The impact of emergency nurse practitioners on short-term survival in out-of-hospital cardiac arrest.

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2025-09-01 Epub Date: 2025-02-17 DOI:10.1016/j.auec.2025.02.002

Weerapont Kaewpaengchan, Wachira Wongtanasarasin, Worapot Khampeera, Borwon Wittayachamnankul

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Abstract

Background: Emergency Medical Services (EMS) are critical for improving survival in out-of-hospital cardiac arrest (OHCA). The expertise of EMS team leaders, such as emergency nurse practitioners (ENPs), may impact patient outcomes. This study aimed to evaluate the role of ENPs and their association with outcomes in OHCA.

Methods: A retrospective analysis was conducted on OHCA cases treated by EMS from 2017 to 2020. Data included ENP presence, number of healthcare personnel, patient demographics, initial rhythm, bystander CPR, physician presence, patient access time, and scene time. Primary outcome was prehospital return of spontaneous circulation (ROSC), with secondary outcome being ROSC at the emergency department (ED).

Results: Among 212 OHCA cases treated by EMS, ENPs were present in 14.6 % of cases. Prehospital ROSC was 11.3 %, while ROSC at the ED was 48.1 %. ENP presence was not associated with increased prehospital ROSC (p = 0.19) but was linked to higher overall ROSC rates at the ED (p = 0.03).

Conclusions: Including ENPs in EMS teams may improve short-term survival outcomes for OHCA patients, particularly at the ED. Further research is needed to explore the broader impact of ENPs in prehospital care.

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急诊护士从业人员对院外心脏骤停短期生存的影响。

背景：紧急医疗服务（EMS）对提高院外心脏骤停（OHCA）患者的生存率至关重要。EMS团队领导的专业知识，如急诊护士从业人员（ENPs），可能会影响患者的结果。本研究旨在评估ENPs的作用及其与OHCA预后的关系。方法：回顾性分析2017 ~ 2020年EMS治疗的OHCA病例。数据包括ENP存在、医护人员数量、患者人口统计学、初始心律、旁观者CPR、医生存在、患者就诊时间和现场时间。主要终点是院前自发循环恢复（ROSC），次要终点是急诊科（ED）的ROSC。结果：EMS治疗的212例OHCA患者中，ENPs发生率为14.6% %。院前ROSC为11.3 %，急诊科ROSC为48.1 %。ENP的存在与院前ROSC增加无关（p = 0.19），但与急诊科总ROSC率升高有关（p = 0.03）。结论：将ENPs纳入EMS团队可能会改善OHCA患者的短期生存结果，特别是在急诊科。需要进一步的研究来探索ENPs在院前护理中的更广泛影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.