Epidemiological study of 12 744 cases in pre-hospital emergency care in huaihua city

Abstract

Objective To guide the improvement and construction of Emergency Medical Service System, and investigate the epidemiological information of patients in pre-hospital emergency care in Huaihua city and probe the patients, characteristic. Methods The data were exported from the computer databases of Huaihua city, emergency medical center between 9-21, 2013 and 9-20, 2016.The thorough records of data from 12 744 aid patients were conducted to statistical analysis.The 7 033 male and 5 711 female between 1 month to 94 years old in that, the average ages is 51.8±22.6 . Specificly analyse different results of treatment [Pre-hospital care non-death, pre-hospital death (Pre-hospital cardiac death and Pre-hospital non-cardiac death)], that patients accepted pre-hospital emergency care of the time of deployment, arrival, spot, returning, drawing-out, and rescuing radius, quarterly distribution, types of diseases, the distribution of sexs and ages; this analyses the situation of ages of the different types of diseases about Pre-hospital medical care patients. Results (1) The scheduling time, running time, returning time and service radius about patients receiving pre-hospital care in the death group were less than those of the non-death group, and the rescue time and total time of the former were more than those of the latter respectively (P 0.05), but running time, returning time, total time and service radius of the sudden cardiac death groups were more than those of the non- sudden cardiac death groups, and returning time of the former was less than that of Pre-hospital care group of non-sudden cardiac death (P<0.01 or P<0.05). (2)The patients, amount in Pre-hospital medical care group, the non-death group, the death group, the non- sudden cardiac death group and the sudden cardiac death group were common in the first season of the year. (3)In 12 744 cases of pre-hospital medical care patients group, the patients, amount of trauma was at most, the percentage of the trauma group to the pre-hospital medical care group was 32.99%(4 204/12 744), whose age grades was by far among 21~50, which the patients, amount of traffic accident was at the most, and the others with a high incidence of the disease in sequence were circulatory system, nervous system, digestive system, poisoning group and respiratory system, whose age grades in circulatory system, nervous system, digestive system, respiratory system was by far above 51, the patients, age grades in poisoning group was patients by far among 21~50, which the patients, amount of acute alcoholism was at the most, the percentage of the acute alcoholism group to the poisoning group was 76.52%. (4)In 657 cases of aid death patients group, the death amount of trauma and poisoning group ranked at the 1th, 5th respectively, whose age grades was by far among 21~50.The death amount of diseases of circulatory system, nervous system, respiratory system and digestive system ranked at the 2th, 3th, 4th, 6th respectively, those patient’ age grades was by far above 51, in the further analysis, the amount of patients with pre-hospital of sudden cardiac death was at most in the death amount of diseases in circulatory system.(5) The total amount, the death amount and the sudden cardiac death amount of cases of male patients were more than those of female patients. (6) The percentage of the death group to the pre-hospital medical care group cases was 5.15%(657/12 744), and the percentage of the sudden cardiac death group to the pre-hospital medical care group cases was 1.11%(141/12 744), and the percentage of the sudden cardiac death patients group to the death group was 21.46%(141/657). Conclusions Trauma, especially in traffic accident injury, is the main cause of death of pre-hospital care in Huaihua city in recent years. The measures benefit to reduce icidence, mrtality in pre-hospital emergency medical care in the local aera by strengthening emergency first aid network construction, the rational preparation schedule settings, or the evidence for the existence of sudden cardiac death risk factors in patients with increased vigilance, making preventions plans for a particular season, disease and people, promoting the knowledge and skills of pre-hospital popularity, focusiong on cardio-cerebral vascular disease and respiratory disease prevention and control, improving the masses of the common early identification of critical capacity and other targeted initiatives. Key words: Pre-hospital emergency care; Pre-hospital death; Sudden cardiac death; Epidemiological study