Emergency system prospective performance evaluation for cardiac arrest in Lombardia, an Italian region.
Resuscitation
; 55(3): 247-54, 2002 Dec.
Article
en En
| MEDLINE
| ID: mdl-12458061
ABSTRACT
BACKGROUND:
The aim of this research is to evaluate quality of out-of-hospital medical services in our country, using performance indicators and a new computerised database.METHODS:
(a) EXPERIMENTALDESIGN:
Data were collected prospectively in three emergency dispatch centres for 90 days. Follow-up was evaluated at 1 day and 1 month after the event. This paper presents data on the cardiac arrest cohort only. (b)SETTING:
Three emergency dispatch centres in Lombardia. (c) PATIENTS One hundred and seventy-eight patients in non-traumatic cardiac arrest were enrolled. (d)INTERVENTIONS:
None. The study was observational only.RESULTS:
Mean interval between phone call and arrival on scene was 8.5+/-3.5 min. BLS manoeuvres were carried out from bystanders only in 15% of the cohort; this was associated with significant mortality reduction (85.7 versus 95.8%, chi(2) P<0.05). One hundred and thirty-three patients (75%) received assistance from BLS crews while only 45 patients (25%) were assisted by ALS medical personel, with a significant mortality reduction (ALS deaths 86.7%, BLS deaths 97%). Total 24 h survival was 9% and survival at 1 month declined to 6.17%.CONCLUSIONS:
Quality monitoring produces objective information on interventions and outcomes. Only with this information, is it possible to implement improvement programmes that are planned according to the data presented.
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Banco de datos:
MEDLINE
Asunto principal:
Evaluación de Resultado en la Atención de Salud
/
Reanimación Cardiopulmonar
/
Servicios Médicos de Urgencia
/
Paro Cardíaco
Tipo de estudio:
Evaluation_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País como asunto:
Europa
Idioma:
En
Año:
2002
Tipo del documento:
Article