SCD is generally defined as a sudden and unexpected pulseless event. In spite of all these efforts and the improvements in care, the rate of SCD does not seem to have changed in recent years as it has been expected and survival rates still remain poor. In addition, primary prevention strategies have a high cost and are limited to a few numbers of patients. The study of cardiovascular risk factors has a long and proven history in Catalonia. The leading cause of SCD is produced in the setting of chronic or acute ischemic heart disease. Death certificates are also known to overestimate SCD rates. The accuracy of death certification depends on the quality of postmortem investigations and the coding procedures used during the registration process. Mortality statistics in high-income countries are based on cause of death certificates in more than 99 % of cases. Estimates for the rate of SCD vary widely depending on the sources of information used, the methods of case ascertainment, the definitions of Sudden death (SD) and interregional differences. OHCA records have been used to make global sudden cardiac death (SCD) comparisons between different countries. Most of these OHCA take place unexpectedly and suddenly, which makes them even more difficult for the health care system to treat. The ReCaPTa study could provide valuable information to prevent sudden cardiac death and develop new strategies to improve its survival.Įvery year in Europe 275,000 experience out of hospital cardiac arrests (OHCA) treated by the emergency medical services (EMS) of these only 29,000 survive to hospital discharge. There is a lack of population-based registries including multiple source of surveillance in the Mediterranean area. All the available data will be reviewed after an adjudication process with the aim of identifying all cases of sudden cardiac death. The primary care researchers analyze the digital clinical records in order to obtain medical background. Survivors admitted to hospital are followed up and their clinical variables are collected in each hospital. All the examination findings following a specific protocol for the sudden death study are entered into the ReCaPTa database by one trained person. Simultaneously, data from the medico-legal autopsies is taken from the Pathology Center of the area. A quality control is performed and it permits monitoring the percentage of cases included by the emergency crew. ReCaPTa collects data after each emergency medical assistance using an online application including variables of the onset of symptoms. This registry is compiled chronologically in a relational database and it prospectively contains data on all the OHCA attended by the EMS from April 2014 to April 2017. ReCaPTa is a population-based registry of OHCA using multiple sources of surveillance. The aim of the Clinical and Pathological Registry of Tarragona (ReCaPTa) is to study incidence and etiology of Sudden Cardiac Death in the Tarragona region (Catalonia, Spain). It requires prospective studies in the community including multiple sources of case ascertainment that help to identify the cause and circumstances of death. The determination of the sudden cardiac death phenotype is challenging. Sudden cardiac death is very often the first manifestation of the disease and it occurs in the prehospital setting. Cardiovascular diseases are one of the leading causes of death in the industrialized world.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |