The value of cardiopulmonary resuscitation quality index in evaluating the prognosis during cardiopulmonary resuscitation
10.3760/cma.j.issn.1671-0282.2019.02.012
- VernacularTitle:心肺复苏质量指数对复苏患者预后的评估价值
- Author:
Chen LI
1
;
Jun XU
;
Yangpeng WU
;
Yanfen CHAI
;
Songtao SHOU
;
Xuezhong YU
Author Information
1. 天津医科大学总医院急诊医学科 300052
- Keywords:
Cardiac arrest;
Cardiopulmonary resuscitation;
High-quality chest compressions;
Pulse oximetry plethysmographic waveform;
Cardiopulmonary resuscitation quality index;
Partial pressure of end-tidal carbon dioxide;
Prognosis;
Return of spontaneously circulation
- From:
Chinese Journal of Emergency Medicine
2019;28(2):190-194
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the timeliness value of cardiopulmonary resuscitation quality index (CQI) in patients' prognostic evaluation during cardiopulmonary resuscitation (CPR).Methods A prospective descriptive study was conducted.According to whether they got return of spontaneously circulation (ROSC) or not,45 patients receiving CPR were divided into the ROSC group and non-ROSC group.The changes of CQI and partial pressure of end-tidal carbon dioxide (PETCO2) during CPR were collected,and were analyzed to valuate the prognosis of patients.Results The initial,end,and average PETCO2 were statistically different between the ROSC group and the non-ROSC group [7.0(3.6,14.6) vs 7.0(3.6,14.6) mmHg;29.5(19.8,35.9) vs 4.0(2.3,10.2)mmHg;and 22.2(11.8,36.3) vs 4.0(2.5,9.0) mmHg,respectively;P＜0.05],and the end CQI was statistically different between the two groups (59.6±8.9 vs 34.8±5.2,P＜0.05).The CQI differences between the two groups initiated at 11 min after CPR,and stopped at 29 min after CPR.The optimal cut-offpoint of terminal CQI and PETCO2 for prognostic was 33.2 and 16.1 mmHg respectively,and there was a statistically difference in the area under the curve between them (P＜0.05).Conclusions During CPR,both CQI and PETCO2 can be used to evaluate the prognosis,and CQI is more capable of predicting in the late stage of CPR.
