AP036 Comparision between in-and out-of-hospital cardiac arrest: 320 CPR analyzed

Objectives: Compare the epidemiology and distribution of hospital cardiac arrest compared to the in-hospital and initial heart rates and survival (overall and brain function) at various times (initial and at discharge). Methodology:We exploited the database of EMS in the province of Cadiz (Southen Spain) (“EPES-061 SP Cadiz”) and the database of the ICU of a 3rd-level hospital also located in the province of Cadiz. The EMS (EPES-061) is based on the model of ICU-Mobile (Physician, Nurse and Paramedic).The population coverage is approximately 1.25 million people. Its contribution was 210 patients in the study period. Intensive-Care-Unit is 7×24 attended by medical specialists in intensive care medicine on the Spanish model, and is responsable for assisting the in-hospital-CPR, a total of 800 beds and provides health coverage to 221,000 inhabitants. His contribution was 110 patients. The variables selected as most important for the study were: age, sex, initial rhythm, effective heartbeat recovery (temporary or permanent), immediate outcome, outcome at discharge and cerebral function at discharge. Results: In-hospital CPR: 72.7% were male, with an average age of 67.5 years (median 70, range from 27 to 90 yr). The initial rhythm was asystole in 50.5% of events, followed by VF/VT with 25.7%. ROSC final recovery appeared in 31.8% of the total. Overall survival to hospital discharge was 18.5% of all cases seen, being discharged with good brain function 17.6% of all patients (Cerebral Performance Category) Out-hospital CPR: The 68.9% were male, with an average age of 61 years (median 63, range 4 to 89 years). The most common initial rhythm was asystole (60%) followed by PV (25.4%). The final ROSC recovery appeared in XX%, with an overall survival to hospital discharge was 15.2%. PCR of total treated in the hospital setting, 5.2% were discharged from hospital with good brain function, leaving 2.8% with moderate sequelae (CPC).