Large urban center improves out-of-hospital cardiac arrest survival.
作者： Marina Del Rios , Joseph Weber , Oksana Pugach , Hai Nguyen , Teri Campbell
DOI: 10.1016/J.RESUSCITATION.2019.04.019
关键词: Health care 、 Relative risk 、 Resuscitation 、 Return of spontaneous circulation 、 Quality management 、 Medicine 、 Odds ratio 、 Logistic regression 、 Psychological intervention 、 Emergency medicine
摘要: Abstract Background Large cities pose unique challenges that limit the effectiveness of system improvement interventions. Successful implementation integrated cardiac resuscitation systems care can serve as a model for other urban centers. Methods This was retrospective analysis prospectively collected data adult cases non-traumatic arrest who received treatment by Chicago Fire Department EMS from September 1, 2013 through December 31, 2016. We measured temporal OHCA outcomes during system-wide initiatives including telephone-assisted and community CPR training programs; high performance team based simulation training; new post destination protocols; case review providers. Outcomes included bystander rates, return spontaneous circulation (ROSC), hospital admission survival, favorable neurologic (CPC 1–2). Relative risk determined logistic regression where observed group-specific are expressed odds ratios (OR). Results 6103 occurring outside health facilities Significantly improved (p Conclusions Densely populated with low survival rates overcome systematic improve survival.
sci-hub.se 参考文章(36)
Eddie Markul, Leslee Stein-Spencer, Mark Kiely, Shyam Prabhakaran, Gary Schaer, Kathleen O’Neill, K Pearlman, CT Richards, Alex Meixner, Todd Schuble, Joseph M Weber, Eric H Beck, Art Miller, Abstract 16267: Identifying Hot Spots for EMS-Treated Acute Cardiovascular Events - Stroke, STEMI, and Cardiac Arrest - In a Large Metropolitan City Circulation. ,vol. 128, ,(2013)
Comilla Sasson, Michael T. Cudnik, Ariann Nassel, Hugh Semple, David J. Magid, Michael Sayre, David Keseg, Jason S. Haukoos, Craig R. Warden, , Identifying high-risk geographic areas for cardiac arrest using three methods for cluster analysis Academic Emergency Medicine. ,vol. 19, pp. 139- 146 ,(2012) , 10.1111/J.1553-2712.2011.01284.X
Carolina Malta Hansen, Kristian Kragholm, David A. Pearson, Clark Tyson, Lisa Monk, Brent Myers, Darrell Nelson, Matthew E. Dupre, Emil L. Fosbøl, James G. Jollis, Benjamin Strauss, Monique L. Anderson, Bryan McNally, Christopher B. Granger, Association of Bystander and First-Responder Intervention With Survival After Out-of-Hospital Cardiac Arrest in North Carolina, 2010-2013 JAMA. ,vol. 314, pp. 255- 264 ,(2015) , 10.1001/JAMA.2015.7938
B JENNETT, ASSESSMENT OF OUTCOME AFTER SEVERE BRAIN DAMAGE: A Practical Scale The Lancet. ,vol. 305, pp. 480- 484 ,(1975) , 10.1016/S0140-6736(75)92830-5
Lance B Becker, May Pat Ostrander, John Barrett, George T Kondos, Outcome of CPR in a large metropolitan area - where are the survivors? Annals of Emergency Medicine. ,vol. 20, pp. 355- 361 ,(1991) , 10.1016/S0196-0644(05)81654-3
Nichole Bosson, Amy H. Kaji, James T. Niemann, Marc Eckstein, Paula Rashi, Richard Tadeo, Deidre Gorospe, Gene Sung, William J. French, David Shavelle, Joseph L. Thomas, William Koenig, Survival and neurologic outcome after out-of-hospital cardiac arrest: results one year after regionalization of post-cardiac arrest care in a large metropolitan area. Prehospital Emergency Care. ,vol. 18, pp. 217- 223 ,(2014) , 10.3109/10903127.2013.856507
Bruce D. Jermyn, Response interval comparison between urban fire departments and ambulance services Prehospital Emergency Care. ,vol. 3, pp. 15- 18 ,(1999) , 10.1080/10903129908958899
Paul R Hinchey, J Brent Myers, Ryan Lewis, Valerie J De Maio, Eric Reyer, Daniel Licatese, Joseph Zalkin, Graham Snyder, Capital County Research Consortium, Improved Out-of-Hospital Cardiac Arrest Survival After the Sequential Implementation of 2005 AHA Guidelines for Compressions, Ventilations, and Induced Hypothermia: The Wake County Experience Annals of Emergency Medicine. ,vol. 56, pp. 348- 357 ,(2010) , 10.1016/J.ANNEMERGMED.2010.01.036
Mickey S Eisenberg, Bruce T Horwood, Richard O Cummins, Robin Reynolds-Haertle, Thomas R Hearne, Cardiac arrest and resuscitation: A tale of 29 cities Annals of Emergency Medicine. ,vol. 19, pp. 179- 186 ,(1990) , 10.1016/S0196-0644(05)81805-0
Marc Eckstein, Samuel J. Stratton, Linda S. Chan, Cardiac Arrest Resuscitation Evaluation in Los Angeles: CARE-LA. Annals of Emergency Medicine. ,vol. 45, pp. 504- 509 ,(2005) , 10.1016/J.ANNEMERGMED.2004.11.024