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首页> 外文期刊>Resuscitation. >The knowledge and perceptions of medical personnel relating to outcome after cardiac arrest.
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The knowledge and perceptions of medical personnel relating to outcome after cardiac arrest.

机译：医务人员有关心脏骤停后结果的知识和看法。

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OBJECTIVE: We sought to evaluate the knowledge of probable outcome by medical personnel for in-hospital and out-of-hospital cardiac arrests, and self-reported history of CPR training referrals for family members of cardiac patients. METHODS: One hundred people from each of three population lists were randomly selected at a large, urban school of medicine and affiliated medical center: (1) year III and IV medical students; (2) residents in family medicine, emergency medicine, internal medicine, anesthesia, and surgery; (3) attending physicians in the same departments. A questionnaire was distributed that elicited estimates of in-hospital and out-of-hospital cardiac arrest (IHCA and OHCA, respectively) survival rates, and CPR training referral history. Estimates were compared against published data for accuracy (IHCA: 5-20%; OHCA 1-10%) RESULTS: The overall response rate was 63%. Accurate in-hospital cardiac arrest estimates [% (95% CI)] of survival were provided by 51.1% (36.8-63.4%), 47.3% (35.9-58.7%), and 36.7% (23.2-50.2%) of students, residents, and attending physicians, respectively. Accurate out-of-hospital estimates of survival were provided by 51.1% (36.8-63.4%), 52.1% (40.6-63.5%), and 70.8% (57.9-83.7%), respectively. Most thought that family members of cardiac patients ought to be CPR trained (92.6%). However, few had referred any for training in the past year (16.5%). There was strong support across respondent groups for including death notification information in the ACLS training program, with 80.4% of all respondents in favor. CONCLUSIONS: This study demonstrates that medical experience is not associated with accurate estimates of cardiac arrest survival. Overwhelmingly, medical personnel believe family members should be trained to perform CPR, however, few refer family members for CPR training.
机译：目的：我们试图评估医务人员对于院内和院外心脏骤停的可能结局知识，以及自我报告心脏病患者家属的CPR培训转诊史。方法：在一个大型的城市医学院和附属医学中心从三个人口清单中的每一个中随机选择一百人：（1）第三和第四年的医学生; （2）居民从事家庭医学，急诊医学，内科，麻醉和外科手术; （3）在同一科室就诊。分发了一份调查表，得出了院内和院外心脏骤停（分别为IHCA和OHCA）存活率和CPR培训转诊史的估计值。将估计值与已公布的数据进行准确性比较（IHCA：5-20％; OHCA 1-10％）。结果：总体答复率为63％。 51.1％（36.8-63.4％），47.3％（35.9-58.7％）和36.7％（23.2-50.2％）的学生提供了准确的院内心脏骤停估计生存率[％（95％CI）]，居民和主治医师。准确的院外生存率估计分别为51.1％（36.8-63.4％），52.1％（40.6-63.5％）和70.8％（57.9-83.7％）。大多数人认为心脏病患者的家庭成员应该接受心肺复苏术培训（92.6％）。但是，在过去的一年中，很少有人推荐任何人接受培训（16.5％）。受访者群体强烈支持将死亡通知信息纳入ACLS培训计划，所有受访者中80.4％的支持。结论：这项研究表明医学经验与心脏骤停生存的准确估计无关。绝大多数情况下，医务人员认为应该对家庭成员进行心肺复苏术培训，但是很少有人推荐家庭成员进行心肺复苏术培训。

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