A study of out-of-hospital cardiac arrests in northeastern Minnesota.

A study of out-of-hospital cardiac arrests in northeastern Minnesota.
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对明尼苏达州东北部院外心脏骤停的研究。

DOI:
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发表时间:
1986
期刊:
Journal of the American Medical Association (JAMA)
影响因子:
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通讯作者:
P. C. O'Brien
P. C. O'Brien
中科院分区:
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文献类型:
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作者:
J. Bachman;G. McDonald;P. C. O'Brien

文献摘要

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在明尼苏达州箭头地区,高级心脏生命支持和除颤培训以及心肺复苏 (CPR) 社区计划在复苏心脏骤停患者方面取得的成功有限。与生存相关的因素包括 16 分钟内先进的心脏生命支持、救护车行驶不到 1 英里(不到 1.6 公里)、使用护理人员、四分钟内进行心肺复苏以及两分钟内求救。使用接受过除颤培训的技术人员与住院人数的统计显着增加有关,但与幸存者无关。该研究未能证实之前一些农村地区复苏研究的结果。然而,这与农村地区生存率低与响应时间短有关的报告是一致的。无人目击逮捕的受害者无一生还。在医院死亡中,80% 是由于神经系统原因造成的,总体生存率很低。
Training in advanced cardiac life support and defibrillation and community programs in cardiopulmonary resuscitation (CPR) had limited success in resuscitating patients with cardiac arrest in the Arrowhead region of Minnesota. Factors associated with survival included advanced cardiac life support within 16 minutes, ambulance traveling less than 1 mile (less than 1.6 km), use of paramedics, CPR within four minutes, and a call for help within two minutes. The use of technicians trained in defibrillation was associated with a statistically significant increase in hospital admissions, but not in survivors. The study failed to confirm the findings of previous studies of resuscitation in some rural areas. It was consistent, however, with reports that associated poor survival in rural areas with poor response times. No victims of unwitnessed arrests survived. Of the hospital deaths, 80% were due to neurologic causes, and overall survival was low.