Ukuboshwa kwenhliziyo okungekho ngaphandle kwesibhedlela (OHCA) bekuyimbangela yesithathu eholela "ekulahlekelweni kwempilo ngenxa yesifo" e-United States ngemuva kwesifo senhliziyo nobuhlungu obuphansi emuva / kwentamo ngo-2016.

Ukungenelela kwababukele, njenge-CPR kanye AED isicelo, kunciphisa kakhulu ukufa nokukhubazeka ngenxa yokuboshwa kwenhliziyo ngaphandle kwesibhedlela (OHCA).

DALLAS, March 12, 2019 - Ukuboshwa kwe-heart out-of-hospital kwakuyisizathu sesithathu esibangela "ukulahlekelwa kwezempilo ngenxa yezifo" e-United States ngemuva kwesifo senhliziyo se-ischemic kanye naphansi emuva /intamo Ubuhlungu ku-2016, ngokusho kocwaningo olusha ku-Circulation: Ikhwalithi ye-Cardiovascular and Outcomes, iphephandaba le-American Heart Association.

Lesi sifundo sokuhlaziya isisindo sokuqala sokulinganisa impilo yokukhubazeka (DALY) - esilinganisa inani leminyaka yokuphila elahlekile ngaphambi kwesikhathi futhi iminyaka ihlala nokukhubazeka ngenxa isifo - phakathi kwalabo abathola ukuboshwa kwengqondo okungenasifo esiphuthumayo esibhedlela e-United States.

Ukuboshwa kwe-cardiac ukulahlekelwa ngokuphuthumayo ikhono lenhliziyo lokupompa, okuholela ekufeni phakathi kwemizuzu uma kungelashwa. Umphumela walo eminyakeni elahlekelwe ukufa ngaphambi kwesikhathi futhi ukukhubazeka okwamanje kungaziwa.

Besebenzisa i-database kazwelonke ye-Cardiac Arrest Registry to Enhance Survival (CARES), abacwaningi bahlola amacala angama-59,752 2016 omuntu okhulile, ongeyena usizi, we-Emergency Medical Services (EMS) -ukade eboshwe ngaphandle kwenhliziyo esibhedlela ngo-XNUMX.

Abacwaningi bathola:

• Amanani okukhubazeka okwenziwe ukukhubazeka ngonyaka odlule ngenxa yokuboshwa kwenhliziyo kwaba yi-1,347 ngabanye abantu abangu-100,000, bawubheka njengesizathu esithathu esibangela ukulahlekelwa kwezempilo ngenxa yezifo e-United States ngemuva ischemic isifo senhliziyo (2,447) futhi ubuhlungu obuphansi emuva nangentamo (1,565);
• Abantu ababenokukhubazeka kwe-heart-out-hospital balahlekelwa isilinganiso seminyaka eyi-20.1 enempilo; futhi
• Ezingeni likazwelonke, lokhu kuholele ekupheleni kweminyaka eyi-4.3 yempilo ephilile, emele amaphesenti angu-4.5 we-DALY yenani elizweni.

Abacwaningi baphinde balinganise imiphumela yokungenelela komuntu oyedwa - i-CPR kanye nesicelo esenziwe ngokuzenzakalelayo se-defibrillator (AED) - esithwalweni sesifo sokuboshwa komzimba ngaphandle kwesibhedlela. Ukugcizelela ukuhlaziywa kwabo ngokubanjwa kwezinto ezithintekayo zokubanjwa kwezinhliziyo ezivela ngaphandle, izicwaningi zathola ukuthi ezingeni likazwelonke:

• Ukusinda ekukhuculweni kwesibhedlela kwakungaphezulu kwalabo abathola i-CPR yomgcini kunalabo abangazange (amaphesenti angu-21.5 namaphesenti angu-12.9);
• Ummeli we-CPR wedwa uhlotshaniswa ne-25,317 iminyaka yokuphila enempilo egcinwe; futhi
• I-CPR ehlanganiswe ne-AED defibrillation ihlotshaniswe ne-35,407 yempilo enempilo egcinwe.

Abaphenyi baphawula ukuthi abesifazane bebevame ukuba namanani aphakeme we-DALY kunabesilisa, kanye namaCaucasian, uma beqhathaniswa nabaseMelika base-Afrika. Ngaphezu kwalokho, umjaho wase-Hispanic wayehlotshaniswa ne-DALY ephakeme uma uqhathaniswa namaCaucasians.

"Ukuboshwa kwezinhliziyo eziningi kwenzeka ngaphandle kwesibhedlela, futhi imiphumela yethu ibonisa ukuthi ukungenelela kokunciphisa ukunciphisa ukufa nokukhubazeka, kugcizelela ukubaluleka komfundi we-CPR kanye ne-AED, kanye nokubhekwa komzimba wezwe," kusho uRyan A. Coute, DO, ohola ufunde umlobi kanye noMnyango Wezokwelapha Eziphuthumayo e-University of Alabama eBirmingham.

Abacwaningi banethemba lokuthi lolu cwaningo lungasiza ekugxilweni kwezinqubomgomo zempilo yomphakathi, izinsiza kanye nokucwaninga kwesikhathi esizayo ngokuvuselela isayensi.

"Ukuboshwa kwenhliziyo kwehlukile ngoba ukusinda kuncike ekuphenduleni okufika ngesikhathi kwabantu ababukele, odokotela abahambisa usizo, abasebenzi be-EMS, odokotela kanye nabasebenzi basesibhedlela," kusho uCoute. “Siyethemba ukuthi imiphumela yocwaningo lwethu inikeza ithuba lokugcizelela iqiniso lokuthi 'ukuboshwa kwenhliziyo' kanye 'nokuhlaselwa yinhliziyo' akuhambelani. Imiphumela yethu futhi ingasiza ukwazisa ama-ejensi wemali kanye nabenzi bezinqubomgomo maqondana nokuthi bangayisebenzisa kanjani kangcono imithombo ekhawulelwe ukwenza ngcono impilo yomphakathi. "

Ababhali abasebenza nabo nguBrian H. Nathanson, Ph.D., Ashish Panchal, MD, Ph.D., Michael C. Kurz, MD, uNathan L. Haas, MD, Bryan McNally, MD, Robert W. Neumar, MD, U-PhD noTimothy J. Mader, okuvezwa kwe-MD Author kusencwadini yesandla.

Abacwaningi babika ukuthi akukho mthombo wezimali kanye nokudalulwa kombhali okuningiliziwe kulo mbhalo wesandla. I-CARES ithola imali kusuka ku- I-American Red Cross futhi American Heart Association.

SOURCE