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兽医复苏再评估运动(RECOVER)倡议小动物心肺复苏登记报告2016 - 2021年

Reassessment Campaign on Veterinary Resuscitation (RECOVER) Initiative small animal CPR registry report 2016-2021.

作者信息

Hoehne Sabrina N, Balakrishnan Anusha, Silverstein Deborah C, Pigott Armi M, Tart Kelly M, Rozanski Elizabeth A, Powell Lisa L, Boller Manuel

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington, USA.

Veterinary Emergency Group, White Plains, New York, USA.

出版信息

J Vet Emerg Crit Care (San Antonio). 2023 Mar;33(2):143-155. doi: 10.1111/vec.13273. Epub 2022 Dec 27.

DOI:10.1111/vec.13273
PMID:36573548
Abstract

OBJECTIVE

To introduce the Reassessment Campaign on Veterinary Resuscitation (RECOVER) CPR registry and report cardiopulmonary arrest (CPA) and CPR event data collected to date.

DESIGN

International, multi-institutional veterinary CPR registry data report.

SETTING

Veterinary private practice and university teaching hospitals.

ANIMALS

Data from 514 dogs and 195 cats undergoing CPR entered in the RECOVER CPR registry between February 2016 and November 2021.

INTERVENTIONS

The RECOVER CPR registry is an online medical database created for standardized collection of hospital, animal, arrest, and outcome information on dogs and cats undergoing CPR. Data were collected according to the veterinary Utstein-style guidelines for standardized reporting of in-hospital CPR in dogs and cats. Case records were downloaded, duplicate and incomplete cases were removed, and summary descriptive data were reported.

MEASUREMENTS AND MAIN RESULTS

Sixteen hospitals in the United States, Europe, and Australia contributed data on 709 CPR events to the registry. One hundred and forty-two (28%) dogs and 58 (30%) cats attained return of spontaneous circulation (ROSC), 62 (12%) dogs and 25 (13%) cats had ROSC >20 minutes, and 14 (3%) dogs and 4 (2%) cats survived to hospital discharge. The reason for CPR discontinuation was reported as owner choice in 321 cases (63%). The most common suspected causes for CPA were respiratory failure (n = 142, 20%), heart failure (n = 86, 12%), and hemorrhage (n = 76, 11%).

CONCLUSION

The RECOVER CPR registry contains the first multicenter data set on small animal CPR. It confirms poor outcomes associated with CPA, emphasizing the need for large-sized studies to gain adequate information on characteristics associated with favorable outcomes.

摘要

目的

介绍兽医复苏再评估运动(RECOVER)心肺复苏登记处,并报告迄今为止收集的心肺骤停(CPA)和心肺复苏事件数据。

设计

国际多机构兽医心肺复苏登记处数据报告。

地点

兽医私人诊所和大学教学医院。

动物

2016年2月至2021年11月期间在RECOVER心肺复苏登记处登记的514只犬和195只猫接受心肺复苏的数据。

干预措施

RECOVER心肺复苏登记处是一个在线医疗数据库,用于标准化收集接受心肺复苏的犬猫的医院、动物、骤停和结局信息。数据根据兽医Utstein式指南收集,用于标准化报告犬猫院内心肺复苏情况。下载病例记录,去除重复和不完整病例,并报告汇总描述性数据。

测量指标和主要结果

美国、欧洲和澳大利亚的16家医院向登记处提供了709次心肺复苏事件的数据。142只(28%)犬和58只(30%)猫实现了自主循环恢复(ROSC),62只(12%)犬和25只(13%)猫的ROSC>20分钟,14只(3%)犬和4只(2%)猫存活至出院。在321例(63%)病例中,心肺复苏终止的原因报告为所有者选择。CPA最常见的疑似原因是呼吸衰竭(n = 142,20%)、心力衰竭(n = 86,12%)和出血(n = 76,11%)。

结论

RECOVER心肺复苏登记处包含首个关于小动物心肺复苏的多中心数据集。它证实了与CPA相关的不良结局,强调需要进行大规模研究以获取有关与良好结局相关特征的充分信息。

相似文献

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Reassessment Campaign on Veterinary Resuscitation (RECOVER) Initiative small animal CPR registry report 2016-2021.兽医复苏再评估运动(RECOVER)倡议小动物心肺复苏登记报告2016 - 2021年
J Vet Emerg Crit Care (San Antonio). 2023 Mar;33(2):143-155. doi: 10.1111/vec.13273. Epub 2022 Dec 27.
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Utstein-style guidelines on uniform reporting of in-hospital cardiopulmonary resuscitation in dogs and cats. A RECOVER statement.犬猫院内心肺复苏统一报告的Utstein式指南。一份RECOVER声明。
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Assessment of cardiopulmonary resuscitation in 121 dogs and 30 cats at a university teaching hospital (2009-2012).一所大学教学医院对121只犬和30只猫进行心肺复苏的评估(2009 - 2012年)。
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J Vet Emerg Crit Care (San Antonio). 2023 Sep-Oct;33(5):520-533. doi: 10.1111/vec.13320. Epub 2023 Aug 12.
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Evaluation of end-tidal carbon dioxide as a predictor of return of spontaneous circulation in dogs and cats undergoing cardiopulmonary resuscitation.评估呼气末二氧化碳作为心肺复苏犬猫自主循环恢复预测指标的研究。
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Prospective Evaluation of Cardiopulmonary Resuscitation Performed in Dogs and Cats According to the RECOVER Guidelines. Part 2: Patient Outcomes and CPR Practice Since Guideline Implementation.根据RECOVER指南对犬猫进行心肺复苏的前瞻性评估。第2部分:指南实施后的患者预后及心肺复苏实践
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[Small animal cardiopulmonary -resuscitation (CPR) in general practice].[小动物心肺复苏术在一般诊疗中的应用]
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