Volume 21 Issue 8
Aug.  2023
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(8): 1299-1303
LIANG Shunda, FANG Fang, DING Zhiying, LI Xingxing, HE Miao, HUANG Jialin, ZHANG Hong. Analysis of the influence factors of recovery of spontaneous circulation in in-hospital cardiac arrest patients[J]. Chinese Journal of General Practice, 2023, 21(8): 1299-1303. doi: 10.16766/j.cnki.issn.1674-4152.003107
Citation: LIANG Shunda, FANG Fang, DING Zhiying, LI Xingxing, HE Miao, HUANG Jialin, ZHANG Hong. Analysis of the influence factors of recovery of spontaneous circulation in in-hospital cardiac arrest patients[J]. Chinese Journal of General Practice, 2023, 21(8): 1299-1303. doi: 10.16766/j.cnki.issn.1674-4152.003107
shu

Analysis of the influence factors of recovery of spontaneous circulation in in-hospital cardiac arrest patients

doi: 10.16766/j.cnki.issn.1674-4152.003107
  • 1.

    Department of General Practice, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230000, China

Funds:

 2020WR02003

  • Received Date: 2022-11-15
    Available Online: 2023-09-13
    Abstract
  •   Objective  To investigate the factors affecting the return of spontaneous circulation (ROSC) after cardiopulmonary resuscitation in patients with in-hospital cardiac arrest (IHCA) in order to improve the success rate of resuscitation.  Methods  Data of 423 IHCA patients admitted to the Emergency Department, Intensive Care Medicine Department, Respiratory Medicine Department and other departments of the First Affiliated Hospital of Anhui Medical University from November 2019 to November 2020 were retrospectively analyzed. They were divided into ROSC group (109 cases) and ineffective resuscitation group (314 cases) according to whether spontaneous circulation was restored. The influencing factors of ROSC in patients with IHCA were analyzed by univariate analysis. Then, the factors with P < 0.05 in the univariate analysis were included in the binary unconditional logistic regression analysis.  Results  Univariate analysis showed that compared with the non-resuscitation group, the ROSC group included long-term residence (urban/rural), occurrence season of cardiac arrest, ECG manifestations of early repolarization syndrome, history of severe trauma, history of malignancy, first in-hospital department, ICU admission during the course of disease, in-hospital department of cardiac arrest, first detection of heart rhythm, whether endotracheal intubation was performed during cardiopulmonary resuscitation, whether defibrillation was performed, duration of cardiopulmonary resuscitation, whether to use epinephrine, the application of epinephrine dose and other factors, all had statistical significance (P < 0.05). Logistic regression analysis showed that ICU admission (P < 0.001), airway opening (P=0.007), duration of cardiopulmonary resuscitation (P < 0.001) and total epinephrine dose (P < 0.001) were independent factors influencing ROSC in patients with IHCA.  Conclusion  ICU admission, airway opening before cardiac arrest, duration of cardiopulmonary resuscitation, and total epinephrine dose can affect ROSC in patients with IHCA.

     

    • FullText(HTML)
  • loading
    • References(20)
  • [1]
    王立祥, 孟庆义, 余涛, 等. 2016中国心肺复苏专家共识[J]. 中华灾害救援医学, 2017, 5(1): 1-23. https://www.cnki.com.cn/Article/CJFDTOTAL-JYZH201701003.htm

    WANG L X, MENG Q Y, YU T, et al. 2016 National consensus on cardiopulmonary resuscitation in China[J]. Chinese Journal of Disaster Medicine, 2017, 5(1): 1-23. https://www.cnki.com.cn/Article/CJFDTOTAL-JYZH201701003.htm
    [2]
    余涛, 唐万春. 清醒、积极地面对心肺复苏指南的改变[J]. 中华急诊医学杂志, 2012, 21(1): 9-11. doi: 10.3760/cma.j.issn.1671-0282.2012.01.002

    YU T, TANG W C. Be awake and positive about the changes in CPR guidelines[J]. Chinese Journal of Emergency Medicine, 2012, 21(1): 9-11. doi: 10.3760/cma.j.issn.1671-0282.2012.01.002
    [3]
    NOLAN J P, BERG R A, ANDERSEN L W, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the utstein resuscitation registry template for In-hospital cardiac arrest: a consensus report from a task force of the international liaison committee on resuscitation[J]. Circulation, 2019, 140(18): e746-e757.
    [4]
    HOLMBERG M J, ROSS C E, FITZMAURICE G M, et al. Annual incidence of adult and pediatric In-hospital cardiac arrest in the United States[J]. Circ Cardiovasc Qual Outcomes, 2019, 12(7): e005580. DOI: 10.1161/CIRCOUTCOMES.119.005580.
    [5]
    ANDERSEN L W, HOLMBERG M J, LOFGREN B, et al. Adult in-hospital cardiac arrest in Denmark[J]. Resuscitation, 2019, 140: 31-36. doi: 10.1016/j.resuscitation.2019.04.046
    [6]
    OHBE H, TAGAMI T, UDA K, et al. Incidence and outcomes of in-hospital cardiac arrest in Japan 2011-2017: a nationwide inpatient database study[J]. J Intensive Care, 2022, 10(1): 10. doi: 10.1186/s40560-022-00601-y
    [7]
    沈钦海, 秦召敏, 孔瑞雪, 等. 呼吸心跳骤停患者急诊心肺复苏的影响因素[J]. 医学信息, 2022, 35(12): 143-145. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXX202212034.htm

    SHEN Q H, QIN Z M, KONG R X, et al. Influencing Factors of Emergency Cardiopulmonary Resuscitation in Patients with Respiratory and Cardiac Arrest[J]. Medical Information, 2022, 35(12): 143-145. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXX202212034.htm
    [8]
    陈亮, 余震, 梅爱红, 等. 经心肺复苏后自主循环恢复的心搏骤停患者预后危险因素及对策[J]. 中华全科医学, 2017, 15(7): 1268-1270. doi: 10.16766/j.cnki.issn.1674-4152.2017.07.053

    CHEN L, YU Z, MEI A H, et al. Cardiac arrest patients with spontaneous circulatory recovery after cardiopulmonary resuscitation Prognostic risk factors and countermeasures[J]. Chinese Journal of General Practice, 2017, 15(7): 1268-1270. doi: 10.16766/j.cnki.issn.1674-4152.2017.07.053
    [9]
    SHAO F, LI C S, LIANG L R, et al. Incidence and outcome of adult in-hospital cardiac arrest in Beijing, China[J]. Resuscitation, 2016, 102: 51-56. doi: 10.1016/j.resuscitation.2016.02.002
    [10]
    BENJAMIN E J, VIRANI S S, CALLAWAY C W, et al. American heart association council on epidemiology and prevention statistics committee and stroke statistics subcommittee. Heart disease and stroke statistics-2018 update: a report from the american heart association[J]. Circulation, 2018, 137(12): e67-e492.
    [11]
    WANG C, ZHENG W, ZHENG J, et al. A national effort to improve outcomes for in-hospital cardiac arrest in China: the BASeline Investigation of cardiac arrest(BASIC-IHCA)[J]. Resusc Plus, 2022, 11: 100259. DOI: 10.1016/j.resplu.2022.100259.
    [12]
    ANDERSEN L W, HOLMBERG M J, BERG K M, et al. In-hospital cardiac arrest: a review[J]. JAMA, 2019, 321(12): 1200-1210. doi: 10.1001/jama.2019.1696
    [13]
    NOLAN J P, BERG R A, ANDERSEN L W, et al. Utstein collaborators. cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the utstein resuscitation registry template for In-hospital cardiac arrest: a consensus report from a task force of the international liaison committee on resuscitation[J]. Resuscitation, 2019, 144: 166-177.
    [14]
    PERMAN S M, STANTON E, SOAR J, et al. Location of In-hospital cardiac arrest in the USA-variability in event rate and outcomes[J]. J Am Heart Assoc, 2016, 5 (10): e003638. DOI: 10.1161/JAHA.116.003638.
    [15]
    RAZA A, ARSLAN A, ALI Z, et al. How long should we run the code? Survival analysis based on location and duration of cardiopulmonary resuscitation (CPR) after in-hospital cardiac arrest[J]. J Community Hosp Intern Med Perspect, 2021, 11(2): 206-211.
    [16]
    ROHLIN O, TAERI T, NETZEREAB S. Duration of CPR and impact on 30-day survival after ROSC for in-hospital cardiac arrest-A Swedish cohort study[J]. Resuscitation, 2018, 132: 1-5.
    [17]
    周夷霞, 韩文文, 宋丹丹. 心脏骤停患者心肺复苏后影响自主循环及预后的因素[J]. 心电与循环, 2020, 39(3): 251-255. https://www.cnki.com.cn/Article/CJFDTOTAL-XDXZ202003012.htm

    ZHOU Y X, HAN W W, SONG D D. The factors influencing return of spontaneous circulation and prognosis after cardiopulmonary resuscitation in patients with cardiac arrest[J]. Journal of Electrocardiology and Circulation, 2020, 39(3): 251-255. https://www.cnki.com.cn/Article/CJFDTOTAL-XDXZ202003012.htm
    [18]
    申前进, 江一帆, 陆洋, 等. 超长心肺复苏成功因素分析[J]. 中国临床研究, 2018, 31(1): 39-42. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK201801011.htm

    SHEN Q J, JIANG Y F, LU Y, et al. Analysis of successful factors of ultra-long cardiopulmonary resuscitation[J]. Chinese Journal of Clinical Research, 2018, 31(1): 39-42. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK201801011.htm
    [19]
    赵梦龙, 郭凯, 马永刚, 等. 心搏骤停患者初始心律影响因素分析[J]. 中国全科医学, 2017, 20(11): 1379-1382. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201711024.htm

    ZHAO M L, GUO K, MA Y G, et al. Influencing Factors of Cardiac Arrest Patients with Initial Rhythms[J]. Chinese General Practice, 2017, 20(11): 1379-1382. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201711024.htm
    [20]
    FOTHERGILL R T, EMMERSON A C, LYER R, et al. Repeated adrenaline doses and survival from an out-of-hospital cardiac arrest[J]. Resuscitation, 2019, 138: 316-321.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(6)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (140) PDF downloads(9) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return