Prehospital Cross-Sectional Study of Drowning Patients Across the United States.
Prehospital Cross-Sectional Study of Drowning Patients Across the United States.
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DOI：
10.1016/j.wem.2021.03.003
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发表时间：
2021-09
影响因子：
1.4
通讯作者：
Stopyra, Jason P.
中科院分区：
文献类型：
--
作者：
Popp, Lucas M.;Ashburn, Nicklaus P.;McGinnis, Henderson D.;Stopyra, Jason P.
每年，溺水占全球伤害相关死亡的7%，是意外伤害相关死亡的第三大原因。然而，在美国，很少有人知道关于院前介绍和管理这些病人。本研究的目的是描述美国的溺水人群，重点是院前时间间隔，运输和心脏骤停频率。使用ESO（德克萨斯州奥斯汀）国家紧急医疗服务数据登记中心，进行了一项回顾性横断面研究，查询了30个月（2016年1月至2018年7月）内美国各地紧急医疗服务的记录。包括有溺水派遣或主要投诉的患者。采用描述性统计、二项比例检验、一般线性和逻辑回归模型。有1859例符合研究标准。中位年龄为18岁（n=1855，LQ-UQ 4-46）。儿童患者占50%（n=919，95% CI 47-52）。29%（n=537，95% CI 27-31）发生心脏骤停，37%（n=186，95% CI 32-41）发生自主循环恢复。到达、到达现场和运输时间分别为8±5、19±17和15±10 min（平均值±SD）。这项全国院前溺水研究表明，尽管溺水死亡率为18%，但与总体院前全国平均水平相比，患者更有可能恢复自主循环，其中儿科患者的比率更高。未来的研究结果数据应集中在确定提高心肺复苏成功率的因素。
Every year drowning is responsible for 7% of injury-related deaths worldwide, making it the third leading cause of unintentional injury-related death. However, in the United States, little is known regarding the prehospital presentation and management of these patients. The purpose of this study was to describe the drowning population in the United States, with a focus on prehospital time intervals, transport, and cardiac arrest frequency. A retrospective cross-sectional study was performed querying records from emergency medical services encounters across the United States over 30 mo (January 2016 to July 2018) using the ESO (Austin, TX) national emergency medical services data registry. Patients with a dispatch or chief complaint of drowning were included. Descriptive statistics, binomial proportion tests, and general linear and logistic regression models were used. There were 1859 encounters that met the study criteria. Median age was 18 y (n=1855, LQ-UQ 4–46). Pediatric patients accounted for 50% (n=919, 95% CI 47–52). Cardiac arrest occurred in 29% (n=537, 95% CI 27–31), and return of spontaneous circulation occurred in 37% (n=186, 95% CI 32–41). Times were 8±5, 19±17, and 15±10 min (mean±SD) for arrival, on-scene, and transport times, respectively. This national prehospital drowning study demonstrated that despite an 18% fatality rate in drowning encounters, patients were more likely to have return of spontaneous circulation when compared to the overall prehospital national average, with rates higher in pediatric patients. Future studies with outcomes data should focus on identifying factors that improve cardiopulmonary resuscitation success rates.
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影响因子：
3.3
作者：
Browne, ML;Lewis-Michl, EL;Stark, AD
通讯作者：
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3.2
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6.5
作者：
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通讯作者：
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