응급실 심정지 환자의 심폐소생술시 순환 회복률에 관한 연구

Abstract

Purpose: There has been an increase in the number of cardiac arrests due to increases in both cardiovascular diseases and the average age of the population. This study was designed to develope CPR(cardiopulmonary resuscitation) for comparing and study the outcomes of resuscitation. Methods: We reviewed the charts of 283 patients of CPR performed in emergency department of chosun university hospital during the period from April 2001 to March 2004. Results: During the period, CPR were performed in 283 cardiac arrest patients. Initial ECG rhythm showed VF/VT(ventricular fibrillation/ventricular tachycardia) in 34(12%) patients, PEA(pulseless electrical activity) in 99(35%) patients and asystole in 150(53%) patients. The precipitating causes of cardiac arrest were cardiogenic 20(15.9%), non cardiogenic 164(58%) and traumatic 55(26.1%). 109(38%) patients recovered the ROSC(restoration of spontaneous circulation) at least once and 7(2.5%) patients discharged alive. Conclusion: The survival rate of patients with cardiac arrest has not changed much compared to the past. Positive predictive factor for ROSC is VF/VT as initial ECG rhythm. Negative predictive factor for ROSC is traumatic etiology.