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Korean J Crit Care Med > Volume 22(2); 2007 > Article
Korean Journal of Critical Care Medicine 2007;22(2): 83-90.
병원 내 성인 환자의 심폐소생술 결과에 미치는 요인 분석
김인병ㆍ정상원ㆍ문동석*ㆍ변기현†
관동대학교 의과대학 응급의학교실, *흉부외과학교실, †심장내과학교실
Factors of Cardiopulmonary Resuscitation Outcome for In-hospital Adult Patients
In Byung Kim, Sang Won Chung, Dong Seok Moon, Ki Hyun Byun
1Department of Emergency Medicine, Kwandong University College of Medicine, Goyang, Korea. erman@kwandong.ac.kr
2Department of Chest Surgery, Kwandong University College of Medicine, Goyang, Korea.
3Department of Cardiology, Kwandong University College of Medicine, Goyang, Korea.
ABSTRACT
BACKGROUND: The purpose of this study was to evaluate the factors of cardiopulmonary resuscitation (CPR) outcome for in-hospital adult patients, acquiring data with standardized reporting guideline of in-hospital cardiopulmonary resuscitation in Korea. METHODS: All adult cardiac arrest patients from July 2004 to December 2006 in this general hospital were included. Their clinical spectrums were reviewed retrospectively using Utstein-style based template. RESULTS: For the study time period, one hundred and forty-two patients underwent cardiac arrest in this hospital. 136 patients were performed CPR. Return of spontaneous circulation (ROSC) occurred in 42 cases, and 15 patients were survived to hospital discharge. A shorter CPR time and a lower Simplified Acute Physiology Score II (SAPS II) were significant for survivor to hospital discharge (p<0.01). Sex, age, and location in cardiac arrest were not attributed to survival to hospital discharge. CONCLUSIONS: In-hospital CPR patients, the high rate of ROSC and survival to hospital discharge were associated to the cause of arrest, shorter time of CPR, and lesser severity of disease (SAPS II). This result can be a great implication of survivor from CPR in-hospital adult patients in Korea. Further evaluation with consistent data acquisition of CPR using Utstein-style would contribute to improve CPR practice and outcome.
Key Words: Cardiopulmonary resuscitation (CPR); Return of spontaneous circulation (ROSC); Simplified acute physiology score II (SAPS II); Utstein-style based template
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