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首页> 外文期刊>Resuscitation. >A web-based Utstein style registry system of in-hospital cardiopulmonary resuscitation in Taiwan.
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A web-based Utstein style registry system of in-hospital cardiopulmonary resuscitation in Taiwan.

机译：台湾基于Web的Utstein风格注册表进行院内心肺复苏的系统。

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PURPOSE OF THE STUDY: The Web-Based Registry System on In-hospital Resuscitation (WRSIR) is the first prospective, web-based, multi-site, and Utstein-based reporting system in Taiwan. This study was conducted to evaluate the feasibility of the system in one of the participating hospitals and identify prognostic factors associated with survival. MATERIAL AND METHODS: The WRSIR is an on-line registry system coded with the active server page (ASP) programming method. Information was gathered and entered on-line by trained staff using spreadsheets that could be automatically created according to the updated Utstein in-hospital template. Through the implementation of the system, in a tertiary teaching hospital we evaluated all adults with in-hospital cardiac arrest receiving cardiopulmonary resuscitation between 1 October 2004 and 30 September 2005. The main outcome measures were return of spontaneous circulation (ROSC), survival to hospital discharge, and cerebral performance category score at the time of discharge. Logistic regression analysis was performed to determine independent predictors of survival. RESULTS: A total of 330 cases experienced in-hospital resuscitation. ROSC occurred in 233 cases (71%) and 61 patients (18%) survived to hospital discharge. Thirty-five patients (58%) had a good neurological outcome with the cerebral performance category (CPC) score of 1 or 2 among survivors. The major predictor of ROSC was initial rhythm of VT/VF (adjusted OR 0.36, 95% CI 0.16-0.78). CONCLUSION: This study examined the feasibility of a web-based registry system on in-hospital resuscitation using the Utstein style in an oriental country. It provides a comprehensive and standardised method for on-line registry of data collection, allowing individual hospitals to track each case for quality improvement. A further nationwide registry will enforce the possibility of data analysis and future perspective research of in-hospital resuscitation.
机译：研究目的：基于网络的医院内复苏注册表系统（WRSIR）是台湾首个基于网络，多站点和基于Utstein的前瞻性报告系统。这项研究旨在评估该系统在参与医院之一中的可行性，并确定与生存相关的预后因素。材料和方法：WRSIR是使用活动服务器页面（ASP）编程方法编码的在线注册表系统。信息由经过培训的人员使用电子表格收集和输入，该电子表格可以根据更新的Utstein医院内模板自动创建。通过该系统的实施，我们在一家三级教学医院中评估了2004年10月1日至2005年9月30日期间接受心肺复苏的所有院内心脏骤停的成年人。主要结局指标包括自发循环（ROSC）的恢复，医院的生存率出院，以及出院时的脑功能类别评分。进行逻辑回归分析以确定存活的独立预测因子。结果：总共330例经历了医院内复苏。 ROSC发生233例（71％），其中61例（18％）幸免于难。在幸存者中，有35名患者（58％）的神经功能良好，其脑功能类别（CPC）得分为1或2。 ROSC的主要预测指标是VT / VF的初始节律（调整后的OR 0.36，95％CI 0.16-0.78）。结论：本研究探讨了在东方国家中使用基于Utstein风格的基于网络的注册表进行医院内复苏的可行性。它为数据收集的在线注册提供了一种全面而标准化的方法，使各个医院可以跟踪每个病例以提高质量。进一步的全国性注册将加强医院内复苏的数据分析和未来前景研究的可能性。

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