Emergency Department, School of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
Department of Biostatistics, School of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
J Coll Physicians Surg Pak. 2022 May;32(5):658-661. doi: 10.29271/jcpsp.2022.05.658.
To evaluate the outcomes of cardiopulmonary resuscitation (CPR) of oncological cases versus non-oncological admitted to the emergency department as out-of-hospital cardiac arrest (OHCA) or in-hospital cardiac arrest (IHCA).
Descriptive study.
Emergency Department (ED) of Eskisehir Osmangazi University Hospital, between January 2014 to January 2020.
Victims over the age of 18 years who had OHCA and IHCA were inducted. The outcomes of 109 patients with an oncological diagnosis and 109 controls without cancer underwent CPR and were compared.
The median age of the participants was 65 (58-76) years. Patients with an oncological diagnosis were more likely to have an IHCA [OR: 2.98 (95% CI: 1.68-5.30), p <0.001]. The IHCA and OHCA rates of patients without an oncological diagnosis were similar. Solid-organ malignancies were observed in 102 patients (93.6%). The initial rhythm of 88 patients (80.7%) in the oncological arrest group was asystole versus 77 patients (70.6%) in the control group. Pulseless electrical activity was observed in 17 patients (15.6%) in the study group and in 24 patients (22.0%) in the control group. Although the non-oncological group was found to have a longer stay. No statistically significant difference was found between the study and control groups regarding duration of stay in the intensive care unit. Only one patient (2.0%) with cancer was discharged in stable state as against 10 (21.3%) of non-oncological arrests [OR: 12.97 (95% CI: 1.59-105.93), p = 0.008].
The presence of cancer is not a favourable prognostic factor for the success of CPR.
Oncology, Cardiac arrest, IHCA, OHCA, Emergency department.
评估在急诊科因院外心脏骤停（OHCA）或院内心脏骤停（IHCA）接受心肺复苏术（CPR）的肿瘤病例与非肿瘤病例的复苏结局。
描述性研究。
2014 年 1 月至 2020 年 1 月，在土耳其埃斯基谢希尔奥斯曼加济大学医院的急诊科进行。
纳入年龄超过 18 岁的 OHCA 和 IHCA 患者。对 109 例有肿瘤诊断的患者和 109 例无癌症的对照组进行 CPR，并对结果进行比较。
参与者的中位年龄为 65（58-76）岁。有肿瘤诊断的患者更有可能发生 IHCA[比值比（OR）：2.98（95%可信区间：1.68-5.30），p＜0.001]。无肿瘤诊断患者的 IHCA 和 OHCA 发生率相似。102 例（93.6%）患者存在实体恶性肿瘤。肿瘤组中 88 例（80.7%）患者的初始节律为心搏停止，对照组中 77 例（70.6%）患者的初始节律为心搏停止。研究组中有 17 例（15.6%）患者出现无脉电活动，对照组中有 24 例（22.0%）患者出现无脉电活动。虽然非肿瘤组的住院时间较长，但研究组和对照组在重症监护病房的住院时间方面无统计学差异。仅有 1 例（2.0%）癌症患者在稳定状态下出院，而非肿瘤性心脏骤停患者出院 10 例（21.3%）[OR：12.97（95%可信区间：1.59-105.93），p=0.008]。
癌症的存在并不是 CPR 成功的有利预后因素。
肿瘤学，心脏骤停，IHCA，OHCA，急诊室。
