Study on the influencing factors of resuscitation outcomes for adult trauma patients with cardiac arrest
Objective To explore the influencing factors of resuscitation outcomes in adult patients with cardiac arrest after trauma and further analyze the relevant clinical predictive efficacy,aiming to provide guidance for early and accurate identification of high-risk mortality populations and the development of more proactive and effective intervention plans.Methods 87 adult trauma patients with hospital cardiac arrest treated in our hospital from January 2021 to January 2023 were retrospectively included.According to the resuscitation outcome,they were divided into the death group(70 cases)and the survival group(17 cases).The clinical characteristics of the death group and the survival group were compared,and the statistically significant indicators between the two groups were incorporated into the Logistics regression model.Multiple factor method was used to evaluate the independent influencing factors of resuscitation outcomes in adult patients with cardiac arrest after trauma.The clinical efficacy of ROC curve analysis was described in predicting the resuscitation outcomes of adult patients with cardiac arrest after trauma,based on the independent influencing factors.Results 87 adult trauma patients with hospital cardiac arrest were included in this study.Among them,70 died after resuscitation,17 survived,and the mortality rate was 80.46%.The results of univariate analysis showed that age,cardiogenic etiology,and duration of cardiopulmonary resuscitation were all related to the resuscitation outcomes of adult truama patients with cardiac arrest(P<0.05).Incorporating statistically significant indicators from univariate analysis into the Logistics regression model,the analysis results showed that age,cardiogenic etiology,and duration of cardiopulmonary resuscitation were independent factors affecting the resuscitation outcomes of adult trauma patients with cardiac arrest(P<0.05).The ROC curve analysis results showed that age,cardiogenic etiology,and duration of cardiopulmonary resuscitation can all be used to predict the resuscitation outcomes of adult trauma patients with cardiac arrest,and the combined prediction of the three indicators showed significantly better area,sensitivity,and specificity under the curve than the single indicator prediction(P<0.05).Conclusion The resuscitation outcome of adult trauma patients with cardiac arrest may be related to age,whether it is a cardiogenic cause,and the duration of cardiopulmonary resuscitation.The combination of the above indicators shows better clinical value in predicting recovery outcomes.
万方数据
维普
