Out-of-hospital cardiac arrest in the Algarve region of Portugal: a retrospective registry trial with outcome data

Carvalho, Nuno Mourão; Martins, Cláudia; Cartaxo, Vera; Marreiros, Ana; Justo, Emília; Raposo, Carlos; Binnie, Alexandra

Publication

Out-of-hospital cardiac arrest in the Algarve region of Portugal: a retrospective registry trial with outcome data

2021-04Journal article

dc.contributor.author	Carvalho, Nuno Mourão
dc.contributor.author	Martins, Cláudia
dc.contributor.author	Cartaxo, Vera
dc.contributor.author	Marreiros, Ana
dc.contributor.author	Justo, Emília
dc.contributor.author	Raposo, Carlos
dc.contributor.author	Binnie, Alexandra
dc.date.accessioned	2023-03-24T13:54:35Z
dc.date.available	2023-03-24T13:54:35Z
dc.date.issued	2021-04
dc.description.abstract	Background and importanceOut-of-hospital cardiac arrest is a leading cause of death in Europe. An understanding of region-specific factors is essential for informing strategies to improve survival. DesignThis retrospective observational study included all out-of-hospital cardiac arrest patients attended by the Emergency Medical Service of the Algarve in 2019. Outcome data were derived from hospital records. Main resultsIn 2019, there were 850 out-of-hospital cardiac arrests treated with cardiopulmonary resuscitation in the Algarve, representing a population incidence of 189/100 000. Return of spontaneous circulation occurred in 83 patients (9.8%), of whom 17 (2.0%) had survival to hospital discharge and 15 (1.8%) had survival with good neurologic outcome. Among patients in the Utstein comparator group, survival to hospital discharge was 21.4%. Predictors of return of spontaneous circulation were age, witnessed arrest, initial shockable rhythm, time of year, time to cardiopulmonary resuscitation, and time to advanced life support. Predictors of survival to hospital discharge were age, initial shockable rhythm, time to rhythm analysis, and time to advanced life support. Predictors of survival with good neurologic outcome were age, initial shockable rhythm, and time to return of spontaneous circulation. ConclusionsThe incidence of out-of-hospital cardiac arrest with cardiopulmonary resuscitation in the Algarve was higher than in other jurisdictions while return of spontaneous circulation, survival to hospital discharge, and survival with good neurologic outcome were comparatively low. An aging population, a geographically diverse region, and a low incidence of bystander cardiopulmonary resuscitation may have contributed to these outcomes. These results confirm the importance of early cardiopulmonary resuscitation, early rhythm assessment, and early advanced life support, all of which are potentially modifiable through public education, broadening of the defibrillator network and increased availability of advanced life support teams.	pt_PT
dc.description.version	info:eu-repo/semantics/publishedVersion	pt_PT
dc.identifier.doi	10.1097/MEJ.0000000000000885	pt_PT
dc.identifier.eissn	1473-5695
dc.identifier.uri	http://hdl.handle.net/10400.1/19315
dc.language.iso	eng	pt_PT
dc.peerreviewed	yes	pt_PT
dc.publisher	Lippincott Williams & Wilkins	pt_PT
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	pt_PT
dc.subject	Advanced life support	pt_PT
dc.subject	Automatic external defibrillator	pt_PT
dc.subject	Basic life support	pt_PT
dc.subject	Bystander	pt_PT
dc.subject	Cardiopulmonary	pt_PT
dc.subject	Resuscitation	pt_PT
dc.subject	Emergency Medical Service	pt_PT
dc.subject	Out-of-hospital cardiac arrest	pt_PT
dc.title	Out-of-hospital cardiac arrest in the Algarve region of Portugal: a retrospective registry trial with outcome data	pt_PT
dc.type	journal article
dspace.entity.type	Publication
oaire.citation.endPage	139	pt_PT
oaire.citation.issue	2	pt_PT
oaire.citation.startPage	134	pt_PT
oaire.citation.title	European Journal of Emergency Medicine	pt_PT
oaire.citation.volume	29	pt_PT
person.familyName	Marreiros
person.familyName	Binnie
person.givenName	Ana
person.givenName	Alexandra
person.identifier.ciencia-id	9A12-9450-7051
person.identifier.ciencia-id	C212-F6D7-8240
person.identifier.orcid	0000-0001-9410-4772
person.identifier.orcid	0000-0003-2969-8177
person.identifier.scopus-author-id	57194785077
person.identifier.scopus-author-id	7004219471
rcaap.rights	openAccess	pt_PT
rcaap.type	article	pt_PT
relation.isAuthorOfPublication	c0a8e5da-26ae-42a8-ab04-fa4df4356375
relation.isAuthorOfPublication	8fa20244-f180-45e9-a12b-3c612d67bc70
relation.isAuthorOfPublication.latestForDiscovery	8fa20244-f180-45e9-a12b-3c612d67bc70