Anesthesiology Research Center, Anesthesia and Critical Care Department, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
ESC Heart Fail. 2021 Dec;8(6):4652-4660. doi: 10.1002/ehf2.13628. Epub 2021 Oct 30.
Survival rates after in-hospital cardiac arrest remain very low. Although there is evidence that the use of audiovisual feedback devices can improve compression components, there are no data on patient survival. Therefore, we conducted this study to analyse the survival rate of patients with in-hospital cardiac arrest after discharge from the intensive care unit.
This study was a secondary analysis of a prospective, randomized, controlled, parallel study of patients who received either standard manual chest compression or a real-time feedback device. Parametric and semi-parametric models were fitted to the data. Different survival time of length of stay was investigated by univariate and multiple analyses. Pearson's correlation between length of stay and hospital length of stay was obtained. A total of 900 patients with a mean survival time of 35 days were included. Intervention was associated with a higher length of stay. Relative time was significant in adjusted fitted log-normal regression for intervention group, female gender, and cardiopulmonary resuscitation in the night shift. A positive correlation between length of stay and hospital length of stay was found.
Implementation of feedback device improved survival and length of stay. Cardiopulmonary resuscitation performance during the night shift decreased the survival time, which could be due to the inexperienced staff available outside working hours.
院内心搏骤停后的存活率仍然很低。虽然有证据表明使用视听反馈设备可以改善按压成分，但尚无患者存活的数据。因此，我们进行了这项研究，以分析从重症监护病房出院后的院内心搏骤停患者的存活率。
这是一项对接受标准手动胸部按压或实时反馈设备的患者进行的前瞻性、随机、对照、平行研究的二次分析。对数据进行了参数和半参数模型拟合。通过单变量和多变量分析研究了不同的生存时间和住院时间。获得了住院时间和住院时间之间的 Pearson 相关性。共纳入 900 例平均生存时间为 35 天的患者。干预与住院时间延长有关。在调整后的对数正态回归中，干预组、女性和夜班心肺复苏术的相对时间具有显著性。发现住院时间和住院时间之间存在正相关。
反馈设备的实施提高了存活率和住院时间。夜班心肺复苏术的表现降低了生存时间，这可能是由于工作时间外经验不足的工作人员。
