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首页> 外文期刊>Resuscitation. >Resuscitation on television: realistic or ridiculous? A quantitative observational analysis of the portrayal of cardiopulmonary resuscitation in television medical drama.
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Resuscitation on television: realistic or ridiculous? A quantitative observational analysis of the portrayal of cardiopulmonary resuscitation in television medical drama.

机译：电视上的复苏：现实还是荒谬？电视医疗剧中心肺复苏表现的定量观察分析。

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INTRODUCTION: Patients' preferences for cardiopulmonary resuscitation (CPR) relate to their perception about the likelihood of success of the procedure. There is evidence that the lay public largely base their perceptions about CPR on their experience of the portrayal of CPR in the media. The medical profession has generally been critical of the portrayal of CPR on medical drama programmes although there is no recent evidence to support such views. OBJECTIVE: To compare the patient characteristics, cause and success rates of cardiopulmonary resuscitation (CPR) on medical television drama with published resuscitation statistics. DESIGN: Observational study. METHOD: 88 episodes of television medical drama were reviewed (26 episodes of Casualty, Casualty, 25 episodes of Holby City, 23 episodes of Grey's Anatomy and 14 episodes of ER) screened between July 2008 and April 2009. The patient's age and sex, medical history, presumed cause of arrest, use of CPR and immediate and long term survival rate were recorded. MAIN OUTCOME MEASURES: Immediate survival and survival to discharge following CPR. RESULTS: There were a total of 76 cardio-respiratory arrests and 70 resuscitation attempts in the episodes reviewed. The immediate success rate (46%) did not differ significantly from published real life figures (p=0.48). The resuscitation process appeared to follow current guidelines. Survival (or not) to discharge was rarely shown. The average age of patients was 36 years and contrary to reality there was not an age related difference in likely success of CPR in patients less than 65 compared with those 65 and over (p=0.72). The most common cause of cardiac arrest was trauma with only a minor proportion of arrests due to cardio-respiratory causes such as myocardial infarction. CONCLUSIONS: Whilst the immediate success rate of CPR in medical television drama does not significantly differ from reality the lack of depiction of poorer medium to long term outcomes may give a falsely high expectation to the lay public. Equally the lay public may perceive that the incidence and likely success of CPR is equal across all age groups.
机译：简介：患者对心肺复苏（CPR）的偏爱与他们对手术成功的可能性的看法有关。有证据表明，普通大众很大程度上基于他们对媒体对CPR的描绘经验而对CPR的看法。尽管最近没有证据支持这种观点，但医学界普遍对CPR在医学戏剧节目中的描绘持批评态度。目的：比较医疗电视剧中患者的特征，心肺复苏的原因和成功率，以及已公布的复苏统计数据。设计：观察性研究。方法：回顾性分析了2008年7月至2009年4月间88集的电视医疗剧集（26集的伤亡，伤亡，25集的霍尔比市，23集的《灰色解剖学》和14集的ER）。该患者的年龄，性别，医疗记录病史，推测的逮捕原因，使用心肺复苏术以及近期和长期生存率。主要观察指标：立即生存，并在心肺复苏后生存。结果：在这些发作中总共进行了76次心肺骤停和70次复苏尝试。即时成功率（46％）与已发布的现实生活数据无显着差异（p = 0.48）。复苏过程似乎遵循当前指南。很少显示生存（或不生存）。患者的平均年龄为36岁，与实际情况相反，年龄小于65岁的患者与65岁以上的患者相比，CPR成功的可能与年龄无关（p = 0.72）。导致心脏骤停的最常见原因是创伤，仅一小部分因心脏呼吸原因（如心肌梗塞）而停止。结论：尽管医疗电视剧中CPR的即时成功率与现实没有显着差异，但缺乏对较差的中长期效果的描述可能会给普通大众以错误的高期望。同样，非专业人士可能会认为CPR的发生率和成功率在所有年龄段中都是相同的。

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