Department of Nursing, College of Health Sciences, Daejin University, 1007, Hoguk-ro, Pocheon-si, Gyeonggi-Do, Republic of Korea.
Department of Nursing, Bucheon University, 56, Sosa-Ro, Bucheon-Si, Gyeonggi-Do, Republic of Korea.
BMC Emerg Med. 2024 Sep 13;24(1):167. doi: 10.1186/s12873-024-01059-x.
Little is known about patients with sudden cardiac arrest in the emergency department (ED). This study aimed to identify factors affecting the prognosis of patients with cardiac arrest in the ED.
This retrospective study analyzed patients with sudden cardiac arrest admitted to the ED of a general hospital between January 2016 and July 2020. A total of 153 patients with sudden cardiac arrest were identified, and 149 patients for whom all data could be confirmed were included in the statistical analysis of this study. A good neurological outcome was defined as a Cerebral Performance Category (CPC) scale score of 1 or 2, assessed 6 months after discharge.
In the univariate analysis, the characteristics of patients included in the good neurological outcomes group were younger (t = 3.553, p < .001), had shorter low flow time (t = 3.31, p = .019), and had more shockable initial rhythms (χ = 28.038, p = < .001). As a result of multivariate binary logistic regression analysis, among 43 patients alive 6 months after discharge, age 60 years or younger (odds ratio = 32.703, p = .005), low flow time 6 min or less (odds ratio = 38.418, p = .006), and initial shockable rhythm (odds ratio = 31.214, p < .001) were identified as predictors that had a significant impact on good neurological outcomes.
Young age, short low-flow-time, and initial shockable rhythm are predictors of good neurological outcomes in patients with acute cardiac arrest in the ED.
在急诊科（ED），人们对心搏骤停患者知之甚少。本研究旨在确定影响 ED 心搏骤停患者预后的因素。
本回顾性研究分析了 2016 年 1 月至 2020 年 7 月期间在一家综合医院急诊科就诊的突发心搏骤停患者。共确定了 153 例心搏骤停患者，其中有 149 例患者的所有数据均能得到确认，这些患者被纳入本研究的统计分析。良好的神经功能预后定义为出院后 6 个月的脑功能预后评分（CPC）量表评分为 1 或 2 分。
在单因素分析中，良好神经功能预后组患者的特征为年龄较小（t=3.553，p<0.001）、低血流时间较短（t=3.31，p=0.019）和初始可除颤节律更多（χ²=28.038，p= < 0.001）。多变量二元逻辑回归分析结果显示，在出院后 6 个月存活的 43 例患者中，60 岁或以下的年龄（优势比=32.703，p=0.005）、低血流时间 6 分钟或更短（优势比=38.418，p=0.006）和初始可除颤节律（优势比=31.214，p<0.001）是对良好神经功能预后有显著影响的预测因素。
在 ED 发生急性心搏骤停的患者中，年轻、低血流时间短和初始可除颤节律是良好神经功能预后的预测因素。
