Liu Shuai, Zhu Huadong, Zhang Nan
Emergency Department, The State Key Laboratory for Complex, Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
Sci Rep. 2025 Jan 28;15(1):3471. doi: 10.1038/s41598-025-88076-3.
Variation in the incidence, survival rate and factors associated with survival after cardiac arrest in China is reported. Some studies have tried to fill the knowledge gap regarding the epidemiology of cardiac arrest in China but were unable to identify reasons for the reported differences. Therefore, the purpose of this study was to describe Chinese management of cardiac arrest, particularly from the perspective of compression, ventilation, monitoring, treatment, and extracorporeal cardiopulmonary resuscitation. An online questionnaire with 56 questions was designed about demographic characteristics, management of cardiac arrest, compression, ventilation, treatment and medicine, as well as advanced life support and resuscitation skill training. A total of 814 copies of questionnaire were received from 23 provinces, 4 autonomous regions and 4 municipalities of China. Results were combined with official information on population density. Throughout China, hospitals resuscitate according to the guideline, however, there are still differences varies in implement with regard to chest compression, ventilation, medicine, monitoring, as well as advanced life support and resuscitation skills training because of economical and developmental level from different regions. All the startup of chest compression is manual, whereas mechanical compression instruments are increasingly involved in sequential resuscitation. Most of clinicians rotate during resuscitation every five cycles other than the guideline recommends every 2 min or when they are tired. About half of the participants don't build the advanced airway rather than use bag valve mask to ventilate, and 75% of the rest use mechanical ventilation whether they succeed to ROSC. Most of rescuers choose endotracheal intubation which is consistent with many other clinical trials results. Various compression feedback devices play increasingly significant roles in assessment of ROSC. More and more regional hospitals have access to ECPR and implement TTM, but still lead to various divergences. Thus, more elaborate clinical trials need to be designed to verify and explore every procedure in the CPR life cycle.
据报道，中国心脏骤停的发病率、生存率及与生存相关的因素存在差异。一些研究试图填补中国心脏骤停流行病学方面的知识空白，但未能找出所报道差异的原因。因此，本研究的目的是描述中国心脏骤停的处理情况，特别是从按压、通气、监测、治疗和体外心肺复苏的角度。设计了一份包含56个问题的在线问卷，内容涉及人口统计学特征、心脏骤停的处理、按压、通气、治疗和药物，以及高级生命支持和复苏技能培训。共收到来自中国23个省、4个自治区和4个直辖市的814份问卷。结果与人口密度的官方信息相结合。在中国各地，医院均按照指南进行复苏，但由于不同地区的经济和发展水平，在胸外按压、通气、药物、监测以及高级生命支持和复苏技能培训的实施方面仍存在差异。所有胸外按压的启动均为手动操作，而机械按压设备在后续复苏中使用得越来越多。大多数临床医生在复苏过程中每五个周期轮换一次，而不是按照指南建议的每2分钟或感到疲劳时进行轮换。约一半的参与者未建立高级气道，而是使用袋阀面罩进行通气，其余参与者中有75%无论是否恢复自主循环均使用机械通气。大多数救援人员选择气管插管，这与许多其他临床试验结果一致。各种按压反馈设备在评估自主循环恢复方面发挥着越来越重要的作用。越来越多的地区医院能够开展体外心肺复苏并实施目标温度管理，但仍存在各种差异。因此，需要设计更详尽的临床试验来验证和探索心肺复苏生命周期中的每一个步骤。
