Kubo Daisuke, Okawa Tatsuya
Department of Health Data Science, Yokohama City University, Japan.
Department of Rehabilitation Services, Tokai University Hospital, Japan.
Phys Ther Res. 2025;28(1):68-75. doi: 10.1298/ptr.E10329. Epub 2025 Mar 15.
This review aimed to examine the characteristics of patients with spinal cord injury (SCI) who experience in-hospital cardiac arrest (IHCA), as well as the timing, circumstances, and interventions associated with these events.
A comprehensive literature search was conducted across multiple databases, including PubMed, Scopus, Cochrane Library, and Igaku Chuo Zasshi Web (in Japanese), for studies published up to 2024. Two independent reviewers screened the literature. Data were extracted from the selected studies regarding the characteristics of patients with SCI who experienced IHCA, the timing of IHCA, the circumstances under which it occurred, and the interventions provided.
A total of 56 studies met the inclusion criteria. IHCA most commonly occurs in patients with complete cervical SCI. The time frame for IHCA occurrence ranged from 1 day and 2.5 months post-injury. IHCA frequently occurs during endotracheal suctioning or postural changes. The most commonly reported intervention for IHCA was the use of a pacemaker.
In patients with SCI, IHCA is more prevalent among those with severe cervical injuries and is often triggered by procedures such as suctioning or postural adjustments. Physical therapist needs to implement robust risk management strategies. These findings are crucial for both clinical practice and future research.
本综述旨在研究发生院内心脏骤停（IHCA）的脊髓损伤（SCI）患者的特征，以及与这些事件相关的时间、情况和干预措施。
对多个数据库进行了全面的文献检索，包括PubMed、Scopus、Cochrane图书馆和Igaku Chuo Zasshi Web（日文），检索截至2024年发表的研究。两名独立的评审员筛选文献。从选定的研究中提取有关发生IHCA的SCI患者的特征、IHCA的时间、发生的情况以及所采取的干预措施的数据。
共有56项研究符合纳入标准。IHCA最常发生在完全性颈髓损伤患者中。IHCA发生的时间范围为受伤后1天至2.5个月。IHCA常发生在气管内吸痰或体位改变期间。报告的针对IHCA最常见的干预措施是使用起搏器。
在SCI患者中，IHCA在严重颈髓损伤患者中更为普遍，并且常由吸痰或体位调整等操作引发。物理治疗师需要实施强有力的风险管理策略。这些发现对临床实践和未来研究都至关重要。
