Alfred Hospital, Melbourne, Victoria, Australia.
Intern Med J. 2012 Nov;42(11):1173-9. doi: 10.1111/j.1445-5994.2012.02866.x.
The mortality rate post admission to hospital after successful resuscitation from out-of-hospital cardiac arrest is high, with significant variation between regions and individual institutions. While prehospital factors such as age, bystander cardiopulmonary resuscitation and total cardiac arrest time are known to influence outcome, several aspects of post-resuscitative care including therapeutic hypothermia, coronary intervention and goal-directed therapy may also influence patient survival. Regional systems of care have improved provider experience and patient outcomes for those with ST elevation myocardial infarction and life-threatening traumatic injury. In particular, hospital factors such as hospital size and interventional cardiac care capabilities have been found to influence patient mortality. This paper reviews the evidence supporting the possible development and implementation of Australian cardiac arrest centres.
院外心脏骤停复苏后住院死亡率较高，不同地区和医疗机构之间存在显著差异。虽然已知院外因素（如年龄、旁观者心肺复苏和总心脏骤停时间）会影响预后，但复苏后护理的几个方面（包括亚低温治疗、冠状动脉介入治疗和目标导向治疗）也可能影响患者的生存。区域医疗系统改善了 ST 段抬高型心肌梗死和危及生命的创伤性损伤患者的医护人员经验和患者结局。特别是，医院规模和介入心脏护理能力等医院因素已被发现会影响患者死亡率。本文综述了支持澳大利亚心脏骤停中心可能的发展和实施的证据。
