Oh Tak Kyu, Park Young Mi, Do Sang-Hwan, Hwang Jung-Won, Jo You Hwan, Kim Jin Hee, Jeon Young-Tae, Song In-Ae
Interdepartment of Critical Care Medicine, Seoul National University Bundang Hospital Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital Medical Research Collaborating Center, Seoul National University Bundang Hospital Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Medicine (Baltimore). 2018 Feb;97(6):e9741. doi: 10.1097/MD.0000000000009741.
Because most medical staff work from Monday-Friday, it is possible that they are relatively more fatigued and less capable of providing emergency supportive services on Thursday-Sunday (Thu-Sun) than on Monday-Wednesday (Mon-Wed). In this study, we aimed to analyze the incidence of in-hospital cardiopulmonary resuscitation (CPR) to determine if it differed between Thu-Sun and Mon-Wed.This retrospective observational study of in-hospital CPR was performed during 2012 to 2016 among inpatients at the Seoul National University Bundang Hospital. The primary outcome was the incidence of in-hospital CPR per 1000 inpatients in the Mon-Wed and Thu-Sun periods. Secondary outcomes included differences in the CPR incidence by time of day and season.In the study, 1195 cases of in-hospital CPR were included. The incidence of in-hospital CPR per 1000 inpatients was significantly higher on Thu-Sun (mean: 0.595, 95% confidence interval [CI]: 0.564-0.626) than on Mon-Wed (mean: 0.505, 95% CI: 0.474-0.536, P < .001). There were no seasonal variations in the incidence of in-hospital CPR. However, in-hospital CPR was most frequently performed between 16:00 and 24:00, and the return of spontaneous circulation (ROSC) rate was the lowest among cases that occurred between 0:00 and 8:00. In addition, the ROSC rate was lowest among female patients, patients with cardiac arrest, and after in-hospital CPR performed on a Sunday.The incidence of in-hospital CPR per 1000 inpatients was significantly higher on Thu-Sun than on Mon-Wed. No seasonal variations were observed in the incidence of in-hospital CPR, but the data suggest circadian variations and differences in ROSC rates.
由于大多数医护人员周一至周五上班，他们在周四至周日（周四至周日）可能相对更疲劳，提供紧急支持服务的能力也低于周一至周三（周一至周三）。在本研究中，我们旨在分析院内心肺复苏（CPR）的发生率，以确定周四至周日和周一至周三之间是否存在差异。这项对院内CPR的回顾性观察研究于2012年至2016年在首尔国立大学盆唐医院的住院患者中进行。主要结局是周一至周三和周四至周日期间每1000名住院患者的院内CPR发生率。次要结局包括按一天中的时间和季节划分的CPR发生率差异。
在该研究中，纳入了1195例院内CPR病例。每1000名住院患者的院内CPR发生率在周四至周日（平均值：0.595，95%置信区间[CI]：0.564 - 0.626）显著高于周一至周三（平均值：0.505，95%CI：0.474 - 0.536，P < 0.001）。院内CPR发生率无季节性变化。然而，院内CPR最常发生在16:00至24:00之间，而在0:00至8:00之间发生的病例中自主循环恢复（ROSC）率最低。此外女性患者、心脏骤停患者以及在周日进行院内CPR后的ROSC率最低。
每1000名住院患者的院内CPR发生率在周四至周日显著高于周一至周三。院内CPR发生率未观察到季节性变化，但数据表明存在昼夜变化以及ROSC率的差异。
