机构:[1]Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China北京朝阳医院[2]Beijing Institute of Respiratory Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China北京朝阳医院[3]Department of Emergency Medicine, Beijing Xuanwu Hospital, Capital Medical University, Beijing, China首都医科大学宣武医院[4]Department of Emergency Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing, China临床科室急诊科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[5]Department of Emergency Medicine, Beijing Hepingli Hospital, Beijing, China[6]Department of Emergency Medicine, China-Japan Friendship Hospital, Beijing, China[7]Department of Emergency Medicine, Beijing Fuxing Hospital, Beijing, China[8]Department of Emergency Medicine, Beijing Jishuitan Hospital, Beijing, China[9]Department of Emergency Medicine, Peking University Shougang Hospital, Beijing, China[10]Department of Emergency Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, China首都医科大学附属北京友谊医院[11]Department of Emergency Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China首都医科大学附属天坛医院[12]Department of Emergency Medicine, The 309th Hospital of Chinese People’s Liberation Army, Beijing, China[13]Department of Emergency Medicine, Beijing Huairou Hospital, Beijing, China
Objective: To assess the incidence and outcome of in-hospital cardiac arrests (IHCAs) in Beijing, China. Methods: The incidence and outcome of IHCAs over a 12-month period were evaluated in this prospective study. Between January 1 and December 31, 2014, 12 Beijing hospitals prospectively participated in this study for calculation of the incidence of IHCA. Data were collected according to the Utstein style for all cases of attempted resuscitation for IHCA that occurred in the participating hospitals. Surviving patients were followed for 1 month. Results: The total number of admissions across the 12 hospitals during this 1-year period was 582,242; the IHCA incidence was 17.5 per 1000 admissions. Of the 10,198 IHCAs recorded, cardiopulmonary resuscitation (CPR) was initiated in 26.6%. Among CPR recipients, 1292 (47.6%) had a presumed cardiac aetiology and 1255 occurred in the Emergency Department. With regards to initial rhythm, 1340 had asystole and 423 had shockable rhythms. Of those receiving CPR, 1451 (53.5%) patients received it in less than 1 min. Restoration of spontaneous circulation was achieved in 962 (35.5%) patients; 247 (9.1%) patients were discharged alive and 174 (6.4%) patients had good neurological outcomes. At 1 month after discharge, 236 patients remained alive. On multivariate regression analysis, factors associated with survival included female sex, age <60 years, and ventricular fibrillation/ventricular tachycardia as the initial rhythm. Conclusion: The incidence of IHCA in Beijing hospitals is high and the survival is poor compared to other industrialized countries. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
基金:
Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support [XMLX201313]
第一作者机构:[1]Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
通讯作者:
通讯机构:[1]Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China[*1]Department of Emergency Medicine, Beijing ChaoyangHospital, #8 Worker’s Stadium South Road, Chaoyang District, Beijing 100020, China
推荐引用方式(GB/T 7714):
Shao Fei,Li Chun Sheng,Liang Li Rong,et al.Incidence and outcome of adult in-hospital cardiac arrest in Beijing, China[J].RESUSCITATION.2016,102:51-56.doi:10.1016/j.resuscitation.2016.02.002.
APA:
Shao, Fei,Li, Chun Sheng,Liang, Li Rong,Qin, Jian,Ding, Ning...&Yang, Qiu Lan.(2016).Incidence and outcome of adult in-hospital cardiac arrest in Beijing, China.RESUSCITATION,102,
MLA:
Shao, Fei,et al."Incidence and outcome of adult in-hospital cardiac arrest in Beijing, China".RESUSCITATION 102.(2016):51-56