Summary
Factors predicting survival of out-of-hospital cardiac arrest managed with semiautomatic external defibrillators in Galicia
Soto-Araujo L, Costa-Pacero M, González-González MD, Sánchez-Santos L, Iglesias-Vázquez JA, Rodríguez-Núñez A
Affiliation of the authors
Servicio de Emergencias Médicas, Fundación Pública Urxencias Sanitarias de Galicia-061(FPUSG- 061) Servicio Gallego de Salud, Santiago de Compostela, Spain. Grupo de Investigación CLINURSID, Universidad de Santiago de Compostela, Santiago de Compostela, Spain. Servicio de Críticos y Urgencias Pediátricas, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigación de Santiago (IDIS), Santiago de Compostela, Spain.
DOI
Quote
Soto-Araujo L, Costa-Pacero M, González-González MD, Sánchez-Santos L, Iglesias-Vázquez JA, Rodríguez-Núñez A. Factors predicting survival of out-of-hospital cardiac arrest managed with semiautomatic external defibrillators in Galicia. Emergencias. 2015;27:307-12
Summary
Objectives.
Method.
event, rural vs urban setting, type of location, witnessed or not, bystander resuscitation attempts or not, time first heart rhythm was detected, use of orotracheal intubation or not, time of call for help, and time to arrival of emergency responders.
Results.
and in 3.3% of those in asystole). Intubation was necessary in 15.7%; ROSC was achieved in 24.8% of the intubated patients. ROSC was achieved in significantly more patients when responders arrived soon after the call for help (mean: 12 minutes, 26 seconds) than when arrival was delayed (mean: 16 minutes, 16 seconds when ROSC was not achieved; P<.001). The presence of a shockable rhythm was also significantly more frequent when response time was faster (P<.001). Asystole, on the other hand, reduced the likelihood of survival (P<.005). Conclusion. Prognostic factors related to survival of SAED-managed out-of-hospital cardiac arrest in Galicia were the presence of a shockable rhythm, shorter response time, continuation of basic life support measures including advanced airway management, bystander life-support maneuvers, an urban location, and night timing of the arrest.