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[西班牙各自治区在医疗保健机构以外半自动体外除颤器可及性方面的差异]

[Differences between Spain's autonomous communities in the availability of semi-automatic external defibrillators outside the healthcare setting].

作者信息

Ballesteros-Peña S, Fernández-Aedo I, Vallejo de la Hoz G

机构信息

Biocruces Bizkaia Health Research Institute, Barakaldo, Bizkaia, España; Osakidetza, Hospital Santa Marina, Bilbao, España; Universidad del País Vasco / Euskal Herriko Unibertsitatea, Leioa, Bizkaia, España.

Biocruces Bizkaia Health Research Institute, Barakaldo, Bizkaia, España; Universidad del País Vasco / Euskal Herriko Unibertsitatea, Leioa, Bizkaia, España.

出版信息

J Healthc Qual Res. 2023 Sep-Oct;38(5):294-298. doi: 10.1016/j.jhqr.2023.02.004. Epub 2023 Mar 9.

DOI:10.1016/j.jhqr.2023.02.004
PMID:36906492
Abstract

BACKGROUND

Early defibrillation is one of the interventions that can most influence the prognosis of cardiac arrest. The objectives of this study were to determine the number of automatic external defibrillators outside the healthcare setting in each autonomous community in Spain and to compare the legislation of each autonomous community on the mandatory installation of defibrillators outside the healthcare setting.

METHODS

A cross-sectional observational study was carried out between December 2021 and January 2022 by consulting official data in the 17 Spanish autonomous communities.

RESULTS

Complete data on the number of registered defibrillators were obtained from 15 autonomous communities. The number of defibrillators ranged from 35 to 126 per 100,000 inhabitants. At the global level, differences were observed between communities with mandatory defibrillator installation and those without (92.1 vs. 57.8 defibrillators/100,000 inhabitants).

CONCLUSIONS

There is heterogeneity in the provision of defibrillators outside the health care setting, which seems to be related to the diversity of legislation on the mandatory installation of defibrillators.

摘要

背景

早期除颤是对心脏骤停预后影响最大的干预措施之一。本研究的目的是确定西班牙每个自治区医疗机构外自动体外除颤器的数量,并比较各自治区关于在医疗机构外强制安装除颤器的立法情况。

方法

2021年12月至2022年1月期间,通过查阅西班牙17个自治区的官方数据进行了一项横断面观察性研究。

结果

从15个自治区获得了已注册除颤器数量的完整数据。每10万居民中除颤器的数量在35至126台之间。在全球范围内,观察到强制安装除颤器的社区和未强制安装除颤器的社区之间存在差异(每10万居民中分别为92.1台和57.8台)。

结论

医疗机构外除颤器的供应存在异质性,这似乎与强制安装除颤器的立法多样性有关。

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