دوشنبه 1 آبان 1396
به پورتال جامع کنگره ها - سمینارها و همایشهای دانشگاه علوم پزشکی تبریز خوش آمدید
   October 23, 2017
   
   
     
    help
   
Title QUALITY AND OUTCOME OF CARDIOPULMONARY RESUSCITATION IN IMAM KHOMEINI TEACHING HOSPITAL- REPORT ACCORDING TO UTSTEIN STYLE
Authors Dr mohamad hosein Rahimi Rad, Dr kamran Keivanpazhoh, Dr hamidreza Farrokh Islamlo
Abstract Background & Aims: The lack of standardization and the use of nonuniform terminology in reports of studies of cardiac arrest in humans have been described as a “Tower of Babel.” To address these problems, participants at a June 1990 international resuscitation conference concerned with out-of-hospital cardiac arrest research, held at the Utstein Abbey in Norway, met to discuss the lack of standardized nomenclature and language in research reports. They published Utstein style guidelines for reviewing, reporting, and conducting research on cardiopulmonary resuscitation (CPR). It was not used in Iran, we used this style to evaluate the effectiveness of in-hospital CPR for comparison. Materials & Methods: We prospectively analyzed the data on all cardiac arrest calls in Imam Khomeini Hospital, Urmia, Iran. Data were collected using the Utstein style. Results: There were 74 CPRs. The patients’ mean age was 54.68 years. In about 70% the initial rhythm was systole/pulseless electrical activity (PEA) and in 27% ventricular fibrillation/tachycardia (VF/VT). The first shock was delivered within 3.60 ± 2.75 minutes and the mean time from arrest to intubation was 12 ± 8.53 minutes. Return of spontaneous circulation was achieved in 28 (37.8%) cases. Survival to discharge was achieved in 13.5%. CPR success rate was 60%and 25% in patients with an initial rhythm VF/VT and systole/PEA, respectively (p=0.006). CPR was successful in about 48% in those with beginning of CPR within less than 3 minutes and15% in those with delay more than 3 minutes (p= 0.006). CPR success rate was 42% and 35% in patients with age<55 and more than 55 years old prospectively (p value= 0.296) Conclusions: To our knowledge this is the first report of CPR wit Utstein style in Iran. It is more likely for our patients to survive if the initial rhythm is VF/VT or beginning CPR earlier. Survival rate was less than similar studies. Keywords: Cardiopulmonary resuscitation, Outcome, Quality, Utstein style,
Keywords cardiopulmonary resuscitation, Utstein style, intubation, outcome, delay
 
     
     
 
 
     
     
 
 
     
     
 

برنامه اتوماسیون اداری
 
     
     
  بازدیدهای امروز :5291
تعداد کل بازدیدها :4633855