Department of Paramedic, Vocational School of Health Services, Gazi University, Ankara, Turkey.
Kayseri City Hospital, Kayseri, Turkey.
Malawi Med J. 2023 Mar;35(1):22-26. doi: 10.4314/mmj.v35i1.5.
The aim of this study is to conduct an epidemiological examination of Turkish citizens and refugees who requested an ambulance due to Out-of-hospital cardiac arrest (OHCA) at the Kayseri 112 emergency services between 2019 and 2020. This study was carried out in the province of Kayseri, which is one of the largest cities in Turkey. The study population includes OHCA patients for whom EMS were activated for any reason in 2019-2020. Data were taken from the Emergency Healthcare Automation System used by Kayseri Emergency Medical Services. A total of 5977 OHCA cases (Turkish 5736, Refugees 241) in which Emergency Medical Servises (EMS) was activated during the research period were included. A rate of 55.6% of patients Turkish nationality and 66.0% refugees were male (p<0.001). Observing at the cause of arrest, we find that 95.7% of cases among Turkish citizens and 82.6% of cases among refugees had a medical cause; while the suicide rate among Turkish citizens was 0.9%, this rate was 5.0% in refugee patients (p<0.001). It was found that the rate of OHCA increased with age and that the average OHCA age was lower in men and refugees. In addition, there is no difference between Turkish nationals and refugees in the use of emergency services for OHCA cases.
本研究旨在对 2019 年至 2020 年期间因院外心脏骤停（OHCA）在开塞利 112 紧急服务中心请求救护车的土耳其公民和难民进行流行病学检查。该研究在土耳其最大城市之一的开塞利省进行。研究人群包括因任何原因在 2019-2020 年期间激活 EMS 的 OHCA 患者。数据取自开塞利紧急医疗服务使用的紧急医疗保健自动化系统。在研究期间共纳入了 5977 例 OHCA 病例（土耳其人 5736 例，难民 241 例）。土耳其国民的患者中有 55.6%和难民中有 66.0%为男性（p<0.001）。观察到的导致骤停的原因，我们发现土耳其公民中有 95.7%的病例和难民中有 82.6%的病例有医学原因；而土耳其公民的自杀率为 0.9%，难民患者的这一比例为 5.0%（p<0.001）。结果发现，OHCA 的发生率随年龄增加而增加，男性和难民的平均 OHCA 年龄较低。此外，土耳其国民和难民在因 OHCA 病例使用紧急服务方面没有差异。
