Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratante

Introduction. Out-of-hospital cardiac arrest (OHCA) is a major public health problem associated with high mortality and disability. Hospital care in Spain is heterogeneous. This study analyzes the impact of hospital type and interhospital transfers on the management and prognosis of patients with OH...

Descripción completa

Detalles Bibliográficos
Autores: Jorge-pérez, Pablo, Viana-tejedor, Ana, Fernández, Cristina, Javier Elola, Francisco, Del Prado, Náyade, Barrionuevo Sánchez, María Isabel, M. Martín-cabeza, Marta, Luis Bernal, José, Andrea-riba, Rut, Ariza-solé, Albert
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:dnet:recercat____::a8caa15017f99a94795638172a112937
Acceso en línea:https://hdl.handle.net/2445/229360
Access Level:acceso abierto
id ES_35da98e48c8dce1c0f5452a2c8afe512
oai_identifier_str oai:dnet:recercat____::a8caa15017f99a94795638172a112937
network_acronym_str ES
network_name_str España
repository_id_str
spelling Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratanteCharacteristics, management, and prognosis of out-of-hospital cardiac arrest of cardiac cause according to the treating centerJorge-pérez, PabloViana-tejedor, AnaFernández, CristinaJavier Elola, FranciscoDel Prado, NáyadeBarrionuevo Sánchez, María IsabelM. Martín-cabeza, MartaLuis Bernal, JoséAndrea-riba, RutAriza-solé, AlbertIntroduction. Out-of-hospital cardiac arrest (OHCA) is a major public health problem associated with high mortality and disability. Hospital care in Spain is heterogeneous. This study analyzes the impact of hospital type and interhospital transfers on the management and prognosis of patients with OHCA. Methods. We conducted a retrospective, population-based study (2016-2022) was using the Minimum Basic Data Set of patients aged > 18 years with a diagnosis of OHCA due to an underlying cardiac cause. Episodes were categorized into 3 groups: admission to hospitals without (Group 1) and with (Group 3) a cath lab; and Group 2: transfer from a Group 1 hospital to a Group 3 hospital. Outcome variables included in-hospital mortality and cerebral anoxia. Multilevel logistic regression models were used for risk adjustment. Results. A total of 6,379 episodes were analyzed. The overall mortality rate was 42.7%. Cerebral anoxia (OR, 5.8; 95% CI, 4.97-6.88) and chronic liver disease (OR, 2.61; 95% CI, 1.88-3.61) were the main predictors of mortality. Belonging to Group 2 (OR, 0.27; 95% CI, 0.17-0.41) and Group 3 (OR, 0.81; 95% CI, 0.68-0.96) had a protective effect. Centers with a higher number of discharges for circulatory system diseases showed a lower risk-adjusted mortality rate. Conclusion. There are differences in the hospital management of OHCA in Spain. The availability of PCI capable centers and a higher volume of circulatory system cases offer a better prognosis. The limited centralization of care suggests opportunities for organizational improvement to optimize outcomes.Sociedad Española de Medicina de Urgencias y Emergencias2026202620252026info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2445/229360https://hdl.handle.net/2445/229360reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)EspañolReproducció del document publicat a: https://doi.org/10.55633/s3me/105.2025Emergencias, 2025https://doi.org/10.55633/s3me/105.2025info:eu-repo/semantics/openAccessoai:dnet:recercat____::a8caa15017f99a94795638172a1129372026-05-29T05:05:01Z
dc.title.none.fl_str_mv Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratante
Characteristics, management, and prognosis of out-of-hospital cardiac arrest of cardiac cause according to the treating center
title Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratante
spellingShingle Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratante
Jorge-pérez, Pablo
title_short Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratante
title_full Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratante
title_fullStr Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratante
title_full_unstemmed Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratante
title_sort Características, manejo y pronóstico de la parada extrahospitalaria de causa cardiaca según el centro tratante
dc.creator.none.fl_str_mv Jorge-pérez, Pablo
Viana-tejedor, Ana
Fernández, Cristina
Javier Elola, Francisco
Del Prado, Náyade
Barrionuevo Sánchez, María Isabel
M. Martín-cabeza, Marta
Luis Bernal, José
Andrea-riba, Rut
Ariza-solé, Albert
author Jorge-pérez, Pablo
author_facet Jorge-pérez, Pablo
Viana-tejedor, Ana
Fernández, Cristina
Javier Elola, Francisco
Del Prado, Náyade
Barrionuevo Sánchez, María Isabel
M. Martín-cabeza, Marta
Luis Bernal, José
Andrea-riba, Rut
Ariza-solé, Albert
author_role author
author2 Viana-tejedor, Ana
Fernández, Cristina
Javier Elola, Francisco
Del Prado, Náyade
Barrionuevo Sánchez, María Isabel
M. Martín-cabeza, Marta
Luis Bernal, José
Andrea-riba, Rut
Ariza-solé, Albert
author2_role author
author
author
author
author
author
author
author
author
description Introduction. Out-of-hospital cardiac arrest (OHCA) is a major public health problem associated with high mortality and disability. Hospital care in Spain is heterogeneous. This study analyzes the impact of hospital type and interhospital transfers on the management and prognosis of patients with OHCA. Methods. We conducted a retrospective, population-based study (2016-2022) was using the Minimum Basic Data Set of patients aged > 18 years with a diagnosis of OHCA due to an underlying cardiac cause. Episodes were categorized into 3 groups: admission to hospitals without (Group 1) and with (Group 3) a cath lab; and Group 2: transfer from a Group 1 hospital to a Group 3 hospital. Outcome variables included in-hospital mortality and cerebral anoxia. Multilevel logistic regression models were used for risk adjustment. Results. A total of 6,379 episodes were analyzed. The overall mortality rate was 42.7%. Cerebral anoxia (OR, 5.8; 95% CI, 4.97-6.88) and chronic liver disease (OR, 2.61; 95% CI, 1.88-3.61) were the main predictors of mortality. Belonging to Group 2 (OR, 0.27; 95% CI, 0.17-0.41) and Group 3 (OR, 0.81; 95% CI, 0.68-0.96) had a protective effect. Centers with a higher number of discharges for circulatory system diseases showed a lower risk-adjusted mortality rate. Conclusion. There are differences in the hospital management of OHCA in Spain. The availability of PCI capable centers and a higher volume of circulatory system cases offer a better prognosis. The limited centralization of care suggests opportunities for organizational improvement to optimize outcomes.
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/229360
https://hdl.handle.net/2445/229360
url https://hdl.handle.net/2445/229360
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.55633/s3me/105.2025
Emergencias, 2025
https://doi.org/10.55633/s3me/105.2025
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedad Española de Medicina de Urgencias y Emergencias
publisher.none.fl_str_mv Sociedad Española de Medicina de Urgencias y Emergencias
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869405914967048192
score 15,81155

Similares en LA Referencia