Clinical analysis on success factors of cardiopulmonary resuscitation
Objective To discuss the factors affecting the prognosis of cardiopulmonary resuscitation (CPR) and provide the bases for treatment. Methods From January 2007 to September 2010, 150 cardiopulmonary resuscitation (CPR) patients in the Emergency Room and Emergency Intensive Care Unit were retrospectively analyzed. The patients were divided into three groups, recovery failure group (A), recovery successful group (B) and discharge from hospital alive group (C). Then we analyze their age, merger disease, cardiac arrest time, rescue time, survival time and APACHE D score. Results Comparing with group A, age, cardiac arrest time, rescue time of group B and group C have difference (P<0.05), but there have no obvious difference between group B and group C. And comparing with group C, the APACHE Ⅱ score, survival time of group A and group B have difference (P<0. 01). Three groups of patients were attacked by many merger diseases, in which mostly combined the diseases of circulation system and respiratory system. Conclusions Age is an important factor of success recovery. Combined circulation system and respiratory system diseases are the risk factors to cardiac arrest. The cardiac arrest time is the key to success recovery. Brain recovery success is the most important factor to discharge from hospital alive. The A-PACHE Ⅱ score can be used to evaluate cardiopulmonary resuscitation prognosis.