JACC:下班时间的院内心脏停搏存活率明显低于工作时间

2018-01-31 MedSci MedSci原创

医院内心脏停搏(IHCA)的存活率在晚上和周末(下班时间)要低于工作时间,尽管近年来的IHCA存活率明显上升,但是在下班时间和工作时间上的差异是否发生变化尚属未知。本研究的目的旨在评估IHCA在下班时间和工作时间存活率差异的变化趋势。本研究纳入了2000-2014年470家美国医院的151071名成年住院病人,通过多变量回归分析,评估IHCA存活率在工作时间(周一到周五的7:00am-10:59p

医院内心脏停搏(IHCA)的存活率在晚上和周末(下班时间)要低于工作时间,尽管近年来的IHCA存活率明显上升,但是在下班时间和工作时间上的差异是否发生变化尚属未知。本研究的目的旨在评估IHCA在下班时间和工作时间存活率差异的变化趋势。本研究纳入了2000-2014年470家美国医院的151071名成年住院病人,通过多变量回归分析,评估IHCA存活率在工作时间(周一到周五的7:00am-10:59pm)和下班时间(周一到周五的11:00 PM-6:59 AM和周末全天)差异的变化。分析结果显示,在151071名参与者中,有79091名(52.4%)患者在下班时间出现心脏停搏,存活率在两组患者之间均随着时间的推移而增高,然而,存活率在两组之间的差异没有明显的变化(绝对值:p=0.75;相对值:p=0.059)。此外,复苏成功率虽然随着时间的推移而增高,但两组之间的差异仍没有明显改变。研究结果显示,尽管院内心脏停搏存活率逐年升高,但是下班时间的存活率依旧低于工作时间。原始出处:Uchenna R et al.Trends in Survival After In-Hospital Cardi

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    2018-08-17 hbwxf
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