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NCAA 二级和三级大学中的自动体外除颤器使用情况。

Automated external defibrillator use at NCAA Division II and III universities.

机构信息

Department of Family Medicine, University of Washington, Box 354410, Seattle, Washington, DC 98195, USA.

出版信息

Br J Sports Med. 2011 Dec;45(15):1174-8. doi: 10.1136/bjsm.2009.070052. Epub 2010 Nov 16.

DOI:10.1136/bjsm.2009.070052
PMID:21081638
Abstract

OBJECTIVE

The placement of automated external defibrillators (AEDs) at collegiate sporting venues is a growing trend. The purpose of this study was to investigate the prevalence, location and past utilisation of AEDs at National Collegiate Athletic Association (NCAA) Division II and III universities.

DESIGN

Cross-sectional survey.

SETTING

NCAA Division II and III universities.

PARTICIPANTS

Questionnaires were mailed to the head athletic trainer at NCAA Division II and III (N=711) colleges and universities in the fall of 2003. Findings were compared to previously published results at Division I institutions.

MAIN OUTCOME MEASURE

Prevalence, location and past utilisation of AEDs.

RESULTS

Completed surveys were returned by 254 NCAA Division II and III institutions for a 35.7% response rate (254/711). 205 (81%) institutions had at least one AED in the university athletic setting, with a median of 2 AEDs per institution (range 1-9). Athletic training rooms (75%) were the most likely location to place an AED. Twelve cases of AED use for sudden cardiac arrest were reported with 67% (8/12) occurring in older non-students, 16% (2/12) in intercollegiate athletes and 16% (2/12) in students (non-intercollegiate athletes). The AED deployed a shock in eight cases. 8 of 12 (66%) victims were immediately resuscitated, but only 4 survived to hospital discharge (overall survival 33%). None of the intercollegiate athletes or students survived.

CONCLUSIONS

Most NCAA Division II and III institutions that responded to the survey have implemented AEDs in their athletic programs, although they have a lower prevalence of AEDs than previously reported at Division I universities. Although no benefit was demonstrated in a small number of intercollegiate athletes, AEDs were successfully used in older individuals on campus with cardiac arrest.

摘要

目的

在学院体育场馆放置自动体外除颤器(AED)是一种日益增长的趋势。本研究的目的是调查美国大学生体育协会(NCAA)二级和三级大学中 AED 的普及程度、位置和过去的使用情况。

设计

横断面调查。

地点

NCAA 二级和三级大学。

参与者

2003 年秋季,向 NCAA 二级和三级(N=711)学院和大学的首席运动训练师邮寄了问卷。结果与之前在一级机构发表的结果进行了比较。

主要观察指标

AED 的普及程度、位置和过去的使用情况。

结果

NCAA 二级和三级 254 所院校完成了调查,回复率为 35.7%(254/711)。205 所(81%)院校在大学体育环境中至少有一台 AED,中位数为每所院校 2 台 AED(范围 1-9)。运动训练室(75%)是最有可能放置 AED 的地方。报告了 12 例因心脏骤停使用 AED 的病例,其中 67%(8/12)发生在年龄较大的非学生中,16%(2/12)发生在校际运动员中,16%(2/12)发生在学生(非校际运动员)中。AED 电击了 8 例。12 例患者中有 8 例(66%)立即复苏,但只有 4 例存活至出院(总体存活率为 33%)。没有一名校际运动员或学生存活。

结论

大多数回复调查的 NCAA 二级和三级院校都在其体育项目中实施了 AED,但它们的 AED 普及率低于之前在一级大学报道的水平。尽管在校际运动员中数量较少的案例中没有显示出益处,但 AED 在校园内心脏骤停的老年人中得到了成功应用。

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