Emergency medical services and mortality from heart disease: a community study.

作者: Thomas D. Rea , Mickey S. Eisenberg , Linda J. Becker , Ann R. Lima , Carol E. Fahrenbruch

DOI: 10.1067/MEM.2003.149

关键词: PopulationHeart diseaseObservational studyResuscitationHealth benefitsIntensive care medicineEmergency medical servicesMedicineOut of hospitalIntensive care

摘要: Abstract Study objectives: Little is known regarding the potential effects of emergency medical services (EMS) on total heart disease mortality. Although EMS may provide health benefits in less acute cardiac conditions, its immediate, measurable, and direct effect mortality through resuscitation persons suffering out-of-hospital arrest. The purpose this study was to examine involvement benefit care arrest community Methods: investigation an observational all with death events resulting from as defined by deaths averted (persons successfully resuscitated EMS) a single county January 1, 2000, December 31, 2000. has population nearly 2 million people composed urban, suburban, rural components. State vital records reports were used ascertain averted. Results: In year 3,577 died result disease, 128 discharged hospital, for 3,705 events. responded 39% (1,428/3,705) 57% (1,428/2,516) events, 3.5% (128/3,705) reduction overall 5.1% (128/2,516) Conclusion: involved majority measurable [ Ann Emerg Med. 2003;41:494-499.]

参考文章(11)
Douglas P. Zipes, Saving Time Saves Lives Circulation. ,vol. 104, pp. 2506- 2508 ,(2001) , 10.1161/CIRC.104.21.2506
Mickey S. Eisenberg, Is It Time for Over-the-Counter Defibrillators? JAMA. ,vol. 284, pp. 1435- 1438 ,(2000) , 10.1001/JAMA.284.11.1435
M Eisenberg, L Bergner, A Hallstrom, Paramedic programs and out-of-hospital cardiac arrest: II. Impact on community mortality. American Journal of Public Health. ,vol. 69, pp. 39- 42 ,(1979) , 10.2105/AJPH.69.1.39
Paul E Litwin, Mickey S Eisenberg, Alfred P Hallstrom, Richard O Cummins, The location of collapse and its effect on survival from cardiac arrest. Annals of Emergency Medicine. ,vol. 16, pp. 787- 791 ,(1987) , 10.1016/S0196-0644(87)80576-0
Terence D Valenzuela, Elizabeth A Criss, Daniel Spaite, Harvey W Meislin, Arthur L Wright, Lani Clark, Cost-effectiveness analysis of paramedic emergency medical services in the treatment of prehospital cardiopulmonary arrest Annals of Emergency Medicine. ,vol. 19, pp. 1407- 1411 ,(1990) , 10.1016/S0196-0644(05)82609-5
Xavier Jouven, Michel Desnos, Claude Guerot, Pierre Ducimetière, Predicting Sudden Death in the Population The Paris Prospective Study I Circulation. ,vol. 99, pp. 1978- 1983 ,(1999) , 10.1161/01.CIR.99.15.1978
Graham Nichol, Ian G. Stiell, Paul Hebert, George A. Wells, Kathy Vandemheen, Andreas Laupacis, What Is the Quality of Life for Survivors of Cardiac Arrest? A Prospective Study Academic Emergency Medicine. ,vol. 6, pp. 95- 102 ,(1999) , 10.1111/J.1553-2712.1999.TB01044.X
Tauqir Y. Goraya, Steven J. Jacobsen, Paul G. Belau, Susan A. Weston, Thomas E. Kottke, VéRonique L. Roger, Validation of death certificate diagnosis of out-of-hospital coronary heart disease deaths in Olmsted County, Minnesota. Mayo Clinic proceedings. ,vol. 75, pp. 681- 687 ,(2000) , 10.4065/75.7.681
Katherine M. Doliszny, Russell V. Luepker, Gregory L. Burke, David B. Pryor, Henry Blackburn, Estimated contribution of coronary artery bypass graft surgery to the decline in coronary heart disease mortality: The Minnesota heart survey Journal of the American College of Cardiology. ,vol. 24, pp. 95- 103 ,(1994) , 10.1016/0735-1097(94)90547-9
Richard Cooper, Jeffrey Cutler, Patrice Desvigne-Nickens, Stephen P. Fortmann, Lawrence Friedman, Richard Havlik, Gary Hogelin, John Marler, Paul McGovern, Gregory Morosco, Lori Mosca, Thomas Pearson, Jeremiah Stamler, Daniel Stryer, Thomas Thom, Trends and Disparities in Coronary Heart Disease, Stroke, and Other Cardiovascular Diseases in the United States Findings of the National Conference on Cardiovascular Disease Prevention Circulation. ,vol. 102, pp. 3137- 3147 ,(2000) , 10.1161/01.CIR.102.25.3137