2019年底爆發嚴重特殊傳染性肺炎(COVID-19)，隔兩年臺灣進入三級警戒，本研究為疫情前後到院前死亡存活率之差異，以臺中市為例，研究分析一：到院前緊急醫療救護服務與到院前心肺功能停止患者預後之差異？根據敘述性統計方式分析3895位樣本之性別、年齡、ROSC率、存活率，結果發現存活率下降0.05%，故無差異。研究分析二：疫情前後的DA-CPR時間差異？依據卡方檢定，p值<.05，達顯著差異，故疫情會影響DACPR時間。研究分析三：DACPR時間長短與OHCA存活率之差異？依據卡方檢定，p值>.05，未達顯著差異，所以DACPR時間長短與OHCA存活率無影響，建議後續研究者可針對不同縣市、性別做更深入之研究。 At the end of 2019, cases of Specific Infectious Pneumonia (COVID-19) emerged. In 2021, the CDC upgrade the epidemic to a level 3 alert in Taiwan. The paper focuses on the difference in pre-hospital survival rates before and after the pandemic in Taichung City. Analysis of the first study: Examines the difference in outcomes between emergency medical services (EMS) and pre-hospital patients with cardiac arrest. Descriptive statistical analysis was conducted on a sample of 3895 cases, examining gender, age, rate of return of spontaneous circulation (ROSC) and survival rate. The results showed a decrease of 0.05% in survival rate, indicating no significant difference.Analysis of the second study: Investigates the difference in time for Dispatcher-Assisted Cardiopulmonary Resuscitation (DA-CPR) before and after the pandemic. Based on the Chi-Square Test, the p-value < .05, indicating a significant difference. Therefore, the pandemic has an impact on DA-CPR time.Analysis of the third study: Examines the difference in DA-CPR time and Out-of-Hospital Cardiac Arrest (OHCA) survival rate. Based on the Chi-Square Test, the p-value > .05, indicating no significant difference. Thus, the length of DA-CPR time doesn’t affect OHCA survival rate. It is recommended that future researchers conduct more in-depth studies focusing on different regions and genders.
