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首页> 外文期刊>Resuscitation. >Outcome of cardiopulmonary resuscitation in intensive care units in a university hospital.
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Outcome of cardiopulmonary resuscitation in intensive care units in a university hospital.

机译：在大学医院的重症监护室进行心肺复苏的结果。

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SUMMARY: The purpose of this study is to evaluate the demographic characteristics of patients who suffered cardiac arrest in our intensive care units (ICUs) as well as to identify those factors influencing outcome after resuscitation following cardiac arrest. METHODS: We reviewed the records of all patients who underwent cardiopulmonary resuscitation (CPR) in our ICUs at the Georg-August University Hospital, Goettingen, Germany, from January 1, 1999 to December 31, 2003. RESULTS: One hundred and sixty-nine patients underwent CPR. Severity of illness assessed by SAPS II score on admission was 51.8+/-18.5 (predicted mortality 46.6%). The initially monitored rhythm at the time of arrest was asystole in 51 (30.2%) patients. Ventricular tachycardia/fibrillation (VT/VF) was recorded in 65 (38.5%) and pulseless electrical activity in 49 (29.0%) patients. Twenty (23.8%), 28 (33.3%) and 33 (39.3%) patients with initially recorded asystole, VT/VF and pulseless electrical activity (PEA) rhythms, respectively, survived to ICU discharge. Eighty of the 169 patients survived to hospital discharge giving a survival rate of 47.3%. The highest ICU mortality was seen in patients admitted for neurosurgery (80%) followed by major vascular surgery (77.8%), non-surgical patients (67.4%) and patients with severe sepsis (66.7%). The occurrence of cardiac arrest within the first 24h was associated with a significantly lower ICU mortality compared to a later incident. At hospital discharge 66 patients (82.5% of the survivors) achieved good cerebral recovery, 12 patients (15.0%) were severely disabled (CPC 3) while 2 (2.5%) remained unconscious. CONCLUSION: Several factors affect the outcome from CPR. However, quicker triage to ICU, closer monitoring along with prompt intervention might minimise the consequences of cardiac arrest and its complications.
机译：摘要：这项研究的目的是评估在我们的重症监护病房（ICU）中遭受心脏骤停的患者的人口统计学特征，并确定那些影响心脏骤停复苏后结局的因素。方法：我们回顾了1999年1月1日至2003年12月31日在德国哥廷根的Georg-August大学医院的ICU中接受心肺复苏（CPR）的所有患者的记录。结果：169例。患者接受了心肺复苏术。入院时通过SAPS II评分评估的疾病严重度为51.8 +/- 18.5（预测死亡率为46.6％）。逮捕时最初监测到的节律是51例（30.2％）患者的心搏停止。记录了65例（38.5％）的室性心动过速/纤颤（VT / VF）和49例（29.0％）的患者无脉电活动。分别有20例（23.8％），28例（33.3％）和33例（39.3％）的患者最初记录了心搏停止，VT / VF和无脉动电活动（PEA）的节律，但存活至ICU出院。 169例患者中有80例存活到出院，存活率为47.3％。重症监护病房死亡率最高的是接受神经外科手术的患者（80％），其次是大血管外科手术（77.8％），非外科手术患者（67.4％）和严重脓毒症患者（66.7％）。与随后的事件相比，在最初的24小时内发生心脏骤停与ICU死亡率显着降低有关。出院时有66名患者（占幸存者的82.5％）大脑恢复良好，其中12名患者（占15.0％）被严重禁用（CPC 3），而2名患者（占2.5％）仍然失去知觉。结论：几个因素影响心肺复苏的结果。但是，对ICU进行更快速的分类，更紧密的监测以及及时的干预，可以最大程度地减少心脏骤停及其并发症的后果。

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