Hastane İçi Kardiyak Arrest Olgularının Değerlendirilmesi
Amaç: Kardiyak arrest, kardiyak fonksiyonların durması veya büyük arterlerde nabız alınamaması; solunum ve bilinç kaybı ile karakterize ani ve beklenmedik şekilde gelişen bir klinik tablodur. Bu çalışmada, hastane içi kardiyak arrest olguların prospektif olarak değerlendirilmesi amaçlanmıştır. Yöntem: Hastane içinde gelişen erişkin arrest olgular, kardiyopulmoner resüsitasyon (KPR) işlemi ile birlikte değerlendirmeye alındı. Yaș, cinsiyet, beden kitle indeksi (BMI), hastalık grupları, arrest sırasındaki kardiyak ritim, arreste neden olan geri döndürülebilir nedenler, kullanılan ilaç dozları, spontan dolaşım geri dönüş süresi, kan basıncı değerleri kaydedildi. Tüm veriler SPSS 15.0 istatistik programında uygun testler yapılarak değerlendirildi ve p
Evaluation of in-Hospital Cardiac Arrest Patients
Objective: Cardiac arrest is a suddenly developed unexpected clinical condition characterized with cessation of cardiac functions or inability to palpate pulsations in major arteries; loss of respiratory functions and consciousness. The aim of this study was to evaluate prospectively inhospital cardiac arrest cases. Method: We aimed to evaluate the patients diagnosed with cardiac arrest developed in the hospital using cardiopulmonary resuscitation procedure (CPR). Demographic variables as age, gender, body mass index (BMI), disease groups, reversible causes of cardiac arrest, dosages of drugs used, time to return to spontaneous circulation, heart rhythm during cardiac arrest, and blood pressure values were recorded. All data were evaluated in SPSS 15.0 statistical program using appropriate tests and p
___
- Nolan JP. Cardiac Arrest and Cardiopulmonary
Resuscitation. Semin Neurol. 2017;37:5-12.
https://doi.org/10.1055/s-0036-1597832
- Kloeck W, Cummins R, Chamberlain D, et al. The
Universal ALS algorithm. An advisorystatement by the
Advanced Life Support Working Group of the International Liaison Committee on Resuscitation.
Resuscitation. 1997;34:109-113.
https://doi.org/10.1016/S0300-9572(97)01100-3
- Nolan J, Soar J, Eikeland H. The chain of survival.
Resuscitation. 2006;71:270-1.
https://doi.org/10.1016/j.resuscitation.2006.09.001
- Fernández Lozano I, Urkía C, Lopez Mesa JB, et al.
European Resuscitation Council Guidelines for
Resuscitation 2015: Key Points. Rev Esp Cardiol (Engl
Ed). 2016;69:588-94.
https://doi.org/10.1016/j.recesp.2016.01.034
- Jacobs I, Nadkarni V, Bahr J, et al. Cardiac arrest and
cardiopulmonary resuscitation outcome reports: update and simplification of the utstein templates for resuscitation registries: a statement for healthcare professionals from a task force of the International Liaison
Committee on Resuscitation (American Heart
Association, European Resuscitation Council, Australian
Resuscitation Council, New Zealand Resuscitation
Council, Heartand Stroke Foundation of Canada, Inter
American Heart Foundation, Resuscitation Councils of
Southern Africa). Circulation. 2004;110:3385-97.
https://doi.org/10.1161/01.CIR.0000147236.85306.15
- Sandroni C, Nolan J, Cavallaro F, Antonelli M. In-hospital
cardiac arrest: incidence, prognosis and possiblemeasurestoimprove survival. Intensive Care Med
2007;33:237-45.
https://doi.org/10.1007/s00134-006-0326-z
- Nolan JP, Soar J, Smith GB et al. Incidence and outcome
of in-hospital cardiac arrest in the United Kingdom
National Cardiac Arrest Audit. Resuscitation.
2014;85:987-92.
https://doi.org/10.1016/j.resuscitation.2014.04.002
- Hesham S. Taha, Sameh WG. Bakhoum, Hussein H.
Kasem, Mera AS. Fahim TAHA, Quality of cardiopulmonary resuscitation of in-hospital cardiac arrest and its
relation to clinical outcome: An Egyptian University
Hospital Experience. The Egyptian Heart Journal.
2015;67:137-43.
https://doi.org/10.1016/j.ehj.2014.11.001
- Shao F, Li CS, Liang LR, Qin J, Ding N, Fu Y. Incidence
and outcome of adult in-hospital cardiac arrest in
Beijing, China. Resuscitation. 2016;102:51-6.
https://doi.org/10.1016/j.resuscitation.2016.02.002
- Perman SM, Stanton E, Soar J et al. Location of
In-Hospital Cardiac Arrest in the United StatesVariability in Event Rate and Outcomes. J Am Heart
Assoc. 2016;5:10.
- Nadkarni VM, Larkin GL, Peberdy MA et al. First documented rhythm and clinical outcome from in hospital
cardiac arrest among children and adults. JAMA.
2006;295:50-7.
https://doi.org/10.1001/jama.295.1.50
- Tan SC, Leong BS. Cardiac arrests with in the emergency department: an Utsteinstyle report, causation
and survival factors. Eur J Emerg Med. 2018;25:12-7.
- Bergum D, Nordseth T, Mjølstad OC, Skogvoll E, Haugen
BO.Causes of in-hospital cardiac arrest - incidences
and rate of recognition.Resuscitation. 2015;87:63-8.
https://doi.org/10.1016/j.resuscitation.2014.11.007
- Tirkkonen J, Hellevuo H, Olkkola KT, Hoppu S.Aetiology
of in-hospital cardiac arrest on general wards.
Resuscitation. 2016;107:19-24.
https://doi.org/10.1016/j.resuscitation.2016.07.007
- Jones D, Mercer I, HelandM,et al. In-hospital cardiac
arrest epidemiology in a mature rapid response system.
Br J Hosp Med (Lond). 2017;78:137-42.
- Bellomo R, Goldsmith D, Uchino S. et al. Prospective
before-and-after trial of a medical emergency team.
Med J Aust. 2003;179:283-7.
- Buist MD, Moore GE, Bernard SA, Waxman BP,
Anderson JN, NguyenTV. Effects of a medical emergency team on reduction of incidence of and mortality
from unexpected cardiac arrests in hospital: preliminarystudy. BMJ. 2002;324:387-90.
- Nolan JP, Soar J, Cariou A, et al. European Resuscitation
Council and European Society of Intensive Care
Medicine Guidelines for Post-resuscitation Care 2015:
Section 5 of the European Resuscitation Council
Guidelines for Resuscitation 2015. Resuscitation.
2015;95:202-22.
- Wang CH, Huang CH, Chang WT et al. The influences of
adrenaline dosing frequency and dosage on outcomes
of adult in-hospital cardiac arrest: A retrospective
cohort study. Resuscitation. 2016;103:125-30.
https://doi.org/10.1016/j.resuscitation.2015.12.008