亚洲成年人在心脏骤停后存活的可能性比白人更低,尽管他们的旁观者CPR率相同
By American Heart Association News
Asian adults in the U.S. 在医院外心脏骤停后存活的可能性比白人同龄人要小, 即使他们很可能从旁观者那里接受心肺复苏术, new research finds.
The study published Wednesday in the Journal of the American Heart Association.
“令我们惊讶的是,亚洲成年人的旁观者心肺复苏率与白人成年人相同, as we have previously found that Black and Hispanic persons 院外心脏骤停患者的旁观者CPR率比白人低得多," the study's senior author, Dr. Paul Chan, said in a news release. 陈是圣卢克中美洲心脏研究所和密苏里大学堪萨斯城分校的医学教授.
Chan说,研究人员也没有预料到亚洲成年人的存活率会这么低.
“接受旁观者心肺复苏术通常是院外心脏骤停后存活的一个非常有力的预测指标. 因此,目前还不完全清楚是什么导致了较低的存活率。.
Cardiac arrest occurs when the heart suddenly stops beating. 当一个旁观者立即开始心肺复苏术时,生存的机会就会增加, which happens in less than half of all cases in the U.S.
In the new study, 研究人员分析了心脏骤停登记处的数据,以提高生存率, or CARES, for nearly 279,在美国,涉及亚洲和白人成年人的院外心脏骤停病例有1000例.S. from 2013 to 2021. 约5%的院外心脏骤停发生在亚洲成年人中, who were slightly older (an average age of 67 compared to 63), more likely to be female, 不太可能因为药物过量而导致心脏骤停, 而且不太可能有心律,这将受益于使用自动体外除颤器, or AED.
The researchers found Asian and white adults in the U.S. 在家中或公共场所发生心脏骤停的人有大约42%的机会从目击沙巴体育平台点击进入的人那里接受可能挽救生命的心肺复苏. However, 与白人同龄人相比,亚裔成年人活到出院的可能性要低8%,没有神经系统问题的可能性要低15%.
The CARES registry did not include Asian subgroups, such as South Asian, East Asian and Southeast Asian. 结果可能不适用于生活在该国农村地区的人,因为这些社区在CARES登记处的代表性不足.
Dr. Joseph Wu, who was not involved with the analysis, 称亚洲成年人和白人成年人在旁观者心肺复苏率上的相似性“令人鼓舞”,并表示这一发现值得对亚洲成年人的心脏骤停存活率和神经系统结果进行进一步研究. 吴是斯坦福大学心血管研究所和西蒙H. 他是加州斯坦福大学医学院医学和放射学教授.
“这里的结果要求我们调查生物和生理因素, as well as socioeconomic determinants of health and outcomes, and how they may impact people in various Asian subgroups," said Wu, the AHA's volunteer president, in the release.