Fouche Pieter Francsois, Jennings Paul Andrew
Department of Community Emergency Health and Paramedic Practice, Monash University, Building H McMahons Road, Frankston, Melbourne, 3199, Australia.
Scand J Trauma Resusc Emerg Med. 2016 Jul 4;24(1):88. doi: 10.1186/s13049-016-0282-8.
A recent publication Hiltunen et al. on Out-of-Hospital Cardiac Arrest (OHCA) in Finland show increased survival when a physician attends an OHCA, compared to EMS. But it is likely that physicians attend OHCA patients with a different prognosis due to comorbidity or illness severity, which causes confounding by indication and is the likely cause for the physician and survival association.
希尔图宁等人最近发表的一篇关于芬兰院外心脏骤停(OHCA)的文章表明,与急救医疗服务(EMS)相比,当有医生参与院外心脏骤停时,患者的生存率会提高。但由于合并症或疾病严重程度不同,医生参与救治的院外心脏骤停患者预后可能不同,这会导致指征性混杂,这可能是医生参与与生存率之间存在关联的原因。