Who gets bystander cardiopulmonary resuscitation in a witnessed arrest?
Who gets bystander cardiopulmonary resuscitation in a witnessed arrest?
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DOI：
10.1111/j.1553-2712.1997.tb03574.x
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发表时间：
1997-06-01
影响因子：
4.4
通讯作者：
Swor, RA
中科院分区：
文献类型：
--
作者：
Jackson, RE;Swor, RA
目的：为了确定与提供旁观者心肺复苏术在目睹了院外cardiac arrest cases.Methods：一个观察性的，前瞻性的，队列研究进行了使用心脏骤停的情况下确定的紧急医疗服务（EMS）机构在奥克兰县，MI，从1989年7月1日至1993年12月31日。结果：在927例符合入选标准的患者中，229例接受旁观者心肺复苏术的患者年龄较小：60.9 ± 14.7岁对67.9 ± 14.7岁（p < 0.01），大多数（76.6%）心脏骤停发生在家中。在多变量logistic模型中，只有在家外的心脏骤停位置是接受旁观者心肺复苏术的重要预测因素[比值比（OR）3.8; 99%CI 2.5，5.9]。逮捕以外的家庭与显着改善的结果，18.2%的家庭和5.2%的家庭受害者出院后活着（OR 2.5; 99%CI 1.4，4.4）。结论：谁曾目睹心脏骤停以外的家庭的患者是近I倍更有可能接受旁观者心肺复苏术，并有两倍的可能生存。这一意见强调了在提交人所在地对家庭成员进行心肺复苏术培训的必要性。这种现象也可能是院外心脏骤停和复苏研究中的一个重要混杂因素。
Objective: To identify characteristics associated with provision of bystander CPR in witnessed out-of-hospital cardiac arrest cases.Methods: An observational, prospective, cohort study was performed using cardiac arrest cases as identified by emergency medical services (EMS) agencies in Oakland County, MI, from July 1, 1989, to December 31, 1993. All patients who sustained a witnessed arrest prior to arrival of EMS personnel were reviewed.Results: Of the 927 patients meeting entry criteria, the 229 patients receiving bystander CPR were younger: 60.9 +/- 14.7 vs 67.9 +/- 14.7 years (p < 0.01), Most (76.6%) cardiac arrests occurred in the home. In a multivariate logistic model, only the location of arrest outside the home was a significant predictor of receiving bystander CPR [odds ratio (OR) 3.8; 99% CI 2.5, 5.9]. Arrests outside the home were associated with significantly improved outcome, with 18.2% of out-of-home and 5.2% of in-home victims discharged from the hospital alive (OR 2.5; 99% CI 1.4, 4.4).Conclusion: Patients who have had witnessed cardiac arrests outside the home are nearly I times more likely to receive bystander CPR, and are twice as likely to survive. This observation emphasizes the need for CPR training of family members in the authors' locale. This phenomenon may also represent a significant confounder in studies of out-of-hospital cardiac arrest and resuscitation.