O'Sullivan E, Deasy C
Ir Med J. 2016 Jan;109(1):335-8.
We describe the incidence and outcomes of in-hospital cardiac arrest (IHCA) at Cork University Hospital over a one year time period (2011), prior to the implementation of national early warning scoring (NEWS) systems. There were 43 217 coded CUH admissions, in 2011, to 518 in-patient beds. The Hospital In-Patient Enquiry Database was used to identify adults (>/= 18 years) who sustained IHCA. Available Utstein variables were collected. Fifty-two patients were found to be incorrectly coded IHCA. 17 of 63 (27.0%) IHCA survived to discharge. IHCA with shockable rhythm had significantly higher survival. IHCA survival was significantly lower on wards versus any other hospital location. Median days of stay prior to arrest were significantly different between survivors and non-survivors. All survivors (n = 17) had intact neurological outcome post-event. Our outcomes from IHCA are poorest on hospital wards when compared to other areas of the hospital. Those that survive have excellent function and one-year survival.
我们描述了在实施国家早期预警评分(NEWS)系统之前,科克大学医院在一年时间(2011年)内院内心脏骤停(IHCA)的发生率及转归情况。2011年,科克大学医院有43217例编码入院病例,分布在518张住院床位。利用医院住院患者查询数据库来识别发生IHCA的成年人(≥18岁)。收集了可用的乌斯坦变量。发现52例患者的IHCA编码错误。63例IHCA患者中有17例(27.0%)存活至出院。可电击心律的IHCA患者存活率显著更高。与医院的其他任何区域相比,病房内IHCA患者的存活率显著更低。幸存者和非幸存者在心脏骤停前的中位住院天数存在显著差异。所有幸存者(n = 17)在事件发生后神经功能结局均完好。与医院的其他区域相比,我们医院病房内IHCA患者的转归最差。存活者功能良好,且有一年生存率。