Department of Preclinical Research, Wroclaw Medical University, Wroclaw, Poland.
Department and Clinic of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska St. 213, 50-556, Wroclaw, Poland.
Int Urol Nephrol. 2021 Mar;53(3):563-569. doi: 10.1007/s11255-020-02694-6. Epub 2020 Dec 18.
The aim of the study was to assess whether a history of dialysis is related to cardiopulmonary resuscitation (CPR) attempts and survival to hospital admission in patients with out-of-hospital cardiac arrest (OHCA).
The databases of the POL-OHCA registry and of emergency medical calls in the Command Support System of the State of Emergency Medicine (CSS) were searched to identify patients with OHCA and a history of dialysis. A total of 264 dialysis patient with OHCA were found: 126 were dead on arrival of emergency medical services (EMS), and 138 had OHCA with CPR attempts. Data from the POL-OHCA registry for patients with CPR attempts, including age, sex, place of residence, first recorded rhythm, defibrillation during CPR, and priority dispatch codes, were collected and compared between patients with and without dialysis.
CPR attempts by EMS were undertaken in 138 dialyzed patients (52.3%). The analysis of POL-OHCA data revealed no differences in age, sex, place of residence, first recorded rhythm, and priority dispatch codes between patients with and without dialysis. Defibrillation was less frequent in dialysis patients (P = 0.04). A stepwise logistic regression analysis revealed no association between survival to hospital admission and a history of hemodialysis (odds ratio = 1.12; 95% CI 0.74-1.70, P = 0.60).
A history of dialysis in patients with OHCA does not affect the rate of CPR attempts by EMS or a short-term outcome in comparison with patients without dialysis. Defibrillation during CPR is less common in patients on dialysis than in those without.
本研究旨在评估透析史是否与院外心脏骤停（OHCA）患者的心肺复苏（CPR）尝试和存活至入院相关。
搜索 POL-OHCA 登记处和紧急医疗呼叫的指挥支持系统（CSS）的数据库，以确定患有 OHCA 和透析史的患者。共发现 264 例透析患者发生 OHCA：126 例在紧急医疗服务（EMS）到达时已死亡，138 例 OHCA 行 CPR 尝试。收集并比较了行 CPR 尝试的 POL-OHCA 登记处中患者的年龄、性别、居住地、首次记录的节律、CPR 期间除颤以及优先调度代码的数据，这些数据来自于行 CPR 尝试的患者，包括年龄、性别、居住地、首次记录的节律、CPR 期间除颤以及优先调度代码。
在 138 例透析患者（52.3%）中，EMS 进行了 CPR 尝试。POL-OHCA 数据分析显示，透析患者和非透析患者在年龄、性别、居住地、首次记录的节律和优先调度代码方面无差异。透析患者的除颤频率较低（P = 0.04）。逐步逻辑回归分析显示，存活至入院与血液透析史之间无关联（比值比=1.12；95%置信区间 0.74-1.70，P=0.60）。
与无透析患者相比，OHCA 患者的透析史不会影响 EMS 行 CPR 尝试的比率或短期预后。与无透析患者相比，透析患者 CPR 期间除颤较少。
