Cooper S, Cade J
Derriford Hospital, Plymouth, UK.
Resuscitation. 1997 Aug;35(1):17-22. doi: 10.1016/s0300-9572(97)00020-8.
the purpose of this study was to determine the key factors influencing survival from cardiopulmonary resuscitation and to analyse the effectiveness of a resuscitation training programme.
a prospective analysis of all cardiopulmonary resuscitation attempts was performed over a period of 3 years. Included in the study were 808 in hospital cardiac arrests, on whom a full cardiopulmonary resuscitation attempt was performed. Immediate, 24 h and discharge survival rates were the main outcome measures.
the immediate survival rate was 43.2%, then 30.2% at 24 h, and 21.9% by discharge. Multivariate analysis of all variables showed that the key factors influencing immediate survival were the 'duration of the arrest', the 'primary arrhythmia', 'basic life support within 3 min of an arrest', 'age less than 70 years', 'the primary mode of arrest-respiratory or cardiac' and 'difficulties with equipment and staff skills during a resuscitation'. Resuscitation training over the 3 year period was shown to have been effective, with improved survival rates on the wards and a reduced number of serious difficulties at arrests.
data collection and analysis of cardiopulmonary resuscitation attempts are essential for the formulation of survival indicators, and the subsequent training of resuscitation teams.
本研究旨在确定影响心肺复苏存活的关键因素，并分析复苏培训计划的有效性。
对3年内所有心肺复苏尝试进行前瞻性分析。纳入研究的有808例住院心脏骤停患者，均进行了完整的心肺复苏尝试。主要结局指标为即时、24小时和出院时的存活率。
即时存活率为43.2%，24小时时为30.2%，出院时为21.9%。对所有变量进行多因素分析表明，影响即时存活的关键因素包括“心脏骤停持续时间”、“原发性心律失常”、“心脏骤停3分钟内进行基础生命支持”、“年龄小于70岁”、“心脏骤停的主要类型——呼吸性或心脏性”以及“复苏过程中设备和人员技能方面的困难”。结果表明，3年期间的复苏培训是有效的，病房存活率提高，心脏骤停时严重困难的数量减少。
心肺复苏尝试的数据收集和分析对于制定存活指标以及随后对复苏团队的培训至关重要。
