کارایی یک سیستم جهانی با روش جدید تشخیص درباره ایست قلبی
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کارایی یک سیستم جهانی با روش جدید تشخیص درباره ایست قلبی

عنوان فارسی مقاله: بهبود تشخیص ایست قلبی خارج از بیمارستان به وسیله تماس با اورژانس در منطقه بزرگتر پاریس: کارایی یک سیستم جهانی با روش جدید تشخیص
عنوان انگلیسی مقاله: Improving emergency call detection of Out-of-Hospital Cardiac Arrests in the Greater Paris area: Efficiency of a global system with a new method of detection
مجله/کنفرانس: احیا - Resuscitation
رشته های تحصیلی مرتبط: پزشکی
گرایش های تحصیلی مرتبط: قلب و عروق، طب اورژانس
کلمات کلیدی فارسی: ایست قلبی، احیاء قلبی ریوی تلفنی، احیاء قلبی ریوی به کمک اعزام
کلمات کلیدی انگلیسی: Cardiac arrest، Telephone cardio-pulmonary resuscitation، Dispatch-assisted cardiopulmonary resuscitation
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
نمایه: Scopus - Master Journals List - JCR - MedLine
شناسه دیجیتال (DOI): https://doi.org/10.1016/j.resuscitation.2019.10.038
دانشگاه: Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France
ناشر: الزویر - Elsevier
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2020
ایمپکت فاکتور: 4/547 در سال 2019
شاخص H_index: 123 در سال 2020
شاخص SJR: 3/183 در سال 2019
شناسه ISSN: 0300-9572
شاخص Quartile (چارک): Q1 در سال 2019
فرمت مقاله انگلیسی: PDF
تعداد صفحات مقاله انگلیسی: 43
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: خیر
آیا این مقاله مدل مفهومی دارد: ندارد
آیا این مقاله پرسشنامه دارد: ندارد
آیا این مقاله متغیر دارد: ندارد
کد محصول: E14779
رفرنس: دارای رفرنس در داخل متن و انتهای مقاله
فهرست انگلیسی مطالب

Abstract


Introduction


Methods


Results


Discussion


Limitations


Conclusion


References

نمونه متن انگلیسی مقاله

ABSTRACT


Aim: The detection of cardiac arrests by dispatchers allows telephone-assisted cardiopulmonary resuscitation (t-CPR) and improves Out-of-Hospital Cardiac Arrest (OHCA) survival. To enhance the OHCA detection rate, in 2012, the Paris Fire Brigade dispatch center created an original technique called "Hand On Belly" (HoB). The new algorithm that resulted has become a central point in a broader program for dispatch-assisted cardiac arrests. Methods: This is a repeated cross-sectional study with retrospective data of four 15-day call samples recorded from 2012 to 2018. We included all calls from OHCAs cared for by Basic Life Support (BLS) teams and excluded calls where the dispatcher wasn’t in contact directly with a witness. The primary endpoint was the successful detection of an OHCA by the dispatcher; the secondary endpoints were successful t-CPR and measurements of the different time intervals related to the call. Logistic regressions were performed to assess parameters associated with detecting OHCAs and initiating t-CPR. Results: From 2012 to 2018, among the detectable OCHAs, the proportion correctly identified increased from 54% to 93% ; the rate of t-CPRs from 51% to 84%. OHCA detection and tCPR initiation were both associated with HoB breathing assessments (adjustedOR:89, 95%CI:31-299, and adjustedOR:11.2, 95%CI:1.4-149, respectively). Over the study period, the times to answering calls and the time to sending BLS teams were shorter than those recommended by international guidelines; however, the times to OHCA recognition and starting t-CPR delivery were longer. Conclusions: The HoB effectively facilitated OHCA detection in our system, which has achieved very high performance levels.


Introduction


During an out-of-hospital cardiac arrest (OHCA), each link in the survival chain has an impact on the patient's outcome and allow one to continue to the next link until survival is achieved. The first link, "early recognition of OHCA", is probably the most crucial. In France, the incidence of OHCAs is about 50/100,000 inhabitants/year. Although 30-40% of the population has received at least one training session in first aid, less than 10% of bystanders recognize OHCAs prior to the call for help. In the literature, dispatcher-assisted cardio-pulmonary resuscitation (DA-CPR) combines cardiac arrest (CA) detection and telephone-assisted cardio-pulmonary resuscitation (t-CPR). It increases the OHCA detection rate and the likeliness that chest compressions (CC) will be performed by bystanders until the arrival of the basic life support team (BLS). Indeed, bystander, whatever his level of first aid knowledge, can limit the time spent without no-flow and reduce OHCA mortality.

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