Analysis of Clinical Characteristics and Risk Factors for Resuscitation Failure in Emergency Department Cardiopulmonary Resuscitation Patients
Objective To explore the clinical characteristics and influencing factors of resuscitation outcomes in emergency department cardiopulmonary resuscitation patients.Methods A total of 190 cardiac arrest patients who underwent cardiopulmonary resuscitation in the emergency department of The First People's Hospital of Nanyang City from February 2020 to February 2023 were selected as the research subjects.According to the rescue outcome,they were divided into the cardiopulmonary resuscitation success group(n=26)and the cardiopulmonary resuscitation failure group(n=164).Clinical data of patients(age,gender,cause of cardiac arrest,start time of cardiopulmonary resuscitation,duration of cardiopulmonary resuscitation,dose of adrenaline,number of defibrillations,whether tracheal intubation ventilation was performed)were collected.Univariate analysis and multivariate logistic regression analysis were used to explore the influencing factors of cardiopulmonary resuscitation failure.Results Among the 190 cardiac arrest patients,26 patients(13.68%)were successful in cardiopulmonary resuscitation,and 164 patients(86.32%)failed in cardiopulmonary resuscitation.The results of univariate analysis showed that there were statistically significant differences in the start time of cardiopulmonary resuscitation,duration of cardiopulmonary resuscitation,dose of adrenaline,and number of defibrillations between the two groups(P＜0.05).The results of multivariate analysis showed that the start time of cardiopulmonary resuscitation(P＜0.001,OR=1.627,95%CI:1.141～2.365),duration of cardiopulmonary resuscitation(P＜0.001,OR=2.160,95%CI:1.581～2.614),dose of adrenaline(P=0.031,OR=1.365,95%CI:1.241～1.897),and number of defibrillations(P=0.004,OR=1.256,95%CI:1.184～1.526)were independent risk factors for cardiopulmonary resuscitation failure.Conclusion The current success rate of cardiopulmonary resuscitation for cardiac arrest patients in the emergency department is still low.Rapid and effective cardiopulmonary resuscitation is crucial for successful rescue.Appropriate measures should be taken to improve the response time and quality of rescue.
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