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首页> 外文期刊>Resuscitation. >Assessment of the success of cardiopulmonary resuscitation attempts performed in a Turkish university hospital.
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Assessment of the success of cardiopulmonary resuscitation attempts performed in a Turkish university hospital.

机译:在土耳其一家大学医院进行的心肺复苏尝试成功的评估。

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摘要

The success rate of cardiopulmonary resuscitation (CPR) may differ from institution to institution, even within different sites in the same institution. A variety of factors may influence the outcome. In this study, we assessed the adequacy of CPR attempts guided by the current standards and aimed to define the factors influencing the outcome following in-hospital cardiac arrest. One hundred and thirty-four patients who required CPR were studied prospectively. Different variables for the CPR performance were recorded using forms designed for this study in the light of the guidelines. In these CPR forms various data including the demographics, history, monitoring, number, composition and experience of the anaesthesiologists, the site of CPR, time of day, the delay before onset of CPR, tracheal intubation, duration of arrest, initial rhythm in ECG monitored patients, management of CPR, drug administration and reversible causes of cardiac arrest were recorded. Our rates of immediate survival, survival at 24 h and survival to discharge 49.3%, 28.5% and 13.4%, respectively. The extent of monitoring prior to arrest, the attendance of one or more experienced anesthesiologists in the CPR team, CPR during office hours, CPR in ICU or operating room, early initiation of CPR and tracheal intubation prior to arrest were found as the factors increasing discharge survival. We conclude that early initiation of CPR with an experienced team in a well-equipped hospital sites increases the discharge survival rate following cardiac arrest.
机译:各个机构之间心肺复苏(CPR)的成功率可能会有所不同,即使在同一机构的不同地点也是如此。多种因素可能会影响结果。在这项研究中,我们评估了当前标准指导下进行CPR尝试的充分性,旨在确定影响院内心脏骤停后结果的因素。前瞻性研究了134名需要CPR的患者。根据指南使用本研究设计的表格记录不同的CPR表现变量。在这些CPR表格中,各种数据包括麻醉医师的人口统计学,历史,监测,数量,组成和经验,CPR的部位,一天中的时间,CPR发作前的延迟,气管插管,停搏时间,心电图的初始节律监测患者,记录心肺复苏,药物管理和可逆性心脏骤停病因。我们的即时生存率,24小时生存率和出院生存率分别为49.3%,28.5%和13.4%。发现逮捕前的监测程度,心肺复苏术团队中一名或多名经验丰富的麻醉师的出席,办公时间内的心肺复苏术,ICU或手术室中的心肺复苏术,逮捕前的早期心肺复苏术和气管插管是增加出院的因素生存。我们得出的结论是,在设备齐全的医院中,由经验丰富的团队尽早进行CPR,可增加心脏骤停后的出院生存率。

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