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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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在日本的非医院心脏骤停患者中,公开的除和神经结果:基于人群的队列研究

Takahiro Nakashima1, Teruo Noguchi1, Yoshio Tahara1

  • 1Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Centre, Suita, Japan.

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概括
此摘要是机器生成的。

公开开放式除可显著改善心脏骤停 (OHCA) 患者的神经结果和生存率. 通过旁观者进行早期除, 增加心脏骤停后康复和生存的机会.

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科学领域:

  • 心脏病学
  • 紧急医疗
  • 公共卫生

背景情况:

  • 医院外心脏骤停 (OHCA) 的结果很差,超过80%的公共通道除尝试未能恢复自发循环.
  • 在此类事件发生后的神经和生存结果仍未得到充分评估.

研究的目的:

  • 在紧急医疗服务 (EMS) 抵达前接受旁观者心肺复苏和公共通道除的患者中评估神经状况和生存结果.

主要方法:

  • 日本 (2005-2015) 全国人口登记册的回顾性分析,涉及1,299,784名OHCA患者.
  • 主要结局:在30天后,有利的神经结局 (大脑性能类别1或2).
  • 二次结果:OHCA后的30天生存期. 用于分析的是倾向性得分匹配.

主要成果:

  • 在接受旁观者心肺复苏的28019名患者中,有2242名 (8. 0%) 患者没有恢复自发循环,而25087名 (89. 5%) 患者在EMS到来之前没有恢复心肺复苏.
  • 与没有除组 (22. 6%) 相比,在公共通道除组 (37. 7%) 的神经结果明显高 (经调整的OR,1. 45;p< 0. 0001).
  • 在公共通道除组中,30天的存活率也明显高 (44. 0%) 与无除组 (31. 8%) (经调整的OR,1. 31;p< 0. 0001).

结论:

  • 在OHCA患者中,公共通道除与显著改善的神经结果和存活率有关.
  • 这些发现支持了公众可访问的除器的好处,以及提高社区自动化外部除器 (AED) 可访问性的重要性.
  • 更广泛的AED可提高OHCA事件的旁观者干预的有效性.