Kama mutane daga asibiti zuwa asibiti (OHCA) shine na uku da ke haifar da "asarar lafiyar saboda cuta" a Amurka a sanadiyar cututtukan zuciya da rauni a baya da wuyansa a cikin shekarar 2016.

Shirye-shiryen masu kallo, kamar CPR da AED aikace-aikacen, yana da matuƙar rage mutuwa da nakasa saboda kamun zuciya daga asibiti (OHCA).

DALLAS, Maris 12, 2019 - An kama shi a asibiti shi ne babban abu na uku na "asarar lafiya saboda cutar" a Amurka a baya cutar ischemic cututtukan zuciya da ƙananan baya /wuyansa zafi a cikin 2016, bisa ga sabon bincike a Tsarin: Kwayoyin cutar da jijiyoyin jini da sakamakon, wani mujallar American Heart Association.

Wannan nazari na kasa da kasa shine na farko da ya kiyasta shekarun rayuwa marasa lafiya-DALY - wanda yayi la'akari da yawan shekarun da suka rasa rayukansu da shekarun da suka rayu tare da nakasa saboda cuta - daga cikin waɗanda suka fuskanci kullun marasa lafiya da aka kama a cikin asibiti a Amurka.

An kama shi a cardiac shi ne asarar rashin lafiya na iyawar zuciya, wanda zai haifar da mutuwa a cikin minti idan ba'a bi da shi ba. Yawancin shekarun da aka rasa zuwa rashin mutuwa da rashin lafiya a halin yanzu ba a sani ba.

Ta yin amfani da rajistar Cardaukatar Kula da Lafiya ta iasa don Inganta Survival (CARES), masu bincike sun bincika maganganun 59,752 na tsoho, mara tausayi, Ma'aikatan Kiwon lafiya na gaggawa (EMS) - kama wadanda suka kamu da cutar asibiti daga 2016.

Masu bincike sun gano:

• Rashin lafiyar nakasasshen rayuwar shekara-shekara don kamuwa da cututtuka na asibiti 1,347 da mutanen 100,000, sune shi ne na uku da ya haifar da asarar lafiya saboda cutar a Amurka cututtukan cututtukan zuciya (2,447) da ƙananan baya da kuma wuyansa (1,565);
• Mutanen da suka kamu da cutar ta asibiti sun rasa rayukansu na tsawon shekaru 20.1; kuma
• A matakin kasa, wannan ya haifar da rayukan shekaru masu lafiya na 4.3 da suka rasa, wakiltar 4.5 bisa dari na duka DALY a kasar.

Masu bincike sun kuma auna sakamakon maganganu na gaba daya - CPR da aikace-aikace na ƙarancin ƙarancin ƙwaƙwalwar ƙafa na waje (AED) - a kan cutar da ke dauke da cututtuka a cikin asibiti. Da yake mayar da hankali akan binciken da aka samu game da rikice-rikicen da ke faruwa a cikin asibitoci, masu bincike sun gano cewa a matakin kasa:

• Cutar da aka yi wa asibiti ya fi girma ga wadanda suka karbi CPR fiye da waɗanda ba su da (21.5 kashi vs. 12.9 kashi);
• Bystander CPR kawai an hade shi da 25,317 rayuwar rayuwar lafiya; kuma
• CPR da aka haɗa tare da AED defibrillation aka hade da 35,407 rayuwar lafiya da aka ajiye.

Masu binciken sun lura cewa mata sun fi maza daraja DALY fiye da maza, haka ma Caucasians, idan aka kwatanta da Barorin Amurkawa. Bugu da ƙari, tseren Hispanic yana da alaƙa da mafi girma DALY idan aka kwatanta da Caucasians.

"Mutane da yawa na kama-kwakwalwa na faruwa a waje da asibiti, kuma sakamakonmu ya nuna cewa tsayayyar da ke cikin kwakwalwa ya rage mutuwa da nakasa, yana nuna muhimmancin samun ci gaban CPR da ilimi na AED, da kuma kula da lafiyar zuciya," in ji Ryan A. Coute, DO, lead marubucin nazarin da likitancin gaggawa mazaunin Jami'ar Alabama a Birmingham.

Masu bincike sunyi fatan cewa wannan binciken zai iya taimakawa wajen mayar da hankali ga manufofin kiwon lafiya, albarkatun da bincike na gaba a kan kimiyyar farfadowa.

"Kama Cardiac ya zama na musamman saboda rayuwa ta dogara ne akan lokacin da masu kallo, ke aikawa da likita, ma'aikatan EMS, likitoci da ma'aikatan asibitin," in ji Coute. "Muna fatan cewa sakamakon binciken namu ya samar da wata dama ta jaddada gaskiyar cewa 'bugun zuciya' da 'bugun zuciya' ba a hade suke ba. Sakamakonmu zai iya taimaka wajan ba da sanarwar hukumomin samar da kudade da kuma masu ba da izini game da yadda ake amfani da mafi ƙarancin albarkatu don inganta lafiyar jama'a. "

Abokan haɗin gwiwar sune Brian H. Nathanson, Ph.D., Ashish Panchal, MD, Ph.D., Michael C. Kurz, MD, Nathan L. Haas, MD, Bryan McNally, MD, Robert W. Neumar, MD, PhD da Timothy J. Mader, MD Mawallafin bayanai suna kan rubutun.

Masu bincike sun bayar da rahoton cewa ba su da wata hanyar bayar da kuɗi da marubuta a cikin rubutun. CARES ta samu kudade daga Red Cross ta Amurka da American Zuciya Association.

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