越南河内转运至急诊科的院外心脏骤停结局：一项多中心观察性研究。
Outcomes for out-of-hospital cardiac arrest transported to emergency departments in Hanoi, Vietnam: A multi-centre observational study.
作者信息
Hoang Bui Hai, Do Ngoc Son, Vu Dinh Hung, Do Giang Phuc, Dao Xuan Dung, Nguyen Huu Huan, Luu Quang Thuy, Le Van Cuong, Nguyen Huu Tu, Dinh Michael M, Nakahara Shinji
机构信息
Emergency and Critical Medicine Department, Hanoi Medical University Hospital, Hanoi, Vietnam.
Hanoi Medical University, Hanoi, Vietnam.
出版信息
Emerg Med Australas. 2021 Jun;33(3):541-546. doi: 10.1111/1742-6723.13750. Epub 2021 Mar 11.
OBJECTIVE
To describe the outcomes of patients with out-of-hospital cardiac arrest (OHCA) transported to hospital in Hanoi, Vietnam.
METHODS
This was a multi-centre observational study of patients presenting with OHCA to one of five tertiary care hospital EDs in Hanoi from 2017 to 2019.
RESULTS
We analysed data from 239 OHCA cases of which 70.7% were witnessed, and 8.4% received bystander cardiopulmonary resuscitation (CPR). The emergency medical services (EMS) transported 20.5% of cases to hospital with the remaining being transported by private vehicle. No patients received external defibrillation before arriving to hospital. Return of spontaneous circulation in hospital was 33.1%, with 3.8% of patients survived to hospital discharge and only one patient (0.4%) discharged from hospital with a favourable neurological outcome.
CONCLUSIONS
In cases of OHCA in Hanoi, both the proportion of cases receiving bystander CPR and EMS transportation were small. Urgent investments in pre-hospital capacity, training and capabilities are required to improve outcomes for OHCA in Hanoi.
目的
描述越南河内市院外心脏骤停（OHCA）患者被送往医院后的治疗结果。
方法
这是一项多中心观察性研究，研究对象为2017年至2019年期间在河内市五家三级护理医院急诊科之一就诊的OHCA患者。
结果
我们分析了239例OHCA病例的数据，其中70.7%为目击病例，8.4%接受了旁观者心肺复苏（CPR）。紧急医疗服务（EMS）将20.5%的病例送往医院，其余病例由私家车运送。没有患者在到达医院前接受体外除颤。医院内自主循环恢复率为33.1%，3.8%的患者存活至出院，只有1例患者（0.4%）出院时神经功能良好。
结论
在河内市的OHCA病例中，接受旁观者CPR和EMS转运的病例比例都很小。需要对院前能力、培训和技能进行紧急投资，以改善河内市OHCA患者的治疗结果。
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