Abstract
This Registry demonstrated that PAD program is essential to increase the survivors, in particular in regions with densely populated area and with insufficient road network. In these areas it is essential to increase the number of AED installation and the Cardiopulmonary Resuscitation (CPR) training among the general population. Strong positive predictive factors of outcome were a short delay to defibrillation, bystander CPR and place of collapse.
Highlights
Cardiac Arrest (CA) is defined as an unexpected event leading to sudden death that occurs in subjects with undiagnosed or stable pre-existing cardiac disease in less than one hour and without precocious signs
This Registry demonstrated that Public Access Defibrillation (PAD) program is essential to increase the survivors, in particular in regions with densely populated area and with insufficient road network
In these areas it is essential to increase the number of Automated External Defibrillator (AED) installation and the Cardiopulmonary Resuscitation (CPR) training among the general population
Summary
Cardiac Arrest (CA) is defined as an unexpected event leading to sudden death that occurs in subjects with undiagnosed or stable pre-existing cardiac disease in less than one hour and without precocious signs. Some recent clinical studies in Europe showed that the survival after OHCA was increased from 2.5% to 24% after PAD implementation (Table 1) [1,2,3,4,5,6]. In Italy more than 60.000 citizens die for OHCA every year and the survival rate after PAD program increased. Out-of-hospital cardiac arrest (OHCA) is a critical public health problem in Italy. For this reason, we investigated, using retrospective regional register study, the efficacy of Public Access Defibrillation (PAD) interventional program in terms of survival rate for patient suffering of OHCA with shockable rhythm rescued by bystanders compared to traditional 118 Emergency Medical Service (EMS) System activation
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