Acil Serviste Kardiyopulmoner Resüsitasyon Yapılan Hastaların Değerlendirilmesi; Retrospektif Çalışma
Abstract
GİRİŞ ve AMAÇ: Kardiyak arrest tedavisinde yapılacak işlemlerin tamamı Kardiyopulmoner resüsitasyon (KPR) olarak adlandırılmaktadır. Tüm ölümlerin yaklaşık %20’si ani kardiyak arrest nedeniyle olmaktadır. Çalışmamızda hastane içi ve dışı kardiyak arestlerin özelliklerini tanımlamak ve sonuçlarımızı literatür ile karşılaştırmak amaçlandı.
YÖNTEM ve GEREÇLER: Bu çalışmada 01.01.2013 ile 31.05.2015 tarihleri arasında acil servise başvuran tüm yaş gruplarında etyolojiden bağımsız olarak Kardiyopulmoner Resüsitasyon uygulanan hastalar retrospektif olarak incelendi. Tüm olgular yaş, cinsiyet, başvuru saati, komorbidite varlığı, biyokimyasal parametreler, kullanılan ilaçlar, hasta sonlanımı, yoğun bakım ihtiyacı, yatış sonrası hastanede kalış süreleri ve mortalite gibi sosyodemografik ve klinik özellikleri bakımından araştırıldı.
TARTIŞMA ve SONUÇ: Tüm hastalarda HT varlığı sağ kalım lehine anlamlı iken, erkek cinsiyeti ve saat 06:01-12:00 arası başvuru mortalite lehine anlamlı bulundu. Hastane içi kardiyak arestte 21 dakika ve üzeri uygulanan KPR artmış mortalite ile ilşkili bulunmuştur. Kardiyopulmoner Resüsitasyonun kalitesini arttırmak amaçlı kayıt sistemlerinin ve standardizasyonun oluşturulması gerekliliği görülmektedir.
Keywords
Supporting Institution
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Project Number
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Thanks
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References
- Balcı B, Keskin Ö, Karabağ Y. Kardiyopulmoner Resüsitasyon. Kafkas J Med Sci 2011; 1(1):41–46
- Mendis, S., PuskA, P. ve Norrving, B. (2011). Global Atlas on Cardiovascular Disease Prevention and Control. Geneva: World Health Organization.
- Deo R, Albert CM. Epidemiology and genetics of sudden cardiac death. Circulation. 2012 Jan 31;125(4):620-37.
- Martinez JP. Prognosis in cardiac arrest. Emerg Med Clin North Am. 2012;30(1):91-103.
- Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3(1): 63-81.
- Chan PS, McNally B, Tang F, Kellermann A; CARES Surveillance Group. Recent trends in survival from out-of-hospital cardiac arrest in the United States. Circulation. 2014;130(21):1876-82.
- Wong, M.K., Morrison, L.J., Qiu, F., Austin, P.C., Cheskes, S., Dorian, et al. Trends in short- and long-term survival among out-of-hospital cardiac arrest patients alive at hospital arrival. Circulation, 2014:130(21);1883-90.
- Herlitz J, Andersson E, Bang A, Engdahl J, Holmberg M, Lindqvist J, et al. Experiences from treatment of out-of-hospital cardiac arrest during 17 years in Goteborg. Eur Heart J. 2000;21(1):1251–8.
- Kuisma M, Alaspää A. Out-of-hospital cardiac arrests of non-cardiac origin. Epidemiology and outcome. Eur Heart J. 1997 Jul;18(7):1122-8.
- Kozaci N, Ay MO, Icme F, Akturk A, Satar S. Are We Successful in Cardiopulmonary Resuscitation? Cukurova Med J 2013;38:601–9.
- Sandroni C, Nolan J, Cavallaro F, Antonelli M. In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival. Intensive Care Med. 2007;33(1):237–45.
- Herlitz J, Engdahl J, Svensson L. Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a national perspective in Sweden. Am Heart J. 2005;149(1):61–6.
- Pembeci K, Yildirim A, Turan E, Buget M, Camci E, Senturk M, Tugrul M, Akpir K. Assessment of the success of cardiopulmonary resuscitation attempts performed in a Turkish university hospital. Resuscitation. 2006;68(2):221-9.
- Petrie DA, De Maio V, Stiell IG, Dreyer J, et al. Factors affecting survival after prehospital asystolic cardiac arrest in a Basic Life Support - defibrillation system, OPALS study. CJEM. 2001;3(3):186-92.
- Peberdy MA, Ornato JP, Larkin GL, Braithwaite RS, Kashner TM, Carey SM, Meaney PA, Cen L, Nadkarni VM, Praestgaard AH, Berg RA; National Registry of Cardiopulmonary Resuscitation Investigators. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299(7):785-92.
- Peberdy MA, Kaye W, Ornato JP, et al. Cardiopulmonary resuscitation of adults in the hospital: A report of 14 720 cardiac arrests from the national registry of cardiopulmonary resuscitation. Resuscitation. 2003;58(1):297–308
Evaluation of Patients with Cardiopulmonary Resuscitation in The Emergency Department; A Retrospectıve Study
Abstract
INTRODUCTION: All applications conducted in cardiac arrest treatment are called cardiopulmonary resuscitation (KPR). 20 % of total death is a result of sudden cardiac arrest.
In our study, we aimed to define the characteristics of in-hospital and out-of-hospital cardiac arrest and to compare our results with the literature.
METHODS: In this study, the patients to who were administered cardiopulmonary resuscitation (KPR), were retrospectively examined independent from the etiology in all age groups that admitted to emergency services between the dates of 01.01.2013 & 31.05.201. All cases were investigated related to socio-demographical and clinic specifications such as age, gender, admission time, comorbidity existence, biochemical parameters, administered drugs, patient outcome, intensive care unit requirement, length of hospital stay and mortality.
RESULTS: Conclusively, while HT existence was significant in all patients to the favor of survival, male gender and admission between the hours of 06:01-12:00 were found significant to the favor of admission mortality. In inter-hospital KA cases, a correlation was found between increased mortality and the patients to whom KPR applied for 21 minutes or more. . Recording systems and their standardization is required to be established in order to increase the quality of cardiopulmonary resuscitation (KPR).
Keywords
Project Number
Yok
References
- Balcı B, Keskin Ö, Karabağ Y. Kardiyopulmoner Resüsitasyon. Kafkas J Med Sci 2011; 1(1):41–46
- Mendis, S., PuskA, P. ve Norrving, B. (2011). Global Atlas on Cardiovascular Disease Prevention and Control. Geneva: World Health Organization.
- Deo R, Albert CM. Epidemiology and genetics of sudden cardiac death. Circulation. 2012 Jan 31;125(4):620-37.
- Martinez JP. Prognosis in cardiac arrest. Emerg Med Clin North Am. 2012;30(1):91-103.
- Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3(1): 63-81.
- Chan PS, McNally B, Tang F, Kellermann A; CARES Surveillance Group. Recent trends in survival from out-of-hospital cardiac arrest in the United States. Circulation. 2014;130(21):1876-82.
- Wong, M.K., Morrison, L.J., Qiu, F., Austin, P.C., Cheskes, S., Dorian, et al. Trends in short- and long-term survival among out-of-hospital cardiac arrest patients alive at hospital arrival. Circulation, 2014:130(21);1883-90.
- Herlitz J, Andersson E, Bang A, Engdahl J, Holmberg M, Lindqvist J, et al. Experiences from treatment of out-of-hospital cardiac arrest during 17 years in Goteborg. Eur Heart J. 2000;21(1):1251–8.
- Kuisma M, Alaspää A. Out-of-hospital cardiac arrests of non-cardiac origin. Epidemiology and outcome. Eur Heart J. 1997 Jul;18(7):1122-8.
- Kozaci N, Ay MO, Icme F, Akturk A, Satar S. Are We Successful in Cardiopulmonary Resuscitation? Cukurova Med J 2013;38:601–9.
- Sandroni C, Nolan J, Cavallaro F, Antonelli M. In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival. Intensive Care Med. 2007;33(1):237–45.
- Herlitz J, Engdahl J, Svensson L. Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a national perspective in Sweden. Am Heart J. 2005;149(1):61–6.
- Pembeci K, Yildirim A, Turan E, Buget M, Camci E, Senturk M, Tugrul M, Akpir K. Assessment of the success of cardiopulmonary resuscitation attempts performed in a Turkish university hospital. Resuscitation. 2006;68(2):221-9.
- Petrie DA, De Maio V, Stiell IG, Dreyer J, et al. Factors affecting survival after prehospital asystolic cardiac arrest in a Basic Life Support - defibrillation system, OPALS study. CJEM. 2001;3(3):186-92.
- Peberdy MA, Ornato JP, Larkin GL, Braithwaite RS, Kashner TM, Carey SM, Meaney PA, Cen L, Nadkarni VM, Praestgaard AH, Berg RA; National Registry of Cardiopulmonary Resuscitation Investigators. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299(7):785-92.
- Peberdy MA, Kaye W, Ornato JP, et al. Cardiopulmonary resuscitation of adults in the hospital: A report of 14 720 cardiac arrests from the national registry of cardiopulmonary resuscitation. Resuscitation. 2003;58(1):297–308
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Research Articles |
| Authors | |
| Project Number | Yok |
| Publication Date | April 30, 2021 |
| Submission Date | December 13, 2020 |
| Published in Issue | Year 2021 Volume: 10 Issue: 1 |
