Change in survival from out-of-hospital cardiac arrest and its effect on coronary heart disease mortality, Minneapolis-St. Paul. The Minnesota Heart Survey.
Change in survival from out-of-hospital cardiac arrest and its effect on coronary heart disease mortality, Minneapolis-St. Paul. The Minnesota Heart Survey.
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院外心脏骤停的生存变化及其对冠心病死亡率的影响，明尼阿波利斯-圣路易斯。
DOI：
10.1093/oxfordjournals.aje.a116160
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发表时间：
1991
影响因子：
5
通讯作者：
Campion,BC
中科院分区：
文献类型：
--
作者：
Tillinghast,SJ;Doliszny,KM;Kottke,TE;Gomez-Marin,O;Lilja,GP;Campion,BC
在20世纪70年代中期，明尼苏达州明尼阿波利斯-圣保罗地区实施了具有先进生命支持系统的紧急医疗服务。为了评估急诊医疗服务对冠心病死亡率的影响，作者回顾了1972-1982年期间救护车记录和医院急诊室日志中可能的院外心脏骤停病例。潜在病例及其出院生存率通过医院记录审查进行验证，并与心脏骤停当年和心脏骤停后一年的明尼苏达州死亡证明进行核对。从1972年到1982年，年龄在30-74岁之间的院外心脏骤停的幸存者中，男性（1.8 vs. 11.7;p< 0.00001）和女性（0.5 vs. 3.5;p <0.01）心脏骤停后1年的生存率（每10万人）显著增加。同期，男性冠心病死亡率下降了34.9%（从527.5/10万下降到343.3/10万），女性冠心病死亡率下降了41.7%（从168.6/10万下降到98.3/10万）。作者估计，院外心脏骤停的生存率提高对男性死亡率下降的贡献为5.4%（9.9/184.2），对女性死亡率下降的贡献为4.3%（3.0/70.3）。这对冠心病死亡率的下降做出了重大贡献，但它只解释了其中的一小部分。
Emergency medical services with advanced life support systems were implemented in the Minneapolis-St. Paul, Minnesota, area in the mid-1970s. To assess the impact of emergency medical services on coronary heart disease mortality, the authors reviewed ambulance records and hospital emergency room logs for possible out-of-hospital cardiac arrest cases in the period 1972–1982. Potential cases, and their survival to discharge, were validated by hospital record review and were checked against Minnesota death certificates for the year of cardiac arrest and the year following cardiac arrest. Age-adjusted rates of survival to 1 year after cardiac arrest (per 100, 000 population) for survivors of out-of-hospital cardiac arrest aged 30–74 years increased significantly from 1972 to 1982 for men (1.8 vs. 11.7;p< 0.00001) and for women (0.5 vs. 3.5;p< 0.01). Coronary heart disease mortality rates declined in that period by 34 9% for men (from 527.5 per 100, 000 to 343.3 per 100, 000) and by 41.7% for women (from 168.6 per 100,000 to 98.3 per 100,000). The authors estimate that improved survival from out-of-hospital cardiac arrest contributed 5.4% (9.9 of 184.2) of the mortality decline for men and 4.3% (3.0 of 70.3) of the decline for women. This was a significant contribution to the decline in coronary heart disease mortality, but it explains only a small part of it.