https://scholars.lib.ntu.edu.tw/handle/123456789/532253
標題: | Factors influencing the outcomes after in-hospital resuscitation in Taiwan | 作者: | CHIEN-HUA HUANG WEN-JONE CHEN MATTHEW HUEI-MING MA WEI-TIEN CHANG CHAO LUN LAI Lee Y.-T. |
公開日期: | 2002 | 卷: | 53 | 期: | 3 | 起(迄)頁: | 265-270 | 來源出版物: | Resuscitation | 摘要: | Background: The effects on prognosis of some advanced interventions established before cardiopulmonary resuscitation are not clear. The outcomes and patterns of various factors of in-hospital resuscitation are also influenced by different disease patterns in different areas. We studied the factors related to outcomes in an oriental country. Materials and Methods: We studied the in-hospital resuscitation events in a tertiary medical center in Taipei city, Taiwan. All events and variables were recorded using the Utstein style for in-hospital resuscitation. We measured the influence of patients and event variables on the outcomes of return of spontaneous circulation (ROSC) and survival to discharge. Results: The rate of establishing a ROSC was 67% and the rate of survival to discharge was 17% in the studied population. The 1-year survival rate was 3.9%. Only 17% of the patients resuscitated had coronary artery disease. VT/VF was the initial rhythm in only 13.6% patients. Nearly half (49%) of the resuscitation attempts took place in emergency department (ED). Patients who were already intubated or had received mechanical ventilation before resuscitation had reduced chances of achieving ROSC. (P<0.05). Favorable prognostic factors of survival to discharge were shorter time intervals from patient collapse to arrival of the resuscitation team (69 vs. 154 s, P<0.05) and to confirmation of arrest (93 vs. 217 s, P<0.05). Conclusion: Intubation and mechanical ventilation already established before arrest implies an underlying critical illness and reduce the chances of ROSC. Shorter intervals from collapse to resuscitation improve the chance of survival to discharge. The high proportion of resuscitation events occurring in the ED, reflecting ED overcrowding, and low frequency of pre-existing coronary artery disease are unique to our country. ? 2002 Elsevier Science Ireland Ltd. All rights reserved. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/532253 | ISSN: | 0300-9572 | DOI: | 10.1016/S0300-9572(02)00024-2 | SDG/關鍵字: | aged; article; artificial ventilation; circulation; collapse; controlled study; coronary artery disease; emergency ward; female; heart rhythm; hospital admission; hospital discharge; human; intubation; major clinical study; male; medical personnel; outcomes research; priority journal; resuscitation; survival rate; Taiwan; Aged; Cardiopulmonary Resuscitation; Coronary Disease; Female; Heart Arrest; Hospital Mortality; Humans; Male; Outcome Assessment (Health Care); Prognosis; Survival Rate; Taiwan |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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