Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia
Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia
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DOI：
10.1136/emermed-2011-201035
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发表时间：
2013-01-01
影响因子：
3.1
通讯作者：
Cameron, Peter
中科院分区：
文献类型：
--
作者：
Deasy, Conor;Bray, Janet;Cameron, Peter
简介上吊是一种罕见的，但破坏性的原因院外心脏骤停（OHCA）。我们确定了澳大利亚墨尔本绞刑相关OHCA的特征和结果。（年龄>= 16岁）与OHCA相关，使用维多利亚州救护车心脏骤停登记处的数据进行。结果在2000年至2009年期间，紧急医疗服务（EMS）处理了33178例成人OHCA，其中1321例（4%）为上吊病因。绞刑相关OHCA病例的中位年龄（IQR）为39（29-51）岁，其中1162例为男性（88%）。EMS首次记录的心律为心搏停止1276例（75.5%），无脉性电活动（PEA）38例（13.4%），室颤7例（0.5%）。208例（15.7%）患者尝试EMS复苏，其中61例（29.3%）获得自主循环恢复（ROSC）并被转运，7例（3.3%）存活至出院。上吊相关的OHCA更年轻（中位数（IQR）38（29-51）岁对74（61-82）岁，p
Introduction Hanging is an infrequent but devastating cause of out-of-hospital cardiac arrest (OHCA). We determine the characteristics and outcomes of hanging-associated OHCA in Melbourne Australia.Methods A 10-year retrospective case review of all adult hangings (aged >= 16 years) associated with OHCA, was conducted using data from the Victorian Ambulance Cardiac Arrest Registry.Results Between 2000 and 2009, the emergency medical service (EMS) attended 33 178 adult OHCAs of which 1321 (4%) had hanging as the aetiology. The median age (IQR) of hanging-associated OHCA cases was 39 (29-51) years and 1162 were men (88%). The first recorded rhythm by EMS was asystole seen in 1276 (75.5%) patients, pulseless electrical activity (PEA) in 38 (13.4%) cases and ventricular fibrillation in 7 cases (0.5%). EMS attempted resuscitation in 208 (15.7%) patients of whom 61 (29.3%) achieved return of spontaneous circulation (ROSC) and were transported, and 7 (3.3%) survived to hospital discharge. Hanging-associated OHCAs were younger (median (IQR) 38 (29-51) years versus 74 (61-82) years, p