tailieunhanh - Báo cáo y học: " Collapse-to-emergency medical service cardiopulmonary resuscitation interval and outcomes of out-of-hospital cardiopulmonary arrest: a nationwide observational study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Collapse-to-emergency medical service cardiopulmonary resuscitation interval and outcomes of out-of-hospital cardiopulmonary arrest: a nationwide observational study. | Koike et al. Critical Care 2011 15 R120 http content 15 3 R120 KS CRITICAL CARE RESEARCH Open Access Collapse-to-emergency medical service cardiopulmonary resuscitation interval and outcomes of out-of-hospital cardiopulmonary arrest a nationwide observational study CcticHi kwiIzd 1Tc chiCìci íXM 2 _LìPLìkũ3 Wm-jh Alz Hsmc2 Mirlon Vnri m d 4 soiciii Koike losiuo Ogdwd Sei izdi 1 Idiidbe SHinyd Ividtsumutu Mdndbu Akdiidne Hideo Idsundgd Hiromasa Horiguchi4 dnd Tomodki Imdmurd2 Abstract Introduction The reldtionship between colldpse to emergency medicdl service EMS cdrdiopulmondry resuscitdtion CPR intervdl dnd outcome hds been well documented. However most studies hdve only dndlyzed cdses of cdrdidc origin dnd Vf ventriculdr fibrilldtion pulseless VT ventriculdr tdchycdrdid . We sought to exdmine dll cduses of cdrdidc drrest dnd dndlyze the reldtionship between colldpse-to-EMS CPR intervdl dnd outcome in d ndtionwide sdmple using dn out-of-hospitdl cdrdidc drrest OHCA registry. Methods This wds d retrospective observdtiondl study bdsed on d ndtionwide OHCA pdtient registry in Jdpdn between 2005 dnd 2008 n 431 968 . We included cdses where colldpse wds witnessed by d bystdnder dnd where colldpse dnd intervention time were recorded n 109 350 . Ddtd were collected bdsed on the Utstein templdte. One-month survivdl dnd neurologicdlly fdvordble one-month survivdl were used ds outcome medsures. Logdrithmic regression dnd logistic regression were used to exdmine the reldtion between outcomes dnd colldpse-to-EMS CPR intervdl. Results Among colldpse-to-EMS CPR intervdls between 3 dnd 30 minutes the logdrithmic regression equdtion for the reldtionship with one-month survivdl wds y ln x while thdt for the reldtionship with neurologicdlly fdvordble one-month survivdl wds y ln x . After ddjusting for potentidl confounders in the logistic regression dndlysis for dll intervdls longer colldpse-to-EMS CPR intervdls were dssocidted with lower .

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