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首页> 外文期刊>Circulation journal >Circumstances and outcomes of out-of-hospital cardiac arrest in elementary and middle school students in the era of public-access defibrillation: Implications for emergency preparedness in schools
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Circumstances and outcomes of out-of-hospital cardiac arrest in elementary and middle school students in the era of public-access defibrillation: Implications for emergency preparedness in schools

机译：公共除颤时代中小学生院外心脏骤停的情况和结果：对学校应急准备的影响

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Background: Circumstances and outcomes of out-of-hospital cardiac arrest (OHCA) in elementary and middle school students while at school in the era of public-access defibrillation are unknown. Methods and Results: We conducted a nationwide hospital-based survey of elementary and middle school students who had had OHCA of cardiac origin and received prehospital resuscitation in 2005-2009. Among 58 cases recruited, 90% were witnessed by bystanders; 86% had ventricular fibrillation as the initial rhythm; 74% were resuscitated by bystanders; 24% were defibrillated by bystanders; 55% occurred at school; 66% were exercise-related; 48% were followed up before the event; 67% had structural heart disease. In total, 53% of overall patients and 79% of those initially defibrillated by bystanders had a favorable neurological outcome. Patients were more likely to be defibrillated by bystanders (38% vs. 8%, P=0.012) and had a more favorable neurological outcome in schools (69% vs. 35%, P=0.017) than in other locations. The majority of arrests in schools were exercise-related (84% vs. 42%, P=0.001), occurred at sports venues, and students were resuscitated by teachers; half of the cases at school occurred in patients with a pre-event follow-up. Conclusions: After OHCA, children were more likely to be defibrillated by bystanders and had a better outcome in schools than in other locations, which may be relevant to the circumstances of events.
机译：背景：公共除颤时代，中小学生在学校时的院外心脏骤停（OHCA）的情况和结果尚不清楚。方法和结果：我们在2005-2009年对全国范围内以心脏源性OHCA进行院前复苏的中小学生进行了一项基于医院的调查。在征募的58起案件中，有90％被旁观者见证; 86％的患者以室颤为初始节律; 74％被旁观者复苏;旁观者对24％的人进行了除颤; 55％发生在学校; 66％与运动有关;活动前进行了48％的随访; 67％患有结构性心脏病。总体而言，有53％的患者和最初由旁观者除颤的患者有79％的神经系统结局良好。与其他地点相比，患者更容易被旁观者除颤（38％vs. 8％，P = 0.012），并且在学校有更好的神经系统转归（69％vs. 35％，P = 0.017）。在学校，大多数逮捕是与运动有关的（分别为84％和42％，P = 0.001），发生在运动场馆，并且由老师对学生进行了复苏。在学校，一半的病例发生在事前随访中。结论：OHCA后，旁观者对儿童进行除颤的可能性更高，并且在学校中比其他地方获得更好的结局，这可能与事件的发生情况有关。

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