Prognostic value of first documented rhythms in patients with in-hospital cardiac arrest
10.3760/cma.j.issn.1671-0282.2017.02.017
- VernacularTitle:初始心律对院内心搏骤停患者预后的影响
- Author:
Xin QIAN
;
Shirong LIN
- Keywords:
In-hospital cardiac arrest;
Rhythm;
Shockable rhythm;
Non-shockable rhythm;
Prognosis;
ROSC;
Survival to discharge;
Neurological function
- From:
Chinese Journal of Emergency Medicine
2017;26(2):202-205
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the prognostic value of the first documented rhythm in patients with in-hospital cardiac arrest.Methods The clinical data of 62 in-hospital cardiac arrest patients collected from May 2011 to April 2016 were reviewed.Multiple regression analysis was performed for determination of the factors relevant to ROSC.The patients were divided into defibrillative rhythm group [ventricular fibrillation (VF) /ventricular tachycardia (VT)] and non-defibrillative rhythm group [pulseless electrical activity (PEA) /asystole] according to the first documented rhythm after cardiac arrest.The differences in rate of restoration of spontaneous circulation,number of survival at hospital discharge and those discharged with favorable neurological outcome were compared between groups.Results Logistic regression analysis showed that non-defibrillative rhythm was related to low rate of ROSC.Rate of ROSC (x2 =6.90,P =0.01),number of survival at hospital discharge (x2 =10.49,P =0.00) and those discharged with favorable neurological outcome (x2 =14.70,P =0.00) were higher in the defibrillative rhythm group,while there was no difference in outcomes between the VF and VT groups.There was no difference in consequence found between the PEA and asystole groups.Conclusion Rate of restoration of spontaneous circulation,number of survival at hospital discharge and those discharged with favorable neurological consequence were higher with defibrillative initial rhythm.
