病院外での心停止における公衆アクセス式除細動:コミュニティベースの研究
Linda L Culley1, Thomas D Rea, John A Murray
1Public Health Seattle and King County, Emergency Medical Services Division, 999 Third Ave, Suite 700, Seattle, WA 98104-4039, USA. Linda.Culley@metrokc.gov
Circulation
|March 17, 2004
まとめ
AED (Automated External Defibrillator) の使用は,心停止の症例ではまれですが,増加しています. AEDのアクセシビリティの重要性を強調し,公衆アクセス式除細動 (PAD) は有望な生存率を示しています.
科学分野:
- 緊急医療は,緊急医療である.
- 公衆衛生は公衆衛生である.
- 心臓病学 心臓病学
背景:
- 緊急医療サービス (EMS) 以外のコミュニティの自動化された外部除細動器 (AED) の使用は,評価を必要とします.
- 非EMS AEDの配備の頻度と結果を評価することは,公衆の安全にとって極めて重要です.
研究 の 目的:
- コミュニティ環境における公衆アクセス除細動 (PAD) の頻度と結果を評価する.
- 病院外心停止生存率に対する非EMS AEDの使用の影響を決定する.
主な方法:
- 一つのコホート研究では,1999年から2002年の間にコミュニティのレスポンサーによってAEDで治療された病院外心停止症例を分析しました.
- ワシントン州シアトルとキング郡で心臓病による心停止の症例を調査した.
- 自発的なコミュニティレスポンサーAEDプログラムを通じて,AEDの配置とレスポンサーの訓練を追跡しました.
主要な成果:
- 50例の病院外心停止は,EMSが導入される前にPADで治療され,EMSで治療されたすべての心停止の1.33%を占めました.
- PADで治療された逮捕者の割合は,研究期間中に毎年0.82%から2.05%に増加しました.
- PAD治療を受けた患者の生存率から退院までの生存率は50%であり,非医療および病院外の医療環境では同様の割合であった.
結論:
- パブリック アクセス デフィブリレーション (PAD) は,病院外での心臓発作停止の少ないが増加する数に役割を果たしました.
- コミュニティのAEDプログラムでは,心停止の生存率を改善する可能性があることが示されています.
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