Comparison of two emergency response systems and their effect on survival from out of hospital cardiac arrest

被引：29

作者：

Mitchell, RG ^{[1
]}

Brady, W ^{[1
]}

Guly, UM ^{[1
]}

Pirrallo, RG ^{[1
]}

Robertson, CE ^{[1
]}

机构：

[1] Royal Infirm, Dept Accident & Emergency Med, Edinburgh EH3 9YW, Midlothian, Scotland

来源：

RESUSCITATION | 1997年 / 35卷 / 03期

关键词：

cardiac arrest; resuscitation; emergency response system;

D O I：

10.1016/S0300-9572(97)00072-5

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The pre-hospital care provided by emergency response systems will have an effect on the outcome of patients who have sustained an out of hospital cardiac arrest. This study compares the results of resuscitation in two centres, one in the UK (Edinburgh) and the other in the USA (Milwaukee), and examines the demographics in both centres. An overall greater proportion of patients survived to hospital discharge in Edinburgh, 12.4%, compared with 7.2% in Milwaukee (P < 0.01). However patients were more likely to have a witnessed collapse in Edinburgh 65.7%, compared with 25% (P < 0.001) and significantly more of those patients received bystander cardiopulmonary resuscitation (CPR) 42.3%, compared with 27.1% (P < 0.005). When these two effects are accounted for there is no difference in outcome. The importance of early alerting of emergency services and early bystander CPR should not be underestimated. (C) 1997 Elsevier Science Ireland Ltd.

引用

页码：225 / 229

页数：5

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