Dietze Paul, Cantwell Kate, Burgess Stephen
VicHealth Public Health Research Fellow, Turning Point Alcohol and Drug Centre Inc. and Deakin University School of Health Sciences, 54-62 Gertrude Street, Vic. 3065, Fitzroy, Australia.
Drug Alcohol Depend. 2002 Jul 1;67(2):213-8. doi: 10.1016/s0376-8716(02)00063-7.
To document the characteristics and effectiveness of cardiopulmonary resuscitation (CPR) at non-fatal heroin overdose events in Melbourne, Australia.
A retrospective analysis of a computerised database of ambulance attendance records at non-fatal heroin overdose cases for the period 1/12/1998 to 31/7/2000 was undertaken.
The main outcome measure was the rate of patient hospitalisation. The rate of CPR administration at heroin overdose cases was also examined, along with characteristics of the attendance, such as the age and sex of the overdose case, the relationship of person providing CPR to the overdose case as well as the location, time and date of the event.
CPR was administered prior to ambulance arrival in 579 heroin overdose cases (9.4% of total heroin overdose cases attended) between 1/12/98 and 31/7/2000. A greater proportion of female overdose cases were administered CPR than males and CPR administrations were evenly distributed across attendances occurring in private and public locations. Bystander administration of CPR prior to ambulance attendance resulted in a significantly lower rate of heroin user hospitalisation (14.5%) compared to cases where bystander CPR was not administered (18.8%).
While CPR administration prior to ambulance attendance at heroin overdose events is relatively uncommon (especially compared to out-of-hospital cardiac arrest), such administration was associated with a statistically significant improvement in clinical outcomes in cases of non-fatal heroin overdose. These findings suggest that the provision of CPR training to people likely to come into contact with heroin overdose events may be an effective strategy at minimising consequent overdose-related harm.
记录澳大利亚墨尔本非致命性海洛因过量事件中心肺复苏（CPR）的特征及效果。
对1998年12月1日至2000年7月31日期间非致命性海洛因过量病例的救护车出勤记录计算机数据库进行回顾性分析。
主要观察指标为患者住院率。还检查了海洛因过量病例中进行心肺复苏的比例，以及出勤的特征，如过量病例的年龄和性别、进行心肺复苏者与过量病例的关系以及事件发生的地点、时间和日期。
在1998年12月1日至2000年7月31日期间，579例海洛因过量病例（占出勤的海洛因过量病例总数的9.4%）在救护车到达前接受了心肺复苏。接受心肺复苏的女性过量病例比例高于男性，且心肺复苏在私人和公共场所发生的出勤中分布均匀。与未进行旁观者心肺复苏的病例（18.8%）相比，旁观者在救护车出勤前进行心肺复苏导致海洛因使用者住院率显著降低（14.5%）。
虽然在海洛因过量事件中救护车出勤前进行心肺复苏相对不常见（特别是与院外心脏骤停相比），但这种操作与非致命性海洛因过量病例的临床结局在统计学上有显著改善相关。这些发现表明，对可能接触海洛因过量事件的人员进行心肺复苏培训可能是将随后与过量相关的伤害降至最低的有效策略。
