSN: 1932-6203
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.
Keywords:Mortality, Out-of-hospital cardiac arrest, Alicante
Public Library of Science (PLoS)
info:eu-repo/semantics/article