在不列颠哥伦比亚省,自动化外部除器的可访问性存在区域差异
Zhang Hao Li1, Matthieu Heidet2,3,4, Joban Bal5
1Division of Radiation Oncology, University of British Columbia, Vancouver, BC, Canada.
CJEM
|November 17, 2023
概括
自动化外部除器 (AED) 的访问在不列颠哥伦比亚省有很大差异.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 心血管研究研究心血管研究
背景情况:
- 旁观者应用的自动外部除器 (AED) 对于改善医院外心脏骤停 (OHCA) 的存活率至关重要.
- AED的安置往往由私人实体决定,这可能导致在获取方面存在差异.
- 了解区域AED的可用性对于公平的紧急护理计划至关重要.
研究的目的:
- 为了比较不列颠哥伦比亚省 (BC) 四个主要地区的AEDs的可用性和可访问性.
- 根据人口和地理因素,确定AED分配和可访问性的潜在不平等.
- 为优化AED安置和最大限度地提高公众访问的数据驱动策略提供信息.
主要方法:
- 在5年的时间里,利用省级注册表来识别可操作的AED和紧急医疗系统 (EMS) 治疗的OHCAs.
- 使用诸如每10万人口可访问的AED小时,人均AED和每平方公里的AED等指标比较AED的可用性.
- 评估了AED与OHCAs的比率,并计算了OHCA事件到最近AED的中位距离.
主要成果:
- 在四个人口密的BC地区,共分析了879个AED和9333个EMS治疗的OHCA.
- 观察到每10万人口每周可访问的AED小时的区域差异很大 (范围从1299到3845).
- 从OHCA到最近的AED的中位距离差异很大,这表明访问可能会延迟.
结论:
- 在不列颠哥伦比亚省人口最多的四个地区之间,AED可访问性存在实质性的差异.
- 为了最大限度地提高AED的可访问性,需要在24/7可用的位置进行战略性放置.
- 建议以数据为基础进行社区规划,以系统地优化AED的分发,并加强公众的访问.
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