Pramono Ardi, Widyastuti Yunita, Soenarto Yati, Rochmawati Erna
Department of Anesthesiology, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia.
Department of Anesthesiology and Intensive Therapy, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Indian J Palliat Care. 2021 Jul-Sep;27(3):426-430. doi: 10.25259/IJPC_447_20. Epub 2021 Nov 9.
Patients with chronic diseases are often admitted to the hospital through the emergency room of the hospital because of complaints of dyspnoea, urinary retention, decreased consciousness and cardiac arrest requiring resuscitation. The purpose of this study is to find predictive factors for failure of cardiopulmonary resuscitation (CPR) in patients of chronic diseases.
This cross-sectional study took medical records of patients who were carried out from primary healthcare center in Yogyakarta from 2017 to 2019. Bivariate statistical analysis used Fisher's exact test to determine the relative risk; if < 0.25, then multivariate analysis with logistic regression continued with the backward method to obtain the odds ratio (OR).
The results indicate that cardiac arrest patients with sepsis are most likely to fail at CPR, whereas male patients are 9.1 times (OR 9.1); patients with acidosis, 8.1 times (OR 8.1); and patients with asystole heart rhythm, 7.8 times (OR 7.8, < 0.05). We can conclude that male patients with sepsis, acidosis or asystole heart rhythm will almost certainly fail to receive resuscitation.
Sepsis or septic shock, the male gender, acidosis, and asystole rhythm can be determinants of mortality in patients with chronic diseases who undergo CPR. It is necessary for one to test the application of the checklist or data from other hospitals and score the predictive factors to make the determination of the success of CPR easier.
患有慢性疾病的患者常常因呼吸困难、尿潴留、意识减退以及需要进行复苏的心脏骤停等症状，通过医院急诊室入院。本研究的目的是找出慢性疾病患者心肺复苏（CPR）失败的预测因素。
这项横断面研究采用了2017年至2019年在日惹市基层医疗中心进行的患者病历。双变量统计分析使用Fisher精确检验来确定相对风险；如果<0.25，则继续采用逻辑回归的向后法进行多变量分析以获得比值比（OR）。
结果表明，患有脓毒症的心脏骤停患者最有可能在心肺复苏时失败，而男性患者失败的可能性是9.1倍（OR 9.1）；酸中毒患者为8.1倍（OR 8.1）；心脏停搏心律患者为7.8倍（OR 7.8，<0.05）。我们可以得出结论，患有脓毒症、酸中毒或心脏停搏心律的男性患者几乎肯定无法成功接受复苏。
脓毒症或脓毒性休克、男性、酸中毒以及心脏停搏心律可能是接受心肺复苏的慢性疾病患者死亡的决定因素。有必要测试检查表的应用或来自其他医院的数据，并对预测因素进行评分，以便更轻松地确定心肺复苏的成功率。
