阿尤布医学教学研究所心脏病科 CCU 接收的心脏骤停患者的心肺复苏成功率

Sardar Fawad Gul, Muhammad Imran Khan, Yasir Ali Shah, Zia Ullah Khan, Sardar Jawad Gul, Rabia Basre
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摘要

心肺复苏术(CPR)是治疗心脏骤停患者的基本程序,尤其是在重症监护室(CCU)中。目的评估重症监护室收治的心肺复苏成功率,揭示当前复苏技术的有效性。方法这项回顾性研究于 2023 年 4 月 13 日至 2023 年 11 月 30 日期间在阿伯塔巴德阿尤布医学教学研究所心脏病学系进行,共有 110 名患者在重症监护病房时心脏骤停。我们收集并检查了有关患者人口统计学、原有合并症、开始心肺复苏的时间、心肺复苏持续时间和结果的数据。心肺复苏成功的定义是自发性循环(ROSC)持续恢复至少 20 分钟。研究结果本研究包括 110 名心脏病患者。大多数患者(68.18%)为男性。高血压是最常见的合并症,占 72.7%。心肺复苏平均晚开始 4.8 分钟,标准差为 1.2 分钟。平均心肺复苏时间为 18.2 分钟,标准差为 5.6 分钟。心脏骤停后,60 名患者(54.5%)在 5 分钟内开始心肺复苏。另一个分组发现,25 名(22.7%)室颤患者的心肺复苏成功率为 96.0%。随后出现了室性心动过速(80.0%)、无脉电活动(76.0%)和僵直(68.9%)。这些数据表明,心肺复苏术对心室颤动患者的效果更好。结论:这项研究揭示了心脏骤停 CCU 患者的人口统计学、护理和预后。数据显示,早期心肺复苏和心室颤动检测及治疗可改善这些患者的预后。
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The Rate of Success of CPR in Patients Suffering from Cardiac Arrest in Patients Admitted in CCU in Cardiology Department Ayub Medical Teaching Institute
Cardiopulmonary resuscitation (CPR) is an essential procedure used to treat patients who are in cardiac arrest, particularly in the Critical Care Unit (CCU). Objective: To assess the success rate of CPR admitted to the CCU, revealing insight on the effectiveness of current resuscitation techniques. Methods: This retrospective study was conducted at Department of Cardiology Ayub Medical Teaching Institute, Abbottabad, between 13th April 2023 to 30th November 2023, 110 patients had cardiac arrest while in the intensive care unit. Data were gathered and examined on patient demographics, pre-existing comorbidities, time to start CPR, duration of CPR, and results. CPR success was defined as a sustained restoration of spontaneous circulation (ROSC) for at least 20 minutes. Results: This study included 110 cardiac patients. Most patients (68.18%) were male. Hypertension was the most common comorbidity at 72.7%. CPR started on average 4.8 minutes late, with a 1.2-minute standard deviation. The average CPR time was 18.2 minutes, with a 5.6-minute SD. After cardiac arrest, 60 (54.5%) patients began CPR within 5 minutes. Another subgroup found 96.0% CPR success in 25 (22.7%) ventricular fibrillation patients. Then occurred ventricular tachycardia (80.0%), pulseless electrical activity (76.0%), and asystole (68.9%). These data suggest that CPR works better in ventricular fibrillation patients. Conclusions: This research sheds light on cardiac arrest CCU patients' demographics, care, and outcomes. The data show that early CPR and ventricular fibrillation detection and treatment improve outcomes for these individuals. 
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