患者基线特征与心肺复苏成功率的相关性研究横断面研究

Advanced Journal of Emergency Medicine Pub Date : 2018-12-29 eCollection Date: 2019-01-01 DOI:10.22114/AJEM.v0i0.115
Ehsan Hajzargarbashi, Elahe Omidi, Mehrdad Esmailian
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引用次数: 2

摘要

导读:心肺复苏术(CPR)的方法、应用的药物和治疗人员的技术已经取得了许多进步,但心脏骤停后的死亡率仍然很高,这受许多因素的影响。目的:本研究旨在评价影响心肺复苏术成功率的因素。方法:对2017年3月至2018年3月在伊朗伊斯法罕Dr. Shariati医院接受心肺复苏术的患者进行横断面研究。使用预先设计的核对表收集数据,其中包括有关患者的人口统计数据和病史、心肺复苏术相关数据和复苏的最终结果的问题。结果:本研究共纳入190例患者,平均年龄69.4±17.7岁,其中男性115例(60.5%)。总体而言,28.9%的cpr初步成功,5.3%的病例最终出院。心肺复苏成功率与年龄、性别、住院病房、住院至心脏骤停间隔时间、心肺复苏次数、轮班等因素无显著相关(p > 0.05)。另一方面,心肺复苏成功与基础疾病和复苏开始前记录的第一次心律显著相关(p < 0.05)。结论:基于本研究的结果,基础疾病和记录的初始心律似乎与心肺复苏术成功的可能性相关。
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Correlation of Patients' Baseline Characteristics with Success Rate of Cardiopulmonary Resuscitation; a Cross-Sectional Study.

Introduction: Many advances have been made in method, applied medications and the skill of the treatment staff for performing cardiopulmonary resuscitation (CPR), yet the rate of mortality following cardiac arrest is still high, which is affected by many factors.

Objective: This study was designed and performed aiming to evaluate the effective factors in the success rate of CPR.

Method: This cross-sectional study was performed on patients who had undergone CPR in Dr. Shariati Hospital, Isfahan, Iran, from March 2017 to March 2018. A pre-designed checklist was used for data gathering, which included questions regarding demographic data and medical history of the patients, data related to CPR and the final outcome of resuscitation.

Results: A total of 190 patients with the mean age of 69.4±17.7 years were evaluated in the present study, 115 (60.5%) of which were male. Overall, 28.9% of CPRs were initially successful and 5.3% of the cases were finally discharged from the hospital. There was no significant correlation between CPR success and age, sex, hospitalization ward, time interval between hospitalization and cardiac arrest, the number of CPR attempts, or working shift (p > 0.05). On the other hand, CPR success significantly correlated with underlying illnesses and the first cardiac rhythm recorded before the initiation of resuscitation (p < 0.05).

Conclusion: Based on the findings of the present study, it seems that underlying illness and the initial cardiac rhythm recorded correlate with the probability of CPR success.

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