Múgica-Jauregui L, Orozco-Beltrán D, López-Pineda A, Gil-Guillén V F, Cheikh-Moussa K, Nouni-García R, Carratalá-Munuera C, Quesada J A
Centro de Salud Albía, Osakidetza, Bilbao, Vizcaya, España.
Departamento de Medicina Clínica, Universidad Miguel Hernández, San Juan de Alicante, España.
J Healthc Qual Res. 2022 Jul-Aug;37(4):247-253. doi: 10.1016/j.jhqr.2021.11.003. Epub 2021 Dec 28.
Out-of-hospital medical emergency services are defined as a functional organization that performs a set of sequential human and material activities. The objective of this study was to compare the mortality of patients attended by the out-of-hospital medical emergency services in 2 neighboring Spanish regions with different models of healthcare transport assistance for emergency care.
Retrospective observational cohort study, done between June 1, 2007 and December 31, 2008 in 2 regions of Gipuzkoa, Alto Deba (AD) and Bajo Deba (BD). The study variables were age, sex and place of exposure (AD/BD), heart rate, blood pressure, initial reason for the call defined by the European Resuscitation Council, unconsciousness and digestive bleeding. 3452 subjects were analyzed.
The risk of in situ mortality in BD was 1.31 times higher than in AD (P=.050), that of hospital mortality in BD was 0.71 times lower than in AD (P=.011) and the risk of mortality at one year between counties and the combined mortality (in situ+hospital) did not contribute significant differences.
Mortality (in situ+in-hospital, and one year aftercare) of patients treated by the out-of-hospital emergency medical services in AD (non-medicalized healthcare transport model) was similar to that of the BD region (mixed healthcare transport model).
院外医疗急救服务被定义为一个执行一系列有序的人力和物力活动的功能组织。本研究的目的是比较西班牙两个相邻地区，采用不同紧急医疗护理运输援助模式的院外医疗急救服务所救治患者的死亡率。
回顾性观察队列研究，于2007年6月1日至2008年12月31日在吉普斯夸省的两个地区，上德瓦（AD）和下德瓦（BD）进行。研究变量包括年龄、性别、暴露地点（AD/BD）、心率、血压、由欧洲复苏委员会定义的呼叫初始原因、意识丧失和消化道出血。共分析了3452名受试者。
BD地区现场死亡率风险比AD地区高1.31倍（P = 0.050），BD地区医院死亡率风险比AD地区低0.71倍（P = 0.011），两地区间一年死亡率风险及综合死亡率（现场+医院）无显著差异。
AD地区（非医疗化医疗运输模式）院外紧急医疗服务所治疗患者的死亡率（现场+院内，以及一年后续护理）与BD地区（混合医疗运输模式）相似。
