ヒトの心臓発作停止中に息を吸うことは頻繁であり,生存率の改善と関連しています

Bentley J Bobrow¹, Mathias Zuercher, Gordon A Ewy

¹Department of Health Services, Bureau of Emergency Medical Services and Trauma System, , Tucson, Arizona , USA.

Circulation

|November 26, 2008

まとめ

心臓発作の後に息を吸うことは一般的であり,生存率の著しく増加と関連しています. 息が詰まっていることを認識することは,傍観者および配送担当者にとって極めて重要であり,迅速な蘇生活動を保証します.

科学分野:

心臓病学心臓病学
緊急医療緊急医療
蘇生科学蘇生科学とは

背景:

発作率と心臓発作停止後の喘息の臨床的意義は,依然として議論の対象となっている.
心停止の結果における息を吸うことの役割に関する以前の理解は,論争の的です.

研究の目的:

病院外心停止 (OHCA) 患者における喘息の発生率を調査する.
喘ぐことと退院後の生存率との相関を判定する.
緊急医療システム (EMS) の到着時間の喘息の流行に対する影響を評価する.

主な方法:

フェニックス消防局の配送記録からOHCAのケースを遡及的に分析する.
EMSの救急医療報告1218件を分析し,EMSの到着時間と比較して喘息の頻度を評価した.
プライマリアウトカム・メーター: 病院退院までの生存率.

主要な成果:

ガッシングは,蘇生を試みた患者の39%に存在していました.
EMSの到着時間が長くなった場合,喘息の発生率は著しく減少しました (逮捕後の到着では33%,到着>9分の場合では7%).
喘ぐ患者には,出院までの生存率が3.4倍も高かった (28%対8%).
傍観者による心肺蘇生を受けた患者の中で,喘ぐことは5.1倍の生存率 (39%対9%) と関連していました.

結論:

喘息,または異常な呼吸は,心停止直後に頻繁に起こるが,時間の経過とともに急速に減少する.
喘ぐことの存在は,心停止後の生存率の改善と強く関連しています.
傍観者および緊急医療ディスパッチャーのための教育イニシアティブは,喘ぐことを認識し,適時な蘇生を開始することの重要性を強調することをお勧めします.

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