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

Abstract To determine out-of-hospital cardiac arrest mortality in the province of Alicante (Spain) and its associated factors.
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PMID- 28407020
OWN - NLM
STAT- In-Process
DA  - 20170413
LR  - 20170413
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 4
DP  - 2017
TI  - Mortality after out-of-hospital cardiac arrest in a Spanish Region.
PG  - e0175818
LID - 10.1371/journal.pone.0175818 [doi]
AB  - 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.
FAU - Requena-Morales, Rosa
AU  - Requena-Morales R
AD  - Department of Nursing, University of Alicante, San Vicente del Raspeig, Alicante,
      Spain.
AD  - Emergency Medical Service, Valencian Regional Ministry of Health, Alicante,
      Alicante, Spain.
FAU - Palazon-Bru, Antonio
AU  - Palazon-Bru A
AUID- ORCID: http://orcid.org/0000-0002-5959-9631
AD  - Department of Clinical Medicine, Miguel Hernandez University, San Juan de
      Alicante, Alicante, Spain.
FAU - Rizo-Baeza, Maria Mercedes
AU  - Rizo-Baeza MM
AD  - Department of Nursing, University of Alicante, San Vicente del Raspeig, Alicante,
      Spain.
FAU - Adsuar-Quesada, Jose Manuel
AU  - Adsuar-Quesada JM
AD  - Emergency Medical Service, Valencian Regional Ministry of Health, Alicante,
      Alicante, Spain.
FAU - Gil-Guillen, Vicente Francisco
AU  - Gil-Guillen VF
AD  - Department of Clinical Medicine, Miguel Hernandez University, San Juan de
      Alicante, Alicante, Spain.
FAU - Cortes-Castell, Ernesto
AU  - Cortes-Castell E
AD  - Department of Pharmacology, Pediatrics and Organic Chemistry, Miguel Hernandez
      University, San Juan de Alicante, Alicante, Spain.
LA  - eng
PT  - Journal Article
DEP - 20170413
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
EDAT- 2017/04/14 06:00
MHDA- 2017/04/14 06:00
CRDT- 2017/04/14 06:00
PHST- 2017/01/09 [received]
PHST- 2017/03/31 [accepted]
AID - 10.1371/journal.pone.0175818 [doi]
AID - PONE-D-17-00985 [pii]
PST - epublish
SO  - PLoS One. 2017 Apr 13;12(4):e0175818. doi: 10.1371/journal.pone.0175818.
      eCollection 2017.

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