首页> 外文期刊>Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine >Spontaneous trigger words associated with confirmed out-of-hospital cardiac arrest: a descriptive pilot study of emergency calls
【24h】

Spontaneous trigger words associated with confirmed out-of-hospital cardiac arrest: a descriptive pilot study of emergency calls

机译:与确认的医院外卡骤停相关的自发触发词:紧急呼叫的描述性试验研究

获取原文
           

摘要

According to the International Liaison Committee on Resuscitation (ILCOR), the trigger words used by callers that are associated with cardiac arrest constitute a scientific knowledge gap. This study was designed to find hypothetical trigger words in emergency calls in order to improve the specificity of out-of-hospital cardiac arrest recognition. In this descriptive pilot study conducted in a Finnish hospital district, linguistic contents of 80 emergency calls of dispatcher-suspected or EMS-encountered out-of-hospital cardiac arrests between January 1, 2017 and May 31, 2017 were analysed. Spontaneous trigger words used by callers were transcribed and grouped into 36 categories. The association between the spontaneous trigger words and confirmed true cardiac arrests was tested with logistic regression. Of the suspected cardiac arrests, 51 (64%) were confirmed as true cardiac arrests when ambulance personnel met the patient. A total of 291 spontaneous trigger words were analysed. ‘Is not breathing’ (n?=?9 [18%] in the true cardiac arrest group vs n?=?1 [3%] in the non-cardiac arrest group, odds ratio [OR] 6.00, 95% confidence interval [CI] 0.72–50.0), ‘the patient is blue’ (n?=?9 [18%] vs n?=?1 [3%], OR 6.00, 95% CI 0.72–50.0), ‘collapsed or fallen down’ (n?=?12 [24%] vs n?=?2 [7%], OR 4.15, 95% CI 0.86–20.1) and ‘is wheezing’ (n?=?17 [33%] vs n?=?5 [17%], OR 2.40, 95% CI 0.78–7.40) were frequently used to describe true cardiac arrest. ‘Is snoring’ was associated with a false suspicion of cardiac arrest (n?=?1 [2%] vs n?=?6 [21%], OR 0.08, 95% CI 0.009–0.67). In our pilot study, no trigger word was associated with confirmed cardiac arrest. ‘Is wheezing’ was a frequently used spontaneous trigger word among later confirmed cardiac arrest victims.
机译:根据国际联络委员会(ILCOR),与心脏骤停相关的呼叫者使用的触发词构成了科学知识差距。本研究旨在在紧急呼叫中找到假设触发词,以提高医院外卡骤停识别的特异性。在这项描述性试点研究中,在芬兰医院进行的,在2017年1月1日至2017年1月1日至2017年5月31日在2017年1月1日之间遇到了80名紧急呼叫的语言内容。呼叫者使用的自发触发单词被转录并分组为36个类别。用Logistic回归测试了自发触发词和确认真正的心脏骤停之间的关联。当救护人员遇到患者时,疑似心脏骤停,51名(64%)被证实为真正的心脏骤停。共分析了291个自发触发词。 '不是呼吸'(n?=?9 [18%]在真正的心脏骤停群中vs n?=?1 [3%]在非心脏骤停群中,赔率比[或] 6.00,95%置信区间[Ci] 0.72-50.0),'患者是蓝色'(n?=Δ9[18%] Vs n?= 1 [3%],或6.00,95%CI 0.72-50.0),'崩溃或落下向下'(n?= 12 [24%] vs n?= 2 [7%],或4.15,95%ci 0.86-20.1)和'喘息'(n?=?17 [33%] vs n ?=?5 [17%],或2.40,95%CI 0.78-7.40)经常用于描述真正的心脏骤停。 '打鼾'与心脏骤停的错误怀疑有关(n?= 1 [2%] Vs n?=Δ6[21%],或0.08,95%CI 0.009-0.67)。在我们的试点研究中,没有触发词与确认的心脏骤停相关。 '喘息'是一个经常使用的自发触发词,后来证实的心脏逮捕受害者。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号