Objective To explore the relevant influencing factors for restoration of spontaneous circulation(ROSC)in elderly patients with unexpected in-hospital cardiac arrest,and to provide references for preventing in-hospital cardiac arrest in elderly patients and improving the success rate of rescue.Methods A retrospective analysis method was adopted.The clinical data of 134 consecutive elderly patients with unexpected in-hospital cardiac arrest were collected.According to the outcomes after rescue,the patients were divided into the restoration of spontaneous circulation group(the ROSC group)and the non-restoration of spontaneous circulation group(the non-ROSC group).Multivariate logistic regression analysis was performed to explore the influencing factors.Results Among the 134 patients,69 patients had ROSC,with a success rate of 51.5％.Logistic regression analysis showed that age,res-cue location,duration of continuous CPR,and cumulative dosage of adrenaline were the influencing factors for ROSC in elderly pa-tients with unexpected in-hospital cardiac arrest(all P＜0.05).Conclusion The success rate of ROSC in elderly patients with unan-ticipated in-hospital cardiac arrest is relatively low.It is recommended that critically ill elderly patients be admitted to the ICU,and emergency instruments,equipment and drugs should be prepared in advance.After a sudden cardiac arrest in a general ward pa-tient,the rapid response system should be immediately activated to improve the success rate of ROSC in elderly patients.
关键词
老年患者/心脏骤停/心肺复苏/自主循环恢复/影响因素/院内急救/老年护理
Key words
elderly patients/cardiac arrest/cardiopulmonary resuscitation/restoration of spontaneous circulation/influencing factors/in-hospital emergency treatment/elderly care
维普
万方数据