{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T11:36:37Z","timestamp":1766057797517,"version":"3.48.0"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"published-print":{"date-parts":[[2025,12,18]]},"abstract":"<jats:p>Introducci\u00f3n. La parada cardiorrespiratoria extrahospitalaria (PCREH) es un problema de salud p\u00fablica con alta mortalidad y discapacidad. La atenci\u00f3n hospitalaria en Espa\u00f1a es heterog\u00e9nea. Este estudio analiza el impacto del tipo de\nhospital y los traslados entre hospitales en el manejo y pron\u00f3stico de pacientes con PCREH.\nM\u00e9todos. Estudio poblacional retrospectivo (2016-2022) del Conjunto M\u00ednimo B\u00e1sico de Datos de pacientes mayores\nde 18 a\u00f1os con diagn\u00f3stico de PCREH debido a causa cardiaca subyacente. Se clasificaron los episodios en tres grupos: ingreso en hospital sin y con laboratorio de hemodin\u00e1mica (grupos 1 y 3, respectivamente); y grupo 2: traslado\ndesde el grupo 1 al 3. Las variables de resultado incluyeron mortalidad intrahospitalaria y la anoxia cerebral. Se utilizaron modelos de regresi\u00f3n log\u00edstica multinivel para el ajuste de riesgo.\nResultados. Se analizaron 6.379 episodios. La mortalidad global fue del 42,7%. La anoxia cerebral (OR: 5,8; IC 95%:\n4,97-6,88) y la hepatopat\u00eda cr\u00f3nica (OR: 2,61; IC 95%: 1,88-3,61) fueron los principales predictores de mortalidad.\nLa pertenencia al grupo 2 (OR: 0,27; IC 95%: 0,17-0,41) y al grupo 3 (OR: 0,81; IC 95%: 0,68-0,96) tuvo un efecto\nprotector. Los centros con mayor n\u00famero de altas de enfermedades del aparato circulatorio mostraron menor mortalidad ajustada a riesgo.\nConclusi\u00f3n. Existen diferencias en el manejo hospitalario de la PCREH en Espa\u00f1a. Los centros con laboratorio de hemodin\u00e1mica y mayor volumen de enfermedades del aparato circulatorio ofrecen un mejor pron\u00f3stico. La limitada centralizaci\u00f3n de la atenci\u00f3n sugiere oportunidades de mejora organizativa para optimizar los resultados.<\/jats:p>","DOI":"10.55633\/s3me\/105.2025","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T11:33:13Z","timestamp":1766057593000},"source":"Crossref","is-referenced-by-count":0,"title":["Characteristics, management, and prognosis of out-of-hospital cardiac arrest of cardiac cause according to the treating center"],"prefix":"10.55633","author":[{"given":"Pablo","family":"Jorge-P\u00e9rez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Viana-Tejedor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Javier","family":"Elola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00e1yade","family":"del Prado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Isabel","family":"Barrionuevo S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta M.","family":"Mart\u00edn-Cabeza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Luis","family":"Bernal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rut","family":"Andrea-Riba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Ariza-Sol\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2025,12,18]]},"container-title":["Emergencias"],"original-title":["Caracter\u00edsticas, manejo y pron\u00f3stico de la parada extrahospitalaria de causa cardiaca seg\u00fan el centro tratante"],"deposited":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T11:33:14Z","timestamp":1766057594000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/caracteristicas-manejo-y-pronostico-de-la-parada-extrahospitalaria-de-causa-cardiaca-segun-el-centro-tratante\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,18]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/105.2025","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,18]]}}}