Hajbaghery Mohsen Adib, Mousavi Golamabas, Akbari Hossein
Kashan University of Medical Sciences, Kashan, Iran.
Resuscitation. 2005 Sep;66(3):317-21. doi: 10.1016/j.resuscitation.2005.04.004.
During recent years, in-hospital cardiopulmonary resuscitation (CPR) management has received much attention. However, the rate of survival after in-hospital resuscitation in Iran hospitals is not known. Therefore, a study was designed to evaluate the outcome of in-hospital cardiopulmonary resuscitation (CPR) in the city of Kashan, Iran, during a 6-month period during 2002.
A prospective descriptive study was conducted on all cases of in-hospital cardiopulmonary resuscitation. Necessary data including the age and sex of patients, shift, time from cardiac arrest until initiating of CPR, time from cardiac arrest until defibrillation, duration and result of CPR, were recorded in a checklist. Descriptive statistics presented.
A total of 206 cases of CPR were attempted during the research period. The study population consisted of 59.2% males and 40.8% females. The survival rate was similar for both sexes. Short-term survival was observed in 19.9% of cases and only 5.3% survived to discharge. The key predictors of survival to hospital discharge were CPR duration, time of cardiac arrest, time from cardiac arrest to initiation of CPR, and defibrillation within the first few minutes of cardiac arrest.
Our study showed that it needs more attention to be paid to cardiopulmonary resuscitation management in Iran's hospitals. The results of this study could be an important first step toward a national study on the survival after cardiopulmonary resuscitation to provide accurate data on our performance with regards to the chain of survival.
近年来，医院内心肺复苏（CPR）管理受到了广泛关注。然而，伊朗医院内复苏后的生存率尚不清楚。因此，本研究旨在评估2002年期间伊朗卡尚市6个月内医院内心肺复苏（CPR）的结果。
对所有医院内心肺复苏病例进行前瞻性描述性研究。必要的数据包括患者的年龄和性别、班次、从心脏骤停到开始心肺复苏的时间、从心脏骤停到除颤的时间、心肺复苏的持续时间和结果，都记录在一份检查表中。呈现描述性统计结果。
在研究期间共尝试了206例心肺复苏。研究人群中男性占59.2%，女性占40.8%。两性的生存率相似。19.9%的病例观察到短期存活，只有5.3%存活至出院。存活至出院的关键预测因素是心肺复苏持续时间、心脏骤停时间、从心脏骤停到开始心肺复苏的时间以及心脏骤停后几分钟内的除颤。
我们的研究表明，伊朗医院需要更加关注心肺复苏管理。本研究结果可能是朝着全国心肺复苏后生存率研究迈出的重要第一步，以提供关于我们在生存链方面表现的准确数据。
