旁观者激活对院前急救反应时间的影响:系统回顾

IF 0.4 Q4 EMERGENCY MEDICINE Emergency Care Journal Pub Date : 2023-10-12 DOI:10.4081/ecj.2023.11568
Felistus Ndanu Musyoka, Wanja Tenambergen, Job Mapesa, Abdushakur Ndolo, George Agot, Joy China, Lucina Koyio, Carol Ngunu, Martin Mulonzi, Veronica Njeri
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引用次数: 0

摘要

本文对灰色文献进行了系统的回顾和分析,以确定和解决关于旁观者激活对院前急救(PEC)反应时间的作用和影响的知识空白。我们对2000年以来在Web of Science、PubMed、Science Direct和Google Scholar数据库中发表的全文文章进行了系统搜索。我们遵循系统评价和荟萃分析(PRISMA)指南的首选报告项目,使用“院前急救反应时间”和“旁观者”作为搜索关键词。使用ROBINS-I工具评估偏倚风险。我们的分析包括46项符合纳入标准的相关研究。然而,我们观察到许多研究报告不足,存在选择和检测偏差的风险。此外,我们在五项研究中发现了方法学和研究设计的弱点。鉴于急诊服务在挽救生命和预防并发症方面的关键作用,及时提供这些服务至关重要。旁观者在启动紧急医疗服务(EMS)和提供心肺复苏中发挥着核心作用。旁观者及时呼叫EMS可缩短PEC反应时间,提高生存机会,改善神经系统预后,特别是院外心脏骤停患者。有大量证据表明,紧急急救系统的快速激活显著减少了PEC的响应时间,从而挽救了生命并加强了现有的PEC系统。然而,需要进一步的研究来准确评估旨在增强旁观者EMS激活和减少PEC反应时间的不同干预措施的影响。
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Influence of bystander activation on pre-hospital emergency care response time: systematic review
This article presents a systematic review and analysis of grey literature to identify and address gaps in knowledge regarding the role and influence of bystander activation on pre-hospital emergency care (PEC) response time. We conducted a systematic search for full-text articles published since 2000 in Web of Science, PubMed, Science Direct, and Google Scholar databases. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, using “pre-hospital emergency care response time” and “bystanders” as search keywords. The risk of bias was assessed using the ROBINS-I tool. Our analysis included forty-six relevant studies meeting the inclusion criteria. However, we observed that many studies were poorly reported, posing risks of selection and detection biases. Additionally, we identified methodological and study design weaknesses in five studies. Given the critical role of PEC services in saving lives and preventing medical complications, the timely provision of these services is paramount. Bystanders play a central role in activating emergency medical services (EMS) and providing cardiopulmonary resuscitation. Prompt calls to EMS by bystanders resulted in reduced PEC response times, improved survival chances, and better neurological outcomes, particularly among out-of-hospital cardiac arrest patients. There is substantial evidence that prompt bystander activation of EMS significantly reduces PEC response times, thereby saving lives and strengthening existing PEC systems. However, further research is necessary to accurately assess the impact of different interventions aimed at enhancing bystander activation of EMS and reducing PEC response times.
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来源期刊
Emergency Care Journal
Emergency Care Journal EMERGENCY MEDICINE-
CiteScore
0.10
自引率
60.00%
发文量
29
审稿时长
10 weeks
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