CASE-DEFINITION IN SURVIVAL STUDIES OF OUT-OF-HOSPITAL CARDIAC-ARREST

被引：2

作者：

JOSLYN, SA

机构：

[1] Department of Health Education, School of Health, Physical Education, and Leisure Studies, University of Northern Iowa, Cedar Falls, IA

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1994年 / 12卷 / 03期

关键词：

CASE DEFINITION; EMERGENCY MEDICAL SERVICES; OUT-OF-HOSPITAL CARDIAC ARREST; SELECTION BIASES; SURVIVAL;

D O I：

10.1016/0735-6757(94)90143-0

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The purpose of this investigation was to determine problems with case definition and selection biases in studies of survival from out-of-hospital cardiac arrest, by comparing characteristics of subjects with cardiac arrest who entered the emergency medical services (EMS) system and those who did not enter the system. Data for 143 prehospital cardiac arrest patients in Johnson County, Iowa, were obtained from death certificates and EMS reports. Approximately one half of cardiac arrest patients entered the EMS system. Mean total number of causes of death listed on death certificates was significantly higher in subjects who did not enter the EMS system. Several factors, including age, sex, and number of causes of death listed on death certificates were significant univariate factors in whether a cardiac arrest victim entered the EMS system, but multivariate logistic regression indicated age by itself was the most significant factor. These results indicate there are possible initial biases determining who will enter the EMS system, which affects the generalizability of previous studies. © 1994.

引用

页码：299 / 301

页数：3

共 18 条

[1]

Eisenberg, Bergner, Hallstrom, Cardiac resuscitation in the community: Importance of rapid provision and implications for program planning, J Am Med Assoc, 241, pp. 1905-1907, (1979)

[2]

Roth, Stewart, Rogers, Et al., Out-of-hospital cardiac arrest: Factors associated with survival, Ann Emerg Med, 13, 2, pp. 237-243, (1984)

[3]

Weaver, Cobb, Hallstrom, Et al., Factors influencing survival after out-of-hospital cardiac arrest, J Am Coll Cardiol, 7, 4, pp. 752-757, (1986)

[4]

Eisenberg, Hadas, Nuri, Et al., Sudden cardiac arrest in Israel: Factors associated with successful resuscitation, Am J Emerg Med, 6, 4, pp. 319-323, (1988)

[5]

Eisenberg, Hallstrom, Bergner, The ACLS score: Predicting survival from out-of-hospital cardiac arrest, J Am Med Assoc, 246, 1, pp. 50-52, (1981)

[6]

Bachman, McDonald, O'Brien, A study of out-of-hospital cardiac arrests in northeastern Minnesota, J Am Med Assoc, 256, 4, pp. 477-483, (1986)

[7]

Joslyn, Pomrehn, Brown, Survival from out-of-hospital cardiac arrest: Effects of patient age and presence of 911 emergency medical services phone access, Am J Emerg Med, 11, pp. 200-206, (1993)

[8]

Eisenberg, Cummins, Defibrillation performed by the emergency medical technician, Circulation, 74, pp. IV9-IV12, (1986)

[9]

Cummins, Eisenberg, Litwin, Et al., Automatic external defibrillators used by emergency medical technicians: A controlled clinical trial, J Am Med Assoc, 257, 12, pp. 1605-1610, (1987)

[10]

Eisenberg, Copass, Hallstrom, Et al., Treatment of out-of-hospital cardiac arrest with rapid defibrillation by emergency medical technicians, N Engl J Med, 302, pp. 1379-1383, (1980)

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