心脏骤停死亡率和处置模式在美国的紧急情况部门
Kenneth M Zabel1, Mohammed A Quazi2, Katarina Leyba3
1Department of Internal Medicine, University of New Mexico, Albuquerque, NM 87131, USA.
Journal of clinical medicine
|September 28, 2024
概括
在急诊室 (ED) 中心脏骤停 (CA) 的死亡率很高. 这项研究发现ED死亡率和患者转移的显著差异,特别是在少数群体中,这表明需要公平的护理.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心脏骤停 (CA) 仍然是导致死亡的主要原因,尽管进行了复苏,预后不佳.
- 了解应急部门 (ED) 的CA管理的最新趋势和比较结果至关重要.
- 现有研究在分析ED特异性CA结果和护理过渡方面存在差距.
研究的目的:
- 评估在急诊室 (ED) 访问期间发生心脏骤停 (CA) 的患者的死亡率和护理结果的转变.
- 为了确定与死亡率相关的因素和对CA患者的ED的处置.
- 评估ED心脏骤停存活率和护理差异的最新趋势.
主要方法:
- 国家紧急情况部门样本 (NEDS) 数据库 (2016-2020年) 的回顾性队列分析.
- 包括在ED访问期间心脏骤停的成年患者 (≥18岁).
- 统计分析包括千二测试和多变量后勤回归来检查死亡率和处置因子.
主要成果:
- 超过6.99亿次ED访问,其中140万次 (0.20%) 涉及心脏骤停 (CA).
- 对CA的生存率从24.6%到28.1%不等;到2020年,EDCA的生存率增加到0.27%.
- 少数群体从ED转移的几率明显较低,自付患者显示出更高ED死亡率的趋势.
结论:
- 在急诊室 (ED) 死亡率和心脏骤停 (CA) 后的患者处置方面存在显著差异.
- 少数群体在从ED转移到ED护理时面临障碍.
- 调查结果强调迫切需要公平的医疗保健资源和政策来解决CA结果差异.
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