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  1. NTU Scholars
  2. 醫學院
  3. 醫學系
Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/392852
Title: The relationship between survival after out-of-hospital cardiac arrest and process measures for emergency medical service ambulance team performance
Authors: MATTHEW HUEI-MING MA
Chen, Tsung-Tai
Lin, Keh-chung
Chen, Hui-fang
Ma, Matthew Huei-Ming
WEN-CHU CHIANG
Chen, Fen-Ju
Chen, Chia-ling
Wang, Tien-ni
Hu, Fu-Chang
Lu, Yu-Cheng
Wu, Ching-yi
Chiang, Wen-Chu
Hsieh, Yu-wei 
Ko, Patrick Chow-In
Wu, Li-ling
Issue Date: 2015
Journal Volume: 97
Start page/Pages: 55-60
Source: Resuscitation 
Abstract: 
Objective: International institutes have developed their own clinical performance indicators for ambulance services. It is unknown whether these process measures are related to survival of patients after out-of-hospital cardiac arrest (OHCA). We aimed to determine whether Emergency Medical Service (EMS)-related ambulance team process measures correlate with patient survival. Methods: Four years of observational data were collected from an urban EMS OHCA registry. The two process measures were achieving an EMS response time ?4. min and prehospital ROSC (return of spontaneous circulation). The outcome measure was survival to discharge. We used the GLMM (generalised linear mixed model) with stepwise selection to examine this process-outcome link at the patient and EMS team levels, respectively. Results: We analyzed 3856 OHCA patients distributed across forty-three EMS ambulance teams. Survival to discharge was observed in 193 (5%) patients. The two EMS team process measures were positively associated with an improvement in survival at the patient level after case-mix adjustment. However, they were not associated with improvement in the risk-adjusted survival rate. Conclusions: The EMS team-level process measures proposed by international institutes may not predict the risk-adjusted survival rate. Using these measures to motivate EMS teams to improve their quality performance would be questionable. Increased efforts should be devoted to constructing more pivotal EMS team-level process measures that are tightly linked to survival. ? 2015 Elsevier Ireland Ltd.
URI: http://www.scopus.com/inward/record.url?eid=2-s2.0-84951992148&partnerID=MN8TOARS
http://scholars.lib.ntu.edu.tw/handle/123456789/392852
DOI: 10.1016/j.resuscitation.2015.04.035
metadata.dc.subject.other: aged; ambulance response time; Article; emergency health service; female; heart rhythm; human; major clinical study; male; out of hospital cardiac arrest; priority journal; return of spontaneous circulation; survival rate; ambulance; health care quality; mortality; Out-of-Hospital Cardiac Arrest; rapid response team; survival rate; Aged; Ambulances; Female; Hospital Rapid Response Team; Humans; Male; Out-of-Hospital Cardiac Arrest; Process Assessment (Health Care); Survival Rate
[SDGs]SDG3
Appears in Collections:醫學系

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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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