Goodarzi Afshin, Jalali Amir, Almasi Afshin, Naderipour Arsalan, Kalhorii Reza Pourmirza, Khodadadi Amineh
BSc, MSc, Medical Emergency department, Faculty of Paramedical, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Glob J Health Sci. 2014 Jul 29;7(1):52-8. doi: 10.5539/gjhs.v7n1p52.
After CPR, the follow-up of survival rate and caused complications are the most important practices of the medical group. This study was performed aimed at determining the follow-up results after CPR in patients of university hospitals in Kermanshah in 2014.
In this prospective study, 320 samples were examined. A purposive sampling method was used, and data was collected using a researcher-made information form with content and face validity and reliability of r= 0.79. Data was analyzed with STATA9 software and statistical tests, including calculation of the success rate, relative risk (RR), chi-square and Fisher at significance level of P < 0.05.
The initial success rate of cardiopulmonary resuscitation was equal to 15.3%, while the ultimate success rate (discharged alive from the hospital) was as 10.6%. The six-month success rate after resuscitation was 8.78% than those who were discharged alive. There were no significant statistical differences between different age groups regarding the initial success rate of resuscitation (P = 0.14), and the initial resuscitation success rate was higher in patients in morning shift (P = 0.02).
By the results of study, it is recommended to increase the medical - nursing knowledge and techniques for personnel in the evening and night shifts. Also, an appropriate dissemination of health care staff in working shifts should be done to increase the success rate of CPR procedure.
心肺复苏术后，生存率随访及并发症是医疗团队最重要的工作。本研究旨在确定2014年克尔曼沙赫大学医院患者心肺复苏术后的随访结果。
在这项前瞻性研究中，检查了320个样本。采用目的抽样法，使用研究人员制作的信息表收集数据，该信息表具有内容效度和表面效度，信度r = 0.79。使用STATA9软件和统计检验对数据进行分析，包括成功率计算、相对危险度（RR）、卡方检验和Fisher检验，显著性水平为P < 0.05。
心肺复苏的初始成功率为15.3%，而最终成功率（出院存活）为10.6%。复苏后六个月的成功率比出院存活者低8.78%。不同年龄组在复苏初始成功率方面无显著统计学差异（P = 0.14），早班患者的初始复苏成功率更高（P = 0.02）。
根据研究结果，建议增加晚班和夜班医护人员的知识和技术。此外，应合理安排医护人员的工作班次，以提高心肺复苏程序的成功率。
