Adams Bruce D, Jones Robert J, Delgado Roxana E, Larkin Gregory Luke
Department of Clinical Investigation, William Beaumont Army Medical Center, 5005 North Piedras Street, El Paso, TX 79920-5001, USA.
Resuscitation. 2009 Jan;80(1):65-8. doi: 10.1016/j.resuscitation.2008.09.016. Epub 2008 Dec 10.
Approximately 750,000 in-hospital cardiac arrests occur annually in the United States. Many will occur to visitors or staff members within the hospital's public areas. We sought to provide a descriptive analysis of visitor cardiac arrests in hospitals and to compare survival outcomes to matching inpatient arrests.
We queried the National Registry of Cardiopulmonary Resuscitation (NRCPR)) for all adult cardiac arrests from January 2000 to May 2006 that occurred to visitors or employees anywhere within the hospital. Visitors were matched to inpatient cardiac arrests from within the same NRCPR database for age, gender, race, prior residence and functional status, and presenting rhythms. The compared outcomes were return of spontaneous circulation (ROSC), survival to 24h (S24), and survival to discharge (SHD).
147 visitors suffered a cardiac arrest during the study period. S24 (48% vs. 37%, p=0.011) and SHD (42% vs. 24%, p<0.0001) were both higher in the visitor cohort. However, ROSC did not significantly differ between visitors and controls (57% vs. 51%). Visitor cardiac arrests occurred in a wide variety of locations.
Cardiac arrest among hospital visitors is a relatively common event. The survival outcomes of hospital visitors compared unfavorably to that of recently published experience with out-of-hospital cardiac arrest victims.
在美国，每年约有75万例住院期间发生的心搏骤停事件。其中许多发生在医院公共区域的访客或工作人员身上。我们试图对医院中访客的心搏骤停情况进行描述性分析，并将生存结果与相匹配的住院患者心搏骤停情况进行比较。
我们查询了国家心肺复苏注册系统（NRCPR），以获取2000年1月至2006年5月期间在医院内任何地点发生在访客或员工身上的所有成人心搏骤停事件。将访客与同一NRCPR数据库中年龄、性别、种族、既往居住地、功能状态及初始心律相匹配的住院患者心搏骤停情况进行比较。比较的结果包括自主循环恢复（ROSC）、存活至24小时（S24）和存活至出院（SHD）。
在研究期间，有147名访客发生了心搏骤停。访客队列中的S24（48%对37%，p = 0.011）和SHD（42%对24%，p < 0.0001）均更高。然而，访客与对照组之间的ROSC没有显著差异（57%对51%）。访客心搏骤停发生在各种各样的地点。
医院访客的心搏骤停是一个相对常见的事件。与最近公布的院外心搏骤停受害者的经验相比，医院访客的生存结果不佳。
