Tawm ntawm tsev kho mob plawv nres (OHCA) yog qhov thib peb ua rau "kev noj qab haus huv poob vim muaj kab mob" hauv Tebchaws Meskas tom qab mob plawv ischemic thiab mob nraub qaum / caj dab hauv 2016.

Cov kev cuam tshuam los ntawm tus neeg saib xyuas, xws li CPR thiab AED daim ntawv thov, txo qhov kev tuag thiab kev xiam oob khab vim tawm ntawm lub tsev kho mob plawv nres (OHCA).

DALLAS, Lub Peb Hlis 12, 2019 - Tawm ntawm tsev kho mob plawv nres yog qhov thib peb ua rau "kev noj qab haus huv poob vim muaj kab mob" hauv Tebchaws Meskas mob ntshav qab zib ischemic mob plawv thiab qis rov qab /lub caj dab mob 2016, raws li kev tshawb fawb tshiab hauv Circulation: Cardiovascular Quality and Outcomes, American Heart Association journal.

Txoj kev tshawb fawb no yog thawj zaug uas kwv yees kev xiam oob khab-hloov lub neej xyoo (DALY) - uas ntsuas cov xyoo ntawm lub neej poob ntxov thiab xyoo nyob nrog kev tsis taus vim kab mob - ntawm cov neeg uas tau ntsib kev tsis raug mob tawm hauv tsev kho mob plawv hauv Tebchaws Meskas.

Lub plawv nres yog ib qho kev poob sai sai ntawm lub plawv lub peev xwm twj, uas ua rau tuag hauv feeb yog tias tsis kho. Nws cov txiaj ntsig rau xyoo poob rau kev tuag ntxov ntxov thiab kev tsis taus yog tam sim no tsis paub.

Siv lub teb chaws Cardiac Arrest Registry txhawm rau txhim kho kev ciaj sia (CARES) cov ntaub ntawv, cov kws tshawb fawb tau tshuaj xyuas 59,752 tus neeg mob ntawm tus neeg laus, tsis muaj mob, Kev Pabcuam Khomob Kub Ceev (EMS)-kho tawm ntawm tsev kho mob plawv nres los ntawm 2016.

Soj ntsuam ntawm pom:

• Kev xiam oob khab-hloov lub neej xyoo tus nqi rau kev tawm hauv tsev kho mob plawv yog 1,347 rau 100,000 tus neeg, suav tias yog qhov thib peb ua rau kev noj qab haus huv vim muaj kab mob hauv Tebchaws Meskas tom qab. ischemic mob plawv (2,447) thiab mob nraub qaum thiab caj dab (1,565);
• Cov tib neeg uas tau ntsib kev mob plawv tsis nyob hauv tsev kho mob poob qhov nruab nrab ntawm 20.1 xyoo noj qab haus huv; thiab
• Hauv lub tebchaws, qhov no ua rau 4.3 lab lub neej noj qab haus huv xyoo poob, sawv cev 4.5 feem pua ​​​​ntawm tag nrho DALY hauv lub tebchaws.

Cov kws tshawb fawb kuj tau ntsuas qhov cuam tshuam ntawm kev cuam tshuam los ntawm tus neeg saib xyuas - CPR thiab daim ntawv thov siv lub tshuab hluav taws xob sab nraud (AED) - ntawm tus kab mob lub nra ntawm lub plawv nres. Tsom ntsoov rau lawv cov kev tshuaj ntsuam xyuas ntawm cov neeg nyob hauv cov neeg nyob hauv cov neeg ua pov thawj pom tawm ntawm lub tsev kho mob plawv nres, cov kws tshawb fawb pom tias nyob rau hauv lub tebchaws:

• Kev muaj sia nyob mus rau hauv tsev kho mob yog siab dua rau cov neeg uas tau txais CPR los ntawm cov neeg tsis tau (21.5 feem pua ​​​​vs. 12.9 feem pua);
• Bystander CPR ib leeg yog txuam nrog 25,317 lub neej noj qab haus huv xyoo cawm; thiab
• CPR ua ke nrog AED defibrillation tau txuam nrog 35,407 lub neej noj qab haus huv xyoo cawm.

Cov kws tshawb fawb tau sau tseg tias cov poj niam nyiam muaj qhov muaj txiaj ntsig DALY ntau dua li cov txiv neej, nrog rau Caucasians, piv rau cov neeg Asmeskas Asmeskas. Tsis tas li ntawd, haiv neeg Hispanic tau txuam nrog ntau dua DALY piv nrog Caucasians.

"Muaj ntau lub plawv nres tshwm sim sab nraum lub tsev kho mob, thiab peb cov txiaj ntsig tau pom tias cov neeg saib xyuas kev cuam tshuam txo qis kev tuag thiab kev tsis taus, qhia txog qhov tseem ceeb ntawm CPR thiab AED kev kawm, nrog rau kev soj ntsuam mob plawv hauv lub tebchaws," hais Ryan A. Coute, DO, coj. kawm sau ntawv thiab Emergency Medicine nyob hauv University of Alabama ntawm Birmingham.

Cov kws tshawb fawb vam tias qhov kev tshawb fawb no tuaj yeem pab tsom mus rau pej xeem cov cai tswjfwm kev noj qab haus huv, cov peev txheej thiab kev tshawb fawb yav tom ntej ntawm kev tshawb fawb resuscitation.

"Lub plawv nres yog qhov tshwj xeeb vim tias muaj sia nyob yog nyob ntawm cov lus teb raws sijhawm ntawm cov neeg tuaj saib, xa mus kho mob, EMS cov neeg ua haujlwm, kws kho mob thiab cov neeg ua haujlwm hauv tsev kho mob," Coute tau hais. "Peb cia siab tias cov txiaj ntsig ntawm peb txoj kev tshawb fawb muab lub sijhawm los hais txog qhov tseeb tias 'lub plawv nres' thiab 'lub plawv nres' tsis yog ib qho piv txwv. Peb cov txiaj ntsig kuj tseem tuaj yeem pab qhia cov tuam txhab nyiaj txiag thiab cov neeg tsim cai lij choj hais txog kev siv cov peev txheej tsawg los txhim kho pej xeem kev noj qab haus huv. "

Co-authors yog 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 thiab Timothy J. Mader, MD Tus Sau Tshaj Tawm yog nyob rau hauv phau ntawv.

Cov kws tshawb fawb tau tshaj tawm tias tsis muaj peev txheej ntawm cov nyiaj txiag thiab cov neeg sau ntawv nthuav tawm tau piav qhia hauv cov ntawv sau. CARES tau txais nyiaj txiag los ntawm cov American Red Cross thiab cov American Heart Association.

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