院前紧急医疗服务中干预和转运次数与复苏成功的关系

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-05-22 DOI:10.1016/j.ienj.2025.101623

Akın Turan, Ali Ekşi, Süreyya Gümüşsoy, Batuhan Tay, Elif Çamarası Bilgin

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引用次数: 0

摘要

目的探讨院前急救医疗服务干预与心脏骤停患者现场转运次数与复苏成功率的关系。方法回顾性分析了2018年1月1日至2023年12月31日Çanakkale省救护车服务主任医师办公室6年的数据。数据分析采用描述性统计方法。对数据分布的正态性进行检验，对正态分布的数据采用独立t检验，对非正态分布的数据采用Mann-Whitney U检验。p值为<；0.05被认为具有统计学意义。结果对2940例院前急救中涉及复苏的病例进行了评价。EMS团队为心脏骤停病例提供了平均18.12分钟的现场干预，而从现场到医院的平均干预时间为11.23分钟。在这些病例中，6.3% （n = 186）的患者发生了心脏骤停。有证人的心脏骤停病例复苏成功率为21.5%，而无证人的病例复苏成功率为12.7%。成功复苏结果与现场干预或送往医院的时间之间无统计学差异(p >；0.05)。结论在接受院前紧急医疗服务的心脏骤停病例中，干预和转运时间与其他病例相比一般没有显著差异，干预通常在20分钟内完成。这一时间也被认为是成功复苏病例神经系统恢复良好的阈值。需要进一步的研究来明确建议在心脏骤停病例现场进行干预的最佳时间值。

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The relationship between intervention and transport times in pre-hospital emergency medical services and resuscitation success

Objective

This study aimed to evaluate the relationship between pre-hospital emergency medical services’ intervention and transport times at the scene of cardiac arrest cases and resuscitation success.

Method

The study retrospectively analyzed six years of data from the Çanakkale Provincial Ambulance Service Chief Physician’s office between January 1, 2018, and December 31, 2023. Descriptive statistical methods were employed in the data analysis. The normality of the data distribution was tested, and for quantitative data comparison, an independent t-test was used for normally distributed data, while the Mann-Whitney U test was used for non-normally distributed data. A p-value of <0.05 was considered statistically significant.

Results

In the study, 2,940 cases involving resuscitation in pre-hospital emergency medical services were evaluated. The EMS teams provided an average of 18.12 min of on-scene intervention for cardiac arrest cases, while the average duration of intervention during transport from the scene to the hospital was 11.23 min. Of these cases, 6.3 % (n = 186) involved witnessed sudden cardiac arrest. The rate of successful resuscitation was 21.5 % in witnessed sudden cardiac arrest cases, whereas it was 12.7 % in unwitnessed cases. No statistically significant difference was found between successful resuscitation outcomes and the durations of on-scene intervention or transport to the hospital (p > 0.05).

Conclusion

In witnessed cardiac arrest cases receiving pre-hospital emergency medical services, the intervention and transport times generally did not show a significant difference compared to other cases, and interventions are typically completed within 20 min. This duration is also considered a threshold for good neurological recovery in cases of successful resuscitation. Further studies are needed to make clear recommendations regarding optimal time values for intervention in cardiac arrest cases at the scene.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.