Ageron François-Xavier, Debaty Guillaume, Gayet-Ageron Angèle, Belle Loïc, Gaillard Arnaud, Monnet Marie-France, Bare Stéphane, Richard Jean-Christophe, Danel Vincent, Perfus Jean-Pierre, Savary Dominique
Department of Emergency Medicine - SAMU 74, Annecy Genevois Hospital, Annecy, France.
Northern French Alps Emergency Network, Department of Public Health, Annecy Genevois Hospital, Annecy, France.
Scand J Trauma Resusc Emerg Med. 2016 Apr 22;24:53. doi: 10.1186/s13049-016-0247-y.
In countries where a single public emergency telephone number is not in operation, different emergency telephone numbers corresponding to multiple dispatch centres (police, fire, emergency medical service) may create confusion for the population about the most appropriate service to call. In particular, out-of-hospital cardiac arrest (OHCA) requires a prompt and effective response. We compare two different dispatch systems on OHCA patient survival at 30 days in a national system with multiple emergency telephone numbers.
We conducted an observational retrospective study of 6871 patients aged 18 years or older with presumed OHCA of cardiac origin between 2005 and 2013 in three counties of the Northern French Alps region. One county had a single dispatch centre combining medical and fire emergencies, and two had multiple dispatch centres. Propensity score matching analyses were performed to compare patient survival at 30 days.
A total of 2257 emergency calls for OHCA were managed by a single dispatch centre and 4614 by a multiple dispatch centre. A single dispatch centre was associated with an increase in survival (adjusted odds ratio [OR] for all patients: 1.7; 95 % confidence interval [CI] = 1.3-2.2; p <0.001; adjusted OR for propensity-matched patients: 2.0; 95 % CI = 1.2-3.4; p = 0.012).
A single dispatch centre was associated with a markedly improved increase of survival among OHCA patients at 30 days in a system with several emergency telephone numbers.
在未使用单一公共紧急电话号码的国家，对应多个调度中心（警察、消防、紧急医疗服务）的不同紧急电话号码可能会让民众对拨打最合适的服务电话感到困惑。特别是院外心脏骤停（OHCA）需要迅速有效的响应。我们在一个有多个紧急电话号码的国家系统中，比较两种不同的调度系统对OHCA患者30天生存率的影响。
我们对2005年至2013年期间法国阿尔卑斯山北部地区三个县的6871名18岁及以上疑似心脏源性OHCA患者进行了一项观察性回顾性研究。一个县有一个将医疗和火灾紧急情况合并的单一调度中心，另外两个县有多个调度中心。进行倾向得分匹配分析以比较患者30天的生存率。
单一调度中心共处理了2257起OHCA紧急呼叫，多个调度中心处理了4614起。单一调度中心与生存率增加相关（所有患者的调整优势比[OR]：1.7；95%置信区间[CI]=1.3-2.2；p<0.001；倾向匹配患者的调整OR：2.0；95%CI=1.2-3.4；p=0.012）。
在一个有多个紧急电话号码的系统中，单一调度中心与OHCA患者30天生存率的显著提高相关。
