Cardiopulmonary resuscitation in intensive care unit and non-intensive care unit patients. Immediate and long-term survival.
Cardiopulmonary resuscitation in intensive care unit and non-intensive care unit patients. Immediate and long-term survival.
复制标题
重症监护病房和非重症监护病房患者的心肺复苏。
作者：
Monroe Karetzky;M. Zubair;J. Parikh
目的
为了确定医院内的位置和预先存在的心电图心律对心肺复苏结果的影响，回顾性分析了3年期间的心肺复苏记录，包括668例住院患者。
结果
只有12名重症监护室患者（3.3%）和43名非重症监护室患者（14.0%）复苏成功，其中20名患者在遥测单元。无论最初的医院位置如何，存活至出院的患者的1年生存率相似，尽管重症监护室患者的3年生存率最高，并且在非监护病床上接受心肺复苏的患者在3年时没有幸存者。最初心律为室性心动过速或室颤的患者生存率最高，但所有非室性快速性心律失常均与生存率相关。年龄不是一个明显的因素，而出院的生存率有利于白人而不是黑人。
结论
无效的复苏努力是常规进行的部分原因是医生和患者不知道结果的结果和影响生存的因素。更广泛地认识到心肺复苏的局限性，应该会导致反映这种认识的高级指令，更多的患者选择不进行心肺复苏。
OBJECTIVE
To determine the effect of location within the hospital and preexisting electrocardiographic rhythm on the outcome of cardiopulmonary resuscitation, the cardiopulmonary resuscitation records for a 3-year period, including 668 hospitalized patients, were retrospectively reviewed.
RESULTS
Resuscitation was successful in only 12 patients in the intensive care unit (3.3%) and 43 patients not in the intensive care unit (14.0%), 20 of whom were on a telemetry unit. Patients who survived to discharge had similar 1-year survival rates regardless of initial hospital location, although intensive care unit patients had the best 3-year survival rate, and there were no survivors at 3-years in the group that received cardiopulmonary resuscitation in the nonmonitored hospital bed. Survival was best with an initial cardiac rhythm of ventricular tachycardia or fibrillation, but all non-ventricular tachyarrhythmias were associated with survival. Age was not an apparent factor, while survival to hospital discharge favored whites over blacks.
CONCLUSIONS
Futile resuscitative efforts are routinely performed in part because physicians and patients are unaware of outcome results and factors that influence survival. A wider recognition of the limitations of cardiopulmonary resuscitation should lead to advanced directives that reflect this awareness, with substantially more patients choosing not to have cardiopulmonary resuscitation.
在医疗重症监护病房进行心肺复苏后的结果。
影响因子：
9.6
作者：
Peterson,MW;Geist,LJ;Schwartz,DA;Konicek,S;Moseley,PL
通讯作者：
Moseley,PL