Tekin Fatih Cemal, Köylü Ramazan, Köylü Öznur, Kunt Muammer
Department of Emergency, University of Health Sciences, Konya Training and Research Hospital, Konya, Turkey.
Department of Biochemistry, University of Health Sciences, Konya Training and Research Hospital, Konya, Turkey.
Indian J Crit Care Med. 2023 Jan;27(1):26-31. doi: 10.5005/jp-journals-10071-24382.
In cases where return of spontaneous circulation (ROSC) is provided in the Emergency Department (ED) after cardiopulmonary arrest (CA), it is important to investigate the parameters affecting ROSC rates, to determine the factors affecting the survival status and prognosis in the short and medium term, and to determine to what extent these factors affect the prognosis.
This is a cross-sectional study that retrospectively investigates the factors affecting the success of resuscitation over a 5-year period in out-of-hospital cardiac arrest (OHCA) cases.
We determined that ROSC was achieved in 26.1% of 1616 adult cardiopulmonary arrest cases, 14.8% survived the first 24 hours, and 3.8% were discharged from the hospital.
We determined that ROSC decreased by 21% with a 1-mg increase in the amount of adrenaline used, by 98% with a 1 mmol/L increase in HCO (std) value, by 27% with a 1 mmol/L increase in BE (B) value, and by 15% with a 1 mmol/L increase in lactate value. In terms of short-term survival, we found that a 1 mmol/L increase in lactate value reduced the probability of survival by 12%, and a 1 mEq/L increase in value decreased the probability by 29%. With regard to the probability of survival in the medium term, we determined that the growth in age by 1 year decreased the probability by 4%, and the increase in value by 1 mEq/L decreased the probability by 35%.
Tekin FC, Köylü R, Köylü O, Kunt M. Factors Related to Resuscitation Success and Prognosis of Cardiopulmonary Arrest Cases. Indian J Crit Care Med 2023;27(1):26-31.
在急诊科（ED）对心脏骤停（CA）患者进行心肺复苏后实现自主循环恢复（ROSC）的情况下，研究影响ROSC率的参数、确定影响短期和中期生存状况及预后的因素，以及确定这些因素对预后的影响程度非常重要。
这是一项横断面研究，回顾性调查了5年期间院外心脏骤停（OHCA）病例中影响复苏成功的因素。
我们发现，1616例成人心肺骤停病例中有26.1%实现了ROSC，14.8%在最初24小时内存活，3.8%出院。
我们确定，肾上腺素使用量每增加1mg，ROSC下降21%；HCO（标准）值每增加1mmol/L，ROSC下降98%；BE（碱剩余）值每增加1mmol/L，ROSC下降27%；乳酸值每增加1mmol/L，ROSC下降15%。就短期生存而言，我们发现乳酸值每增加1mmol/L，生存概率降低12%， 值每增加1mEq/L，生存概率降低29%。关于中期生存概率，我们确定年龄每增加1岁，生存概率降低4%， 值每增加1mEq/L，生存概率降低35%。
Tekin FC, Köylü R, Köylü O, Kunt M. 心肺骤停病例复苏成功及预后相关因素。《印度重症监护医学杂志》2023；27(1):26 - 31。
