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首页> 外文期刊>Acute and critical care. >Outcome after Admission to Intensive Care Unit Following Out-of-Hospital Cardiac Arrest: Comparison between Cardiac Etiology and Non-Cardiac Etiology
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Outcome after Admission to Intensive Care Unit Following Out-of-Hospital Cardiac Arrest: Comparison between Cardiac Etiology and Non-Cardiac Etiology

机译：院外心脏骤停后进入重症监护室的结果：心脏病因学与非心脏病因学的比较

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BACKGROUND: To evaluate the post-resuscitation intensive care unit outcome of patients who initially survived out-of-hospital cardiac arrest (OHCA). METHODS: We retrospectively analyzed patients who were admitted to the ICU after OHCA in a tertiary hospital between January, 2005 and December, 2009. We compared the patients' clinical data, the factors associated with admission and the prognosis of patients in cardiac and non-cardiac groups. RESULTS: Sixty-four patients were included in this study. Thirty-four patients were in the cardiac group and thirty patients were in the non-cardiac group. The mean age was 57.3 +/- 15.1 years of age in the cardiac group and 61.9 +/- 15.7 years of age in the non-cardiac group (p = 0.235). The collapse-to-start of the CPR interval was 5.9 +/- 3.8 min in the cardiac group and 6.0 +/- 3.2 min in the non-cardiac group (p = 0.851). The complaint of chest pain occurred in 12 patients (35.3%) in the cardiac group and 1 patient (3.3%) in the non-cardiac group (p = 0.011). The time duration for making a decision for admission was 285.2 +/- 202.2 min in the cardiac group and 327.7 +/- 264.1 min in the non-cardiac group (p = 0.471). The regional wall motion abnormality and ejection fraction decrease were significant in the cardiac group (p = 0.002, 0.030). Grade 5 CPC was present in 8 patients (23.5%) in the cardiac group and 14 patients (46.7%) in the non-cardiac group. CONCLUSIONS: The key symptom that could initially differentiate the two groups was chest pain. The time duration for making an admission decision was long in both groups. The CPC score of the cardiac group was lower than that for the non-cardiac group.
机译：背景：为了评估最初在院外心脏骤停（OHCA）中幸存的患者的复苏后重症监护病房结局。方法：我们回顾性分析了2005年1月至2009年12月在三级医院接受OHCA后入ICU的患者。我们比较了患者的临床数据，与入院相关的因素以及心脏和非心脏疾病患者的预后。心脏组。结果：本研究纳入了64例患者。心脏组34例，非心脏组30例。心脏组的平均年龄为57.3 +/- 15.1岁，非心脏组的平均年龄为61.9 +/- 15.7岁（p = 0.235）。在心脏组中，CPR间隔的崩溃开始时间为5.9 +/- 3.8分钟，在非心脏组中为6.0 +/- 3.2分钟（p = 0.851）。心脏组的12例患者（35.3％）发生胸痛主诉，非心脏组的1例患者（3.3％）发生胸痛（p = 0.011）。心脏组决定入院的持续时间为285.2 +/- 202.2分钟，非心脏组为327.7 +/- 264.1分钟（p = 0.471）。在心脏组，区域壁运动异常和射血分数降低显着（p = 0.002，0.030）。心脏组的8例患者（23.5％）和非心脏组的14例患者（46.7％）存在5级CPC。结论：最初可以区分两组的主要症状是胸痛。两组的入学决定时间都很长。心脏组的CPC得分低于非心脏组。

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