院外心脏骤停后的长期生存情况。
Long-term survival after out-of-hospital cardiac arrest.
作者信息
Holler Nana G, Mantoni Teit, Nielsen Søren L, Lippert Freddy, Rasmussen Lars S
机构信息
Department of Anaesthesia, Centre of Head and Orthopaedics, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
出版信息
Resuscitation. 2007 Oct;75(1):23-8. doi: 10.1016/j.resuscitation.2007.03.015. Epub 2007 May 3.
OBJECTIVE
The purpose of this study was to assess the long-term survival after OHCA.
METHODS
All OHCA-calls where the Copenhagen Mobile Emergency Care Unit (MECU) was involved from 1994 to1998 are included in this study. Data were collected prospectively. Data on long-term survival was obtained from the Danish Causes of Death Registry and the Danish Civil Registration System. We conducted a search to find out whether patients were still alive on 31 January 2005.
RESULTS
Resuscitation was indicated and attempted in 1095 cases and 95 patients (8.7%) survived to discharge. Of these 75% had an initial rhythm of VF, 13% had asystole, 10% had PEA and 2% were unknown. Survival was 87% after one year and survival after 10 years was 46% with a significantly lower survival for patients over 60 years.
CONCLUSION
Long-term survival after out-of-hospital cardiac arrest in a physician-staffed emergency system was comparable to survival after myocardial infarction with 46% being alive after ten years.
目的
本研究旨在评估院外心脏骤停（OHCA）后的长期生存率。
方法
本研究纳入了1994年至1998年哥本哈根移动急救单元（MECU）参与的所有院外心脏骤停呼叫病例。数据为前瞻性收集。长期生存数据来自丹麦死亡原因登记处和丹麦民事登记系统。我们进行了一项调查，以确定患者在2005年1月31日是否仍然存活。
结果
1095例患者接受了复苏并尝试进行了抢救，95例患者（8.7%）存活至出院。其中，75%的患者初始心律为室颤（VF），13%为心搏停止，10%为无脉电活动（PEA），2%情况不明。一年后的生存率为87%，十年后的生存率为46%，60岁以上患者的生存率显著较低。
结论
在配备医生的急救系统中，院外心脏骤停后的长期生存率与心肌梗死后的生存率相当，十年后有46%的患者存活。
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