Saberian Peyman, Shafiee Arman, Hasani-Sharamin Parisa, Rafiemanesh Hosein, Baratloo Alireza
Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Bull Emerg Trauma. 2023;11(3):154-161. doi: 10.30476/BEAT.2023.98541.1436.
Considering the growing use of emergency medical services (EMS), we evaluated the level of public awareness of emergency situations in Iran.
This cross-sectional study was conducted from August 2021 to January 2023 on Iranian residents in Tehran, who were older than 18 years old. The participants were directed to a URL for an online survey link and asked to select their preferred options for the predetermined scenarios. We divided the participants into three groups: abuse, misuse, and non-use. At least 12 correct answers were required to qualify as acceptable knowledge and practice responses (KP score). Then, the relationship between participants' baseline characteristics and their level of awareness was investigated.
Totally, 3864 people participated in the study, of whom 50.5% were men. The participants' ages ranged from 18 to 90 years old, with a mean age of 40.01±11.30 years. In general, the rate of abuse, misuse, and not-use in at least one scenario was 74.5%, 64%, and 70.4%, respectively. The results of the multivariable regression analysis indicated that female sex (OR=1.29), a higher education level (OR=3.36), a higher income level (OR=1.64), and Turkish ethnicity (OR=1.20) were significantly associated with the correct KP score.
The degree of inappropriate utilization of EMS services in Iran was significant. We found that the proper knowledge regarding the appropriate use of EMS was significantly associated with the participant's level of education, academic field, job, and income.
鉴于紧急医疗服务（EMS）的使用日益增加，我们评估了伊朗公众对紧急情况的认知水平。
这项横断面研究于2021年8月至2023年1月对德黑兰年龄在18岁以上的伊朗居民进行。参与者被引导至一个在线调查链接的网址，并被要求为预定场景选择他们偏好的选项。我们将参与者分为三组：滥用、误用和未使用。至少需要12个正确答案才能被视为可接受的知识和实践回答（KP分数）。然后，研究了参与者的基线特征与其认知水平之间的关系。
共有3864人参与了该研究，其中50.5%为男性。参与者的年龄范围为18至90岁，平均年龄为40.01±11.30岁。总体而言，在至少一种场景中滥用、误用和未使用的比例分别为74.5%、64%和70.4%。多变量回归分析结果表明，女性（OR=1.29）、较高的教育水平（OR=3.36）、较高的收入水平（OR=1.64）和土耳其族裔（OR=1.20）与正确的KP分数显著相关。
伊朗紧急医疗服务的不当使用程度较高。我们发现，关于正确使用紧急医疗服务的适当知识与参与者的教育水平、学术领域、工作和收入显著相关。
