医院前的心脏骤停复苏实践在全球范围内有所不同
Jeannett Kjær1,2, Louise Milling1,2, Anne Craveiro Brøchner1,3
1The Prehospital Research Unit, Region of Southern Denmark, Odense University Hospital, Kildemosevej 15, 5000 Odense, Denmark.
Resuscitation plus
|August 8, 2025
概括
在医院外心脏骤停 (OHCA) 复苏实践中存在全球差异. 在59个国家中,关于启动,终止和停止复苏的决定有很大的差异.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 全球健康 全球健康
背景情况:
- 医院外心脏骤停 (OHCA) 是一个重大的全球公共卫生挑战.
- 对OHCA患者的复苏国际实践没有得到充分的记录.
研究的目的:
- 描述成人非创伤性OHCA复苏实践的国际差异.
- 探索启动,终止和避免复苏工作的差异.
主要方法:
- 一个探索性描述性研究,利用一个横截面在线调查.
- 雪球采样招募了来自59个国家的受访者.
- 使用了框架分析和描述性统计数据.
主要成果:
- 在大多数国家 (59.3%) 启动了复苏,除非不可逆转的死亡是显而易见的或存在预先指示.
- 在15.3%的国家中,没有实行医院前复苏的终止;20.3%使用特定标准,而45.8%依赖提供者的裁量权.
- 在明显的不可逆转死亡迹象 (91.5%) 或确认不尝试复苏 (DNACPR) 命令 (57.6%) 的情况下,通常会避免复苏.
结论:
- 在紧急医疗服务 (EMS) 的复苏实践中发现了全球显著的差异.
- 这些差异受到资源,医疗保健系统,文化规范和立法的影响.
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