Bylow Helene, Rawshani Araz, Claesson Andreas, Lepp Margret, Herlitz Johan
Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Medicine, Centre for Resuscitation Science, Karolinska Institute, Stockholm, Sweden.
Resusc Plus. 2021 Feb 18;5:100090. doi: 10.1016/j.resplu.2021.100090. eCollection 2021 Mar.
Characteristics and outcome in out-of-hospital cardiac arrest (OHCA) occurring at workplaces is sparsely studied.
To describe (1) the characteristics and 30-day survival of OHCAs occurring at workplaces in comparison to OHCAs at other places and (2) factors associated with survival after OHCAs at workplaces.
Data on OHCAs were obtained from the Swedish Registry of Cardiopulmonary Resuscitation from 1 January 2008 to 31 December 2018. Characteristics and factors associated with survival were analysed with emphasis on the location of OHCAs.
Among 47,685 OHCAs, 529 cases (1%) occurred at workplaces. Overall, in the fully adjusted model, all locations of OHCA, with the exception of crowded public places, displayed significantly lower probability of survival than workplaces. Exhibiting a shockable rhythm was the strongest predictor of survival among patients with OHCAs at workplaces; odds ratio (95% CI) 5.80 (2.92-12.31). Odds ratio for survival for women was 2.08 (95% CI 1.07-4.03), compared with men. At workplaces other than private offices, odds ratio for survival was 0.41 (95% CI 0.16-0.95) for cases who did not receive bystander CPR, as compared to those who did receive CPR. Among patients who were found in a shockable rhythm were 23% defibrillated before arrival of ambulance, which was more frequent than in any other location.
Out-of-hospital cardiac arrest occurring at workplaces and crowded public places display the highest probability of survival, as compared with other places outside hospital. An initial shockable cardiac rhythm was the strongest predictor of survival for OHCA at workplaces.
对发生在工作场所的院外心脏骤停（OHCA）的特征及预后的研究较少。
描述（1）与其他场所发生的院外心脏骤停相比，工作场所发生的院外心脏骤停的特征及30天生存率，以及（2）工作场所院外心脏骤停后与生存相关的因素。
从瑞典心肺复苏登记处获取2008年1月1日至2018年12月31日期间院外心脏骤停的数据。分析与生存相关的特征和因素，重点关注院外心脏骤停的发生地点。
在47685例院外心脏骤停病例中，529例（1%）发生在工作场所。总体而言,在完全调整模型中，除拥挤的公共场所外，所有院外心脏骤停发生地点的生存概率均显著低于工作场所。出现可电击心律是工作场所院外心脏骤停患者生存的最强预测因素；优势比（95%置信区间）为(5.80(2.92 - 12.31))。与男性相比，女性生存的优势比为(2.08(95%CI 1.07 - 4.03))。在私人办公室以外的工作场所，未接受旁观者心肺复苏的病例与接受心肺复苏的病例相比，生存优势比为(0.41(95%CI 0.16 - 0.95))。在出现可电击心律的患者中，23%在救护车到达前接受了除颤，这比其他任何地点都更频繁。
与医院外的其他场所相比，发生在工作场所和拥挤公共场所的院外心脏骤停生存概率最高。初始可电击心律是工作场所院外心脏骤停生存的最强预测因素。
