P430 SCARE PROJECT: SUDDEN DEATH IN RIMINI

Abstract

Abstract Sudden death guidelines make emphasis on the need to identify the etihiology of the arrest in survived patients or in their family members. If cardio–pulmonary resuscitation techniques are almost standardized throughout the world, the intra– and post–hospital treatment of the patient changes in the different centers and countries. The local discrepancies related to the survival rate of the patients can instead be considered as an indirect index of the good network in the management of the victims. Given the impossibility of carrying out randomized, controlled and prospective studies, registries represent the only alternative system for collecting and analyzing data in this area. The SCARe (Sudden Cardiac Arrest Registry) project – unique for being multidisciplinary – represents the most effective system for carrying out an epidemiological investigation, optimizing the treatment of patients affected by cardiac arrest, creating collaborations and integrations between hospitals and the territory, identifying diagnostic pathways for study of family members, monitoring the efficiency of the work performed. 646 interventions for "code blue" (out–of–hospital cardiac arrest) carried out in the Province of Rimini from 2019 to 2021 were analysed. There were 318 patients less than 75 yrs old, with a median age of 63 years: only 24% of the victims presented with a shockable rhythm, in 98% of them with ventricular fibrillation; autopulse was used in 20%; 217 patiente died out from hospital, 5 in the emergency room. Of the remaining 72% was hospitalized in Intensive Care, 28% in CCU or Emergency Medicine. A multi–specialist database can evaluate the adherence to the guidelines and the methods of approach of the different professional figures to the patient. Data analysis will allow to increase the survival rate of patients.