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救护车反应时间对院外心脏骤停后生存率的影响。

The Effects of Ambulance Response Time on Survival Following Out-of-Hospital Cardiac Arrest.

作者信息

Alumran Arwa, Albinali Hissah, Saadah Amjad, Althumairi Arwa

机构信息

Health Information Management and Technology Department, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Emergency Medical Service, Royal Commission Hospital, Jubail Industrial City, Saudi Arabia.

出版信息

Open Access Emerg Med. 2020 Dec 1;12:421-426. doi: 10.2147/OAEM.S270837. eCollection 2020.

Abstract

BACKGROUND

Patients who suffer cardiac arrest outside medical facilities are at greater risk of death and adverse medical outcomes. Cardiopulmonary resuscitation affects the survival rates of such patients, which suggests that response time may be vital to patient outcomes.

OBJECTIVE

The aim of this study was to investigate the role of response time, whether more or less than 8 minutes, on the survival of patients who have suffered out-of-hospital cardiac arrest.

METHODS

Data were collected from emergency cases handled by a secondary hospital in Jubail, Saudi Arabia, between January 2017 and October 2019. There were 108 out-of-hospital cardiac arrest cases, 85 of which resulted in death.

RESULTS

Bivariate analysis showed no significant association between response time and patient outcomes; however, the odds of having a negative outcome (death) if the response time is more than 8 minutes is double the odds of dying if the response time is less than 8 minutes.

CONCLUSION

Ambulance response time to out-of-hospital cardiac arrest does not significantly influence the patient survival rate in the current study hospital. Other variables may have a more significant effect.

摘要

背景

在医疗机构外发生心脏骤停的患者死亡及出现不良医疗后果的风险更高。心肺复苏会影响此类患者的存活率,这表明响应时间可能对患者的治疗结果至关重要。

目的

本研究的目的是调查响应时间(超过或少于8分钟)对院外心脏骤停患者存活率的作用。

方法

收集了沙特阿拉伯朱拜勒一家二级医院在2017年1月至2019年10月期间处理的急诊病例数据。共有108例院外心脏骤停病例,其中85例导致死亡。

结果

双变量分析显示响应时间与患者治疗结果之间无显著关联;然而,如果响应时间超过8分钟,出现负面结果(死亡)的几率是响应时间少于8分钟时死亡几率的两倍。

结论

在本研究医院中,救护车对院外心脏骤停的响应时间对患者存活率没有显著影响。其他变量可能有更显著的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a0/7718983/57d8100253bc/OAEM-12-421-g0001.jpg

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