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首页> 外文期刊>Resuscitation. >Death in correctional facilities: opportunities for automated external defibrillation.
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Death in correctional facilities: opportunities for automated external defibrillation.

机译:惩教设施中的死亡:进行自动体外除颤的机会。

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摘要

BACKGROUND: Death due to cardiovascular disease occurs more frequently in prisons than the national average. Due to close surveillance 24 h/day, the ability to reach the patient within 3 min and time consuming access for the EMS crews, it was hypothesised that the deployment of automated external defibrillators (AEDs) might make improvements regarding Call-to-the-First-AED-Prompt (CTP) interval and formed the aim of this study. METHODS: Our investigation was analysed on an intention to treat basis and conducted in a prospective, open and observational design. As the primary outcome, the CTP-intervals were compared to the arrival intervals of the EMS. As a secondary outcome, an analysis of all deceased inmates was described. RESULTS: The average daily population of inmates in Austrian correctional facilities is 7714. During a period of 13 months, 10 instances in which an AED was activated and electrodes attached to a collapsed inmate, were reported. The CTP-interval (median+/-S.D.) was 2.3+/-1.6 S.D. min. It took the EMS 10.0+/-4.3 S.D. min. to arrive at the patient's side. Four out of 10 cases of cardiac arrest occurred due to myocardial infarction. Of 39 deceased inmates, a post mortem examination was completed in 34 cases. In 13 cases, cardiovascular disease was the cause of death. DISCUSSION: The main finding was a four-fold reduction of the CTP-interval. This fact indicates the potential improvements which could be achieved with the deployment of AEDs. Our secondary objective revealed that death due to cardiovascular disease was found in a high proportion and could be considered to be a strong incentive to initiate programmes to counter cardiovascular death in prison.
机译:背景:由于心血管疾病而导致的死亡在监狱中的发生率高于全国平均水平。由于每天24小时进行密切监视,能够在3分钟内到达患者的位置以及EMS工作人员的访问时间很长,因此,假设自动体外除颤器(AED)的部署可能会改善呼叫中心首次AED提示(CTP)间隔并形成了本研究的目的。方法:我们的调查是在意向治疗的基础上进行分析的,并以前瞻性,开放性和观察性设计进行。作为主要结果,将CTP间隔与EMS的到达间隔进行了比较。作为次要结果,描述了对所有死者的分析。结果:奥地利教养所中囚犯的日平均人数为7714。在13个月的时间里,据报道有10起实例,其中AED被激活并且电极连接到坍塌的囚犯。 CTP间隔(中位数为+/- S.D。)为2.3 +/- 1.6S.D。分钟花费了EMS 10.0 +/- 4.3 S.D.分钟到达病人的身边。每10例心脏骤停病例中有4例因心肌梗塞而发生。在39名死者中,有34例完成了尸检。在13例中,心血管疾病是死亡的原因。讨论:主要发现是CTP间隔减少了四倍。这一事实表明,通过部署自动体外除颤器可以实现潜在的改善。我们的次要目标显示,因心血管疾病而死亡的比例很高,可以被认为是发起应对监狱中心血管死亡计划的强烈动机。

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