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The Epidemiology of Out of Hospital Cardiac Arrest in Portugal in 2018
Session:
Painel 5 - E-Cardiologia e Saúde Publica 1
Speaker:
Luis Ladeira
Congress:
CPC 2020
Topic:
P. Other
Theme:
37. Miscellanea
Subtheme:
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Session Type:
Posters
FP Number:
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Authors:
Luis Manuel Ladeira; Fátima Rato; Filipa Barros
Abstract
<p><strong>Background</strong></p> <p>Out of Hospital Cardiac Arrest (OHCA) due to its severity and unpredictability is a medical emergency of greater clinical and social impact<sup>1</sup><sup>2</sup>. After long years of prehospital response to OHCA, it still represents a cross-sectional and permanent challenge requiring a strong survival chain (SC) in all of its links<sup>3</sup><sup>4</sup>. There are many factors that determine the victim's return of spontaneous circulation (ROSC) and determine the strategy for implementing improvement measures.</p> <p>The present study represented the first critical analysis (<em>test tube</em>) to the OHCA National Registry and aimed to describe the epidemiology of OHCA in Portugal in 2018, as well as to verify the adequacy of the register itself as a tool to optimize team activity in the field, as well as its potential for improvement.</p> <p> </p> <p><strong>Methods</strong></p> <p>A retrospective observational study was performed and data were collected from the Portuguese’s National Registry of Cardiac Arrests between January 1 and December 31, 2018. All OHCA situations registered by the prehospital personnel were included.</p> <p> </p> <p><strong>Results</strong></p> <p>A total of 16685 cases of OHCA were recorded. The average age was 75.9 years and the male gender was slightly more prevalent (56.1%). The vast majority of OHCA situations occurred at home (74.3%) and in nursing homes (12.2%), and the occurrence of OHCA in public places was 13.5%.</p> <p>In 36.1% of all cases the OHCA was witnessed by bystanders. Cardiac etiology was the most likely cause of OHCA, occurring in 50.3% of cases. Of all OHCA situations, the return of spontaneous circulation (ROSC) occurred in 6.2% of the cases, and 24.6% of the cases were transported to the hospital, of which 18.4% with signs of life and 81.6% of the cases in CPR maneuvers.</p> <p> </p> <p><strong>Discussion & Conclusion</strong></p> <p>There were some limitations detected in the registry which conditioned the analysis and which showed the need to update the register according to the current state of the art and the current Utstein model.</p> <p>Cardiac arrest is a major cause of death in Portugal. With less than one in ten patients surviving, there is room for improvement. It is very importante a well detailed review and analisys of the OHCA National Registry since the beginning of it to substantiate strategic decision-making in the health policies on this issue.</p> <p>It is also necessary to build “bridges” that allow interoperability between prehospital and intrahospital systems, to know the outcome of OHCA cases admitted to the hospital.</p>
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