基本生命支持课程与旁观者心肺复苏和丹麦OHCA的生存之间的地理关联
Theo Walther Jensen1,2,3, Annette Kjær Ersbøll3,4, Fredrik Folke2,3,5
1Emergency Medical Services Region Zealand, Naestved, Denmark.
Open access emergency medicine : OAEM
|June 21, 2023
概括
增加基本生命支持 (BLS) 课程的参与显著提高了旁观者心肺复苏 (CPR) 在医院外心脏骤停 (OHCAs) 期间的率. 即使BLS训练增加5%也与更多的旁观者CPR相关,提高了生存机会.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 基本生命支持 (BLS) 培训对于改善医院外心脏骤停 (OHCA) 的结果至关重要.
- 广泛参加BLS课程对旁观者心肺复苏 (CPR) 和OHCA存活率的影响仍在调查中.
- 大约有4%的丹麦成年人口每年参加BLS课程.
研究的目的:
- 调查BLS课程参与与旁观者心肺复苏之间的地理关联.
- 检查BLS课程参与与OHCA30天生存率之间的关系.
- 确定具有低BLS参与率和旁观者心肺复苏率的地理区域.
主要方法:
- 全国基于登记的队列研究,使用来自丹麦心脏骤停登记 (2016-2019) 的数据.
- 包括704,234名持有BLS证书和15097名OHCA的个人.
- 在市级使用后勤回归和贝叶斯条件自回归模型进行分析.
主要成果:
- 5%的BLS课程证书增加与更高的旁观者心肺复苏率 (OR1.34) 有关.
- 这种关联在办公时间以外更为明显 (OR 1.43).
- 确定了具有低BLS课程参与率和旁观者CPR的地理集群.
结论:
- 大规模的BLS教育对OHCA案件的旁观者心肺复苏率产生了积极的影响.
- 在市级增加了BLS课程的参与,大大增加了旁观者心肺复苏的可能性.
- BLS培训对旁观者心肺复苏的积极影响,尤其在办公室以外的时间显著.
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