希腊一家三级医院心肺复苏效果分析

Acute cardiac care Pub Date : 2013-06-01 Epub Date: 2013-05-10 DOI:10.3109/17482941.2013.781187
Athanasios Chalkias, Anastasios Koutsovasilis, Dimitra Mystrioti, Vasilios Dragoumanos, Theodoros Xanthos
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引用次数: 6

摘要

导读:院内心脏骤停是导致死亡的主要原因,尽管最近心肺复苏取得了进展,但到出院的存活率很低。本研究的目的是评价三级医院抢救工作的成功率。患者和方法:我们回顾性收集并分析了一年内所有在院内心脏骤停后尝试心肺复苏的患者的数据。结果:对96例心脏骤停患者进行了研究。15例(15.6%)患者实现了持续的自主循环恢复,所有患者存活时间均为24小时。心肺复苏训练、启动复苏时间小于5分钟、团队到达后插管时间< 1分钟是自主循环恢复相关的预测因素。非持证住院医师对87例(90.6%)患者进行复苏,其中6例(6.8%)患者恢复了自发循环并存活了24小时。与此相反,持证住院医师对9例(9.3%)患者进行了复苏,100%立即存活,24小时存活。结论:在我院,持证提供者抢救院内心脏骤停的成功率明显高于非持证提供者。这一发现表明,心肺复苏培训、继续医学教育和实施现有立法将提高生存率。
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Outcomes of cardiopulmonary resuscitation efforts in a Greek tertiary hospital.

Introduction: In-hospital cardiac arrest is a leading cause of death and despite recent advances in cardiopulmonary resuscitation, the survival to hospital discharge is poor. The aim of our study was to evaluate the success of resuscitation efforts in a tertiary hospital.

Patients and methods: We retrospectively collected and analysed data on all patients in whom cardiopulmonary resuscitation was attempted after in-hospital cardiac arrest in one-year period.

Results: 96 cardiac arrest victims were studied. Sustained return of spontaneous circulation was achieved in 15 (15.6%) patients, while all of them survived for 24 h. Training in cardiopulmonary resuscitation, initiation of resuscitation efforts in less than 5 min, and intubation time < 1 min after team arrival were predictive factors associated with restoration of spontaneous circulation. Non-certified residents resuscitated 87 (90.6%) patients with 6 (6.8%) of them achieving return of spontaneous circulation and surviving for 24 h. On the contrary, certified ward residents resuscitated nine (9.3%) patients with 100% immediate and 24-h survival.

Conclusion: In our hospital, certified providers had remarkably higher successful resuscitation rates for in-hospital cardiac arrest than non-certified providers. This finding suggests that training in cardiopulmonary resuscitation, continuing medical education, and implementation of the existing legislation will result in increased survival.

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