...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Resuscitation. >The incidence and significance of emesis associated with out-of-hospital cardiac arrest.
【24h】

The incidence and significance of emesis associated with out-of-hospital cardiac arrest.

机译：呕吐与院外心脏骤停有关的发生率和意义。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

STUDY OBJECTIVE: Studies have suggested that emesis may occur in up to a third of cardiac arrest patients. The goal of this investigation was to characterize the frequency, timing, and outcome association of emesis in persons suffering out-of-hospital cardiac arrest in order to understand the role and care-implications of emesis better. METHODS: We conducted a cohort study of persons 18 years and over suffering non-traumatic out-of-hospital cardiac arrests who received attempted resuscitation by paramedics in the study community from January 1, 2004 through December 31, 2005 (n=1009). The presence and timing of emesis were determined by paramedics and recorded on the Emergency Medical Services report form. We used logistic regression analyses to assess whether emesis was independently associated with survival to hospital discharge. RESULTS: The presence or absence of emesis was documented in 76% (1009/1333) of cases. Emesis was present in 32% (318/1009). Two-thirds (208/312) of emesis occurred prior toEMS arrival; 28% (88/312) of episodes occurred between EMT arrival and intubation; and 4% (13/312) occurred after intubation. After adjustment for potential confounders, the presence of emesis was associated with a decreased odds of survival to hospital discharge among all-rhythm arrest (Odds ratio (OR)=0.50 [0.28-0.89]) and ventricular fibrillation arrest (OR=0.52 [0.27-0.98]). CONCLUSION: Given the frequency of emesis, the potential that some portion of emesis may be related to care, and the adverse association between emesis and survival, approaches that treat or prevent emesis better may improve the chances of survival following out-of-hospital cardiac arrest.
机译：研究目的：研究表明，呕吐可能发生在多达三分之一的心脏骤停患者中。这项研究的目的是表征院外心脏骤停患者的呕吐发生频率，时机和结局，以更好地了解呕吐的作用和护理意义。方法：我们对2004年1月1日至2005年12月31日在研究社区接受护理人员尝试复苏的18岁及以上非创伤性院外心脏骤停患者进行了队列研究。呕吐的发生和时间由医护人员确定，并记录在紧急医疗服务报告表中。我们使用逻辑回归分析评估呕吐是否与出院生存率独立相关。结果：在76％（1009/1333）的病例中记录了有无呕吐。呕吐的发生率为32％（318/1009）。呕吐的三分之二（208/312）发生在EMS到达之前; EMT到达和插管之间发生发作的发生率为28％（88/312）;插管后发生4％（13/312）。在对潜在的混杂因素进行调整之后，呕吐的存在与全节律停止（赔率（OR）= 0.50 [0.28-0.89]）和室颤停止（OR = 0.52 [0.27]）的出院生存率降低相关。 -0.98]）。结论：考虑到呕吐的发生频率，部分呕吐可能与护理有关，以及呕吐与生存之间的不良关联，更好地治疗或预防呕吐的方法可能会改善院外心脏手术后的生存机会逮捕。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号