미세먼지 농도에 따른 심·뇌혈관계 및호흡기계 환자의 119 구급 출동 분석 (Analysis of 119 dispatch for patients with cardio-cerebrovascular and respiratory diseases according to particulate matter†)

서지정보

· 발행기관 : 사단법인 한국응급구조학회
· 수록지 정보 : 한국응급구조학회지 / 24권 / 1호 / 37 ~ 55페이지
· 저자명 : 구지연, 조근자

초록

Purpose: The purpose of this study was to provide basic data for improving the response capacity of 119 EMS systems by analyzing the effects of particulate matter on cardio-cerebrovascular and respiratory symptoms in the pre-hospital stage.
Methods: We examined 46,389 patients who transferred to the hospital with complaints of cardiopulmonary arrest and cardio-cerebrovascular and respiratory symptoms by 119 ambulances in Incheon from 2016 to 2018.
Results: The probability of 119 emergency dispatch for patients with cardiopulmonary arrest increased 2.8-4.0% from the day of symptom onset until two days before hospital presentation as particulate matter 10μm or less in diameter(PM10) increased by 10μg/m3 (OR=1.028; 95% CI=1.014–1.041, p=0.000, lag 0), (OR=1.040; 95% CI=1.024–1.056, p=0.000, lag 1), (OR=1.032; 95% CI=1.016–1.049, p=0.000, lag 2). Meanwhile, emergency dispatch increased 3.6-6.1% for PM2.5 in creased by 10μg/m3 (OR=1.046; 95% CI=1.024–1.068, p=0.000, lag 0), (OR=1.061; 95% CI=1.035–1.088, p=.000, lag 1), and (OR=1.036; 95% CI=1.010–1.063, p=0.006, lag 2).
Conclusion: Emergency medical technicians (EMTs) who respond to 119 calls should rapidly and accurately evaluate patients and provide professional emergency care by identifying the characteristics of the vulnerable groups relative to particulate matter size. To prevent the occurrence and exacerbation of symptoms caused by particulate matter, EMTs should be prepared and equipped with a response system for high particulate matter in the EMS system.

영어초록

Purpose: The purpose of this study was to provide basic data for improving the response capacity of 119 EMS systems by analyzing the effects of particulate matter on cardio-cerebrovascular and respiratory symptoms in the pre-hospital stage.
Methods: We examined 46,389 patients who transferred to the hospital with complaints of cardiopulmonary arrest and cardio-cerebrovascular and respiratory symptoms by 119 ambulances in Incheon from 2016 to 2018.
Results: The probability of 119 emergency dispatch for patients with cardiopulmonary arrest increased 2.8-4.0% from the day of symptom onset until two days before hospital presentation as particulate matter 10μm or less in diameter(PM10) increased by 10μg/m3 (OR=1.028; 95% CI=1.014–1.041, p=0.000, lag 0), (OR=1.040; 95% CI=1.024–1.056, p=0.000, lag 1), (OR=1.032; 95% CI=1.016–1.049, p=0.000, lag 2). Meanwhile, emergency dispatch increased 3.6-6.1% for PM2.5 in creased by 10μg/m3 (OR=1.046; 95% CI=1.024–1.068, p=0.000, lag 0), (OR=1.061; 95% CI=1.035–1.088, p=.000, lag 1), and (OR=1.036; 95% CI=1.010–1.063, p=0.006, lag 2).
Conclusion: Emergency medical technicians (EMTs) who respond to 119 calls should rapidly and accurately evaluate patients and provide professional emergency care by identifying the characteristics of the vulnerable groups relative to particulate matter size. To prevent the occurrence and exacerbation of symptoms caused by particulate matter, EMTs should be prepared and equipped with a response system for high particulate matter in the EMS system.

참고자료

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