新加坡的技术激活社区急救人员:现实世界护理交付和结果趋势
Fahad Javaid Siddiqui1, Stephanie Fook-Chong2, Nur Shahidah2,3
1Health Services & Systems Research, Duke-NUS Medical School, Singapore.
Resuscitation plus
|October 20, 2023
概括
新加坡新加坡新加坡新加坡
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:
- 社区急救人员 (CFR) 对于改善非医院心脏骤停 (OHCA) 护理至关重要.
- 新加坡的myResponder应用 (2016-2020年) 旨在加强CFR的激活和响应.
- 评估国家CFR响应指标评估这些举措的现实影响.
研究的目的:
- 评估新加坡基于应用程序的社区第一响应者 (CFR) 计划的有效性.
- 分析医院外心脏骤停 (OHCA) 事件的国家CFR反应指标.
- 评估移动技术对社区对OHCA的反应的影响.
主要方法:
- 来自新加坡民防部队CFR注册表和泛亚复苏成果研究 (PAROS) 注册表的匹配数据.
- 计算的性能指标:CFR警报接收/接收,与EMS相对的现场到达时间.
- 分析了趋势,并比较了CFR参加与CFR无人监督的OHCA事件.
主要成果:
- 在6577个警报的OHCA事件中,42.7%的CFR接受了警报,其中50%到达现场,71%在EMS之前.
- 从2016年到2020年,观察到CFR响应指标的显著改善,包括增加CFR到达和除.
- 与无监督活动相比,CFR参加的OHCA活动在关键绩效指标上显示出统计学上显著的差异.
结论:
- 通过移动技术激活的CFR计划明显改善了新加坡社区对OHCA的响应.
- myResponder应用程序已经显示出对国家OHCA护理的积极现实影响.
- 确定了未来研究和提高CFR计划有效性的领域.
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