早期机械心肺复苏可改善急诊科非创伤性心脏骤停患者的预后。
Early mechanical cardiopulmonary resuscitation can improve outcomes in patients with non-traumatic cardiac arrest in the emergency department.
机构信息
Emergency Department, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, Chengdu, Sichuan, PR China.
出版信息
J Int Med Res. 2021 Jun;49(6):3000605211025368. doi: 10.1177/03000605211025368.
OBJECTIVE
To compare the outcomes of patients with non-traumatic cardiac arrest (CA) who received early versus late mechanical cardiopulmonary resuscitation (CPR) with the Lund University Cardiac Assist System (LUCAS) device in the emergency department (ED).
METHODS
This was a retrospective observational study in the ED of a single medical center performed from May 2018 to December 2019; 68 patients with CA were eligible. We grouped the patients according to the time to initiating LUCAS use after CA into an early group (≤4 minutes) and late group (>4 minutes).
RESULTS
The rate of return of spontaneous circulation (ROSC) was higher in the early group vs the late group (69.2% vs 52.4%, respectively). The 4-hour survival rate was significantly higher in the early group vs the late group (83.3% vs 45.5%, respectively), and CPR duration was significantly shorter in the early group (23.3 ± 12.5 vs 31.1 ± 14.8 minutes, respectively).
CONCLUSION
Early mechanical CPR can improve the success of achieving ROSC and the 4-hour survival rate in patients with non-traumatic CA in the ED, considering that more benefits were observed in patients who received early vs late LUCAS device therapy.
目的
比较在急诊科使用 Lund 大学心脏辅助系统（LUCAS）设备对非创伤性心脏骤停（CA）患者进行早期与晚期机械心肺复苏（CPR）的效果。
方法
这是一项回顾性观察性研究，在 2018 年 5 月至 2019 年 12 月期间在一家医疗中心的急诊科进行，共纳入 68 例 CA 患者。我们根据 CA 后开始使用 LUCAS 的时间将患者分为早期组（≤4 分钟）和晚期组（>4 分钟）。
结果
早期组的自主循环恢复（ROSC）率高于晚期组（分别为 69.2%和 52.4%）。早期组的 4 小时存活率明显高于晚期组（分别为 83.3%和 45.5%），早期组的 CPR 持续时间明显短于晚期组（分别为 23.3±12.5 分钟和 31.1±14.8 分钟）。
结论
考虑到早期 LUCAS 设备治疗的患者观察到更多的益处，早期机械 CPR 可以提高急诊科非创伤性 CA 患者 ROSC 成功率和 4 小时存活率。
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