Songül ARAÇ, Yılmaz ZENGİN, Mustafa İÇER, Ercan GÜNDÜZ, Recep DURSUN, Hasan DURGUN, Mehmet ÜSTÜNDAĞ, Murat ORAK, Mahir KUYUMCU, Cahfer GÜLOĞLU

Acil Serviste Kardiyopulmoner Resüsitasyon Yapılan Hastaların Değerlendirilmesi; Retrospektif Çalışma

GİRİŞ ve AMAÇ: Kardiyak arrest tedavisinde yapılacak işlemlerin tamamı Kardiyopulmoner resüsitasyon (KPR) olarak adlandırılmaktadır. Tüm ölümlerin yaklaşık %20’si ani kardiyak arrest nedeniyle olmaktadır. Çalışmamızda hastane içi ve dışı kardiyak arestlerin özelliklerini tanımlamak ve sonuçlarımızı literatür ile karşılaştırmak amaçlandı. YÖNTEM ve GEREÇLER: Bu çalışmada 01.01.2013 ile 31.05.2015 tarihleri arasında acil servise başvuran tüm yaş gruplarında etyolojiden bağımsız olarak Kardiyopulmoner Resüsitasyon uygulanan hastalar retrospektif olarak incelendi. Tüm olgular yaş, cinsiyet, başvuru saati, komorbidite varlığı, biyokimyasal parametreler, kullanılan ilaçlar, hasta sonlanımı, yoğun bakım ihtiyacı, yatış sonrası hastanede kalış süreleri ve mortalite gibi sosyodemografik ve klinik özellikleri bakımından araştırıldı. TARTIŞMA ve SONUÇ: Tüm hastalarda HT varlığı sağ kalım lehine anlamlı iken, erkek cinsiyeti ve saat 06:01-12:00 arası başvuru mortalite lehine anlamlı bulundu. Hastane içi kardiyak arestte 21 dakika ve üzeri uygulanan KPR artmış mortalite ile ilşkili bulunmuştur. Kardiyopulmoner Resüsitasyonun kalitesini arttırmak amaçlı kayıt sistemlerinin ve standardizasyonun oluşturulması gerekliliği görülmektedir.

Anahtar Kelimeler:

Acil servis, kardiyak arrest, KPR, sağkalım

Evaluation of Patients with Cardiopulmonary Resuscitation in The Emergency Department; A Retrospectıve Study

INTRODUCTION: All applications conducted in cardiac arrest treatment are called cardiopulmonary resuscitation (KPR). 20 % of total death is a result of sudden cardiac arrest. In our study, we aimed to define the characteristics of in-hospital and out-of-hospital cardiac arrest and to compare our results with the literature. METHODS: In this study, the patients to who were administered cardiopulmonary resuscitation (KPR), were retrospectively examined independent from the etiology in all age groups that admitted to emergency services between the dates of 01.01.2013 & 31.05.201. All cases were investigated related to socio-demographical and clinic specifications such as age, gender, admission time, comorbidity existence, biochemical parameters, administered drugs, patient outcome, intensive care unit requirement, length of hospital stay and mortality. RESULTS: Conclusively, while HT existence was significant in all patients to the favor of survival, male gender and admission between the hours of 06:01-12:00 were found significant to the favor of admission mortality. In inter-hospital KA cases, a correlation was found between increased mortality and the patients to whom KPR applied for 21 minutes or more. . Recording systems and their standardization is required to be established in order to increase the quality of cardiopulmonary resuscitation (KPR).

Keywords:

Emergency department, cardiac arrest, CPR, survival,

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