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医生在院外心脏骤停现场的出现不一定是生存率提高的原因。

Physician presence at out-of-hospital cardiac arrest is not necessarily the cause of improved survival.

作者信息

Fouche Pieter Francsois, Jennings Paul Andrew

机构信息

Department of Community Emergency Health and Paramedic Practice, Monash University, Building H McMahons Road, Frankston, Melbourne, 3199, Australia.

出版信息

Scand J Trauma Resusc Emerg Med. 2016 Jul 4;24(1):88. doi: 10.1186/s13049-016-0282-8.

Abstract

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.

摘要

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。

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本文引用的文献

1
Airway management in out-of-hospital cardiac arrest in Finland: current practices and outcomes.
Scand J Trauma Resusc Emerg Med. 2016 Apr 12;24:49. doi: 10.1186/s13049-016-0235-2.
2
The importance of comorbidity and illness severity scores in cardiac arrest research.
Resuscitation. 2016 May;102:e3. doi: 10.1016/j.resuscitation.2016.01.035. Epub 2016 Mar 17.
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Out-of-hospital cardiac arrest studies must adjust for sicker patients properly.
Am J Emerg Med. 2016 Feb;34(2):328-9. doi: 10.1016/j.ajem.2015.11.043. Epub 2015 Nov 18.
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