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首页> 外文期刊>PACE: Pacing and clinical electrophysiology >Epidemiology, etiology, and outcomes of out‐of‐hospital cardiac arrest in young patients in lebanon
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Epidemiology, etiology, and outcomes of out‐of‐hospital cardiac arrest in young patients in lebanon

机译：黎巴嫩年轻患者的医院内心脏骤停的流行病学，病因和结果

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Abstract Background The burden of out‐of‐hospital cardiac arrest (OHCA) on different population segments in developing countries is not well studied. Previous studies from Lebanon report poor survival to hospital discharge (4.8%‐5.5%). This study describes characteristics and outcomes of young OHCA victims in Beirut, Lebanon Methods This retrospective observational study included young patients (35 years of age) with OHCA admitted to the emergency department (ED) of a tertiary care center in Lebanon over a 10‐year period. Results Fifty‐four patients with OHCA were identified. Most were males (74.1%, n ?=?40) and the mean age was 17.9?±?10.9 years. The most common arrest location was home (44.4%, n ?=?24). The majority were witnessed (78.8%, n ?=?41) with 15.4% ( n ?=?8) witnessed by emergency medical services (EMS). Prehospital cardiopulmonary resuscitation was done for 22 patients (41.5%) mostly by EMS ( n ?=?19, 86.4%), 9.1% ( n ?=?2) by a bystander, and 4.5% ( n ?=?1) by a family member. Prehospital automated external defibrillator use was documented in 13% ( n ?=?7) of cases. Most patients ( n ?=?48, 88.9%) were resuscitated in the ED where the most common rhythm was asystole (55.6%, n ?=?30). Half of the patients (50%, n ?=?27) survived to hospital admission. Overall survival to hospital discharge was 16.7% ( n ?=?9). Good neurologic outcome (cerebral performance category 1 or 2) was documented in seven patients (9.3%). Conclusion Survival rate of young OHCA victims in Lebanon (16.7%) is higher than previously reported rates of OHCA in the overall population. Targeted community activities and medical oversight of EMS activities are needed to link EMS activities to clinical outcomes.
机译：摘要背景下的医院外逮捕（OHCA）在发展中国家的不同人口段的负担并未得到很好的研究。以前从黎巴嫩的研究报告到医院出院的贫困生存率（4.8％-5.5％）。本研究描述了贝鲁特年轻的Ohca受害者的特征和结果，黎巴嫩方法这项回顾性观测研究包括幼儿园（＆35岁）的幼崽致电黎巴嫩的第三级护理中心的急诊部门（Ed）超过10 - 年期。结果确定了54名OHCA患者。大多数是男性（74.1％，n？= 40），平均年龄为17.9？±10.9岁。最常见的逮捕位置是家（44.4％，n？=？24）。目睹了大多数（78.8％，n？=？41），紧急医疗服务（EMS）见证了15.4％（N？=？8）。通过EMS（n？=Δ19,86.4％），由EMS（n？= 19，86.4％），9.1％（n≤x≤2），4.5％（n？=？1）进行前孢子性血糖重新刺除。一位家庭成员。预先自动化外部除颤器用量以13％（n？='7）的病例记录。大多数患者（n？= 48,88.9％）被重新刺杀，其中最常见的节奏是asystole（55.6％，n？= 30）。一半的患者（50％，n？= 27）存活到医院入学。整体生存到医院排放量为16.7％（n？=？9）。在7名患者中记录了良好的神经系统结果（脑表现1或2类）（9.3％）。结论黎巴嫩年轻OHCA受害者的生存率（16.7％）高于先前报告的人口中的OHCA率。需要有针对性的社区活动和EMS活动的医疗监督，以将EMS活动与临床结果联系起来。

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