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首页> 外文期刊>Prehospital emergency care >Comparison of Outcomes and Characteristics of Emergency Medical Services (EMS)-Witnessed, Bystander-Witnessed, and Unwitnessed Out-of-Hospital Cardiac Arrests in Singapore
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Comparison of Outcomes and Characteristics of Emergency Medical Services (EMS)-Witnessed, Bystander-Witnessed, and Unwitnessed Out-of-Hospital Cardiac Arrests in Singapore

机译：应急医疗服务的结果和特征比较 - 在新加坡的旁观者目睹，旁观者目睹，裸体医院心脏骤停

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Objectives: The objective was to compare the survival outcomes of emergency medical services (EMS)-witnessed to bystander-witnessed, and unwitnessed out-of-hospital cardiac arrests (OHCA) in Singapore. Secondary aims are to describe the 5-year trend in survival rates of EMS-witnessed arrests. Methods: This was a retrospective analysis of the Singapore?s OHCA registry data from 2011 to 2015. Excluded from the analysis were patients younger than 18 years old, arrests of traumatic etiology, resuscitation not attempted, and cases not conveyed by EMS. The primary outcome was survival to hospital discharge or 30 days post-arrest. Secondary outcomes were return of spontaneous circulation (ROSC) and survival to hospital admission. Results: 8,394 cases were analyzed, with 650 (7.7%) EMS-witnessed arrests, 4480 (53.4%) bystander-witnessed arrests, and 3264 (38.9%) unwitnessed arrests. Among EMS-witnessed arrests, the majority were presumed to be of cardiac etiology (62.8%) and the most common presenting rhythm was pulseless electrical activity (PEA; 57.2%). Survival to discharge or 30(th) day post-arrest was higher in EMS-witnessed arrests compared to bystander-witnessed and unwitnessed arrests (11.2% vs. 5.3% and 1.3%, p?
机译：目的：目的是将紧急医疗服务（EMS）的生存结果进行比较 - 在​​新加坡旁观者目睹，难以忽视的医院内心脏逮捕（OHCA）。次要目标是描述EMS目睹逮捕率的5年趋势。方法：这是2011年至2015年新加坡的回顾性分析。从2011年到2015年的分析中排除在18岁的患者中，患者患者，创伤病因的逮捕，重新刺除，没有EMS输送。主要结果为医院排放或逮捕后30天的生存。二次结果是自发循环（ROSC）和存活到医院入院的返回。结果：分析了8,394例，650（7.7％）EMS见证逮捕，4480（53.4％）旁观者目睹逮捕，3264名（38.9％）无人机逮捕。在EMS见证的逮捕中，大多数被认为是心脏病因（62.8％），最常见的呈现节奏是无缝的电活动（豌豆; 57.2％）。与旁观者目睹和无人逮捕的逮捕相比，在逮捕后退出的生存或第30天（第30（）第30次（逮捕日）更高（11.2％vs.5.3％和1.3％，p？<0.001）。从2011年增加到EMS的案件的存活率从2011年增加（13.2％）到2015年（18.9％）。结论：与旁观者目睹和无人梦想的OHCAS相比，EMS见证的OHCAS更有可能具有有利的结果。 EMS目睹的患者的高豌豆利率与患有预先存在的医疗病症的老年患者有关。增加公众对识别产物症状的认识和EMS的早期激活可以改善逮捕后生存期和OHCA的神经原因。

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