Öz
Objectives: The aim of this study was to investigate the characteristics of the patients who received cardiopulmonary resuscitation CPR in the emergency department ED .Study Design: This retrospective study was carried out in a secondary care emergency department of a state hospital between January and December 2017. Patients with out-of-hospital cardiac arrest OHCA aged 18 years and older were included in the study. Patients with rhythm at admission after successful resuscitation, and patients with trauma or pregnancy were excluded.Results: During the study period, 100 cases of OHCA that met the acceptance criteria were evaluated. Among all cases, the male gender was 59% n=59 and the median age was 69 IQR 58–78 . Successful resuscitation was achieved in 27% n=27 of the cases and these patients were hospitalized. Of all patients, 22 died within the first month of the presentation. In our study, only 5 patients lived more than one month. PH values were lower in the non-resuscitated patients than those of resuscitated patients p
Anahtar Kelimeler
Kaynakça
- Aslaner MA. Emergency department visits of critically ill patients and evaluation of intensive care unit admissions. Hacettepe University Faculty of Medicine, Thesis of Emergency Medicine, Ankara 2014. http://www.openaccess.hacettepe.edu.tr:8080/xmlui/bitstream/ handle/11655/778/365737d4-065b-4f13-bf54-5469c8f9c9fa. pdf?sequence=1&isAllowed=y
- Kleinman ME, Goldberger ZD, Rea T, Swor RA, Bobrow BJ, Brennan EE, et al. 2017 American Heart Association Focused Update on Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2018;137:e7–13. [CrossRef]
- Gülalp B, Uğur M, Narcı H, Karagün Ö, Aldinç H, Benli S. Halktan İlkyardım Uygulayıcısı Eğitimi ve Toplu Yaşam Alanlarında Otomatik Eksternai Defibrilatör (OED). Bakırköy Tıp Derg 2012;8:151–8. [CrossRef]
- Al B, Zengin S, Kabul S, Guzel R, Sarcan E, Yıldırım C. Basic and advanced life support practices in out-of-hospital cardiopulmonary arrest developing patients: Analysis of 27 months. Gaziantep Med J 2013;19:13–7. [CrossRef]
- Mawani M, Kadir MM, Azam I, Mehmood A, McNally B, Stevens K, et al. Epidemiology and outcomes of out-of-hospital cardiac arrest in a developing country-a multicenter cohort study. BMC Emerg Med 2016;16:28. [CrossRef]
- Kozaci N, Ay MO, Icme F, Akturk A, Satar S. Are We Successful in Cardiopulmonary Resuscitation? Cukurova Med J 2013;38:601–9.
- Başol N, Çelenk Y, Karaman S, Şahin F, Savaş AY. Tokat İli Üniversite Hastanesi Acil Servisinde Kardiyopulmoner Resüsitasyon Uygulanan Hastaların Geriye Dönük Olarak Değerlendirilmesi: İki Yıllık Analiz. Gaziosmanpaşa Üniv Tıp Fakültesi Derg 6:91–100. https://dergipark. org.tr/tr/download/article-file/404535
- Geçmen Ç, Kahyaoğlu M, Kalaycı A, Naser A, Akgün Ö, Alpay E, et al. Üçüncü Basamak Bir Merkezden Kardiyak Arrest Serisi. Koşuyolu Heart J 2018;21:16–20. [CrossRef]
- Öztürk D, Altinbilek E, Koyuncu M, Sönmez BM, Çaltili Ç, Ikizceli I, et al. Successful application of acute cardiopulmonary resuscitation. J Acute Dis 2015;4:218–21. [CrossRef]
- Balcı KG, Balcı MM, Şen F, Akboğa MK, Kalender E, Yılmaz S, et al. Predictors of neurologically favorable survival among patients with out-of-hospital cardiac arrest: A tertiary referral hospital experience. Turk Kardiyol Dern Ars 2017;45:254–60. [CrossRef]
- Erdur B, Ergin A, Turkcuer I, Ergin N, Parlak I, Serinken M, Bozkir M. Evaluation of the outcome of out-of-hospital cardiac arrest resuscitation efforts in Denizli, Turkey. J Emerg Med 2008;35:321–7. [CrossRef]
- Martinell L, Nielsen N, Herlitz J, Karlsson T, Horn J, Wise MP, et al. Early predictors of poor outcome after out-of-hospital cardiac arrest. Crit Care 2017;21:96. [CrossRef]
- Bagai A, McNally BF, Al-Khatib SM, Myers JB, Kim S, Karlsson L, et al. Temporal differences in out-of-hospital cardiac arrest incidence and survival. Circulation 2013;128:2595–602. [CrossRef]
- Karataş A, Baydın A, Otal Y. Acil Serviste Hayatını Kaybeden Olguların Retrospektif Analizi. Akademik Acil Tıp Derg 2007;5:14–7.
- Özmete Ö, Bali Ç, Ergenoğlu P, Yeşilağaç H, Karagün Ö, Gülalp B, et al. Acil Servise Hastane Dışı Kardiyak Arrestle Getirilen Hastaların Karakteristiği ve Sonuçları. Anestezi Derg 2017;25:239–42.
- Kitamura T, Kiyohara K, Sakai T, Iwami T, Nishiyama C, Kajino K, et al. Epidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: a population-based study. BMJ Open 2014;4:e006462. [CrossRef]
- Shin J, Lim YS, Kim K, Lee HJ, Lee SJ, Jung E, et al. Initial blood pH during cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients: a multicenter observational registry-based study. Crit Care 2017;21:322. [CrossRef]
Öz
Amaç: Bu çalışmada, acil servis AS hastaları içerisinde en önemli ve hayati yeri tutan kardiyopulmoner resüsitasyon uygulanan olguların incelenmesi ve özelliklerinin saptanması amaçlandı. Çalışma Planı: Bu retrospektif çalışma Ocak - Aralık 2017 tarihleri arasında ikinci basamak bir devlet hastanesi acil servisinde gerçekleştirildi. Hasta dışı kardiyak arrest HDKA olguları içerisinden 18 yaş ve üzeri olan olgular çalışmaya dâhil edildi. Travma, gebelik ve başarılı resüsitasyon sonrası başvuruda ritmi olan olgular dışlandı. Bulgular: Çalışma periyodu boyunca kabul kriterlerine uyan 100 HDKA olgusu değerlendirilmeye alındı. Tüm olguların içerisinde erkek cinsiyet oranı %59 n=59 ve ortanca yaş 69 IQR 58-78 idi. Olguların %27’sinde n=27 başarılı resüsitasyon sağlandı ve hastalar hospitalize edildi. 22 hasta ilk bir ay içerisinde tekrar arrest gelişerek kaybedildi. Çalışmamızda sadece 5 hasta bir aydan fazla yaşadı. Kan laboratuvar değerleri içerisinde, Ph değeri başarısız resüsitasyon olgularında diğer gruba göre daha düşük izlendi p
Anahtar Kelimeler
Kaynakça
- Aslaner MA. Emergency department visits of critically ill patients and evaluation of intensive care unit admissions. Hacettepe University Faculty of Medicine, Thesis of Emergency Medicine, Ankara 2014. http://www.openaccess.hacettepe.edu.tr:8080/xmlui/bitstream/ handle/11655/778/365737d4-065b-4f13-bf54-5469c8f9c9fa. pdf?sequence=1&isAllowed=y
- Kleinman ME, Goldberger ZD, Rea T, Swor RA, Bobrow BJ, Brennan EE, et al. 2017 American Heart Association Focused Update on Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2018;137:e7–13. [CrossRef]
- Gülalp B, Uğur M, Narcı H, Karagün Ö, Aldinç H, Benli S. Halktan İlkyardım Uygulayıcısı Eğitimi ve Toplu Yaşam Alanlarında Otomatik Eksternai Defibrilatör (OED). Bakırköy Tıp Derg 2012;8:151–8. [CrossRef]
- Al B, Zengin S, Kabul S, Guzel R, Sarcan E, Yıldırım C. Basic and advanced life support practices in out-of-hospital cardiopulmonary arrest developing patients: Analysis of 27 months. Gaziantep Med J 2013;19:13–7. [CrossRef]
- Mawani M, Kadir MM, Azam I, Mehmood A, McNally B, Stevens K, et al. Epidemiology and outcomes of out-of-hospital cardiac arrest in a developing country-a multicenter cohort study. BMC Emerg Med 2016;16:28. [CrossRef]
- Kozaci N, Ay MO, Icme F, Akturk A, Satar S. Are We Successful in Cardiopulmonary Resuscitation? Cukurova Med J 2013;38:601–9.
- Başol N, Çelenk Y, Karaman S, Şahin F, Savaş AY. Tokat İli Üniversite Hastanesi Acil Servisinde Kardiyopulmoner Resüsitasyon Uygulanan Hastaların Geriye Dönük Olarak Değerlendirilmesi: İki Yıllık Analiz. Gaziosmanpaşa Üniv Tıp Fakültesi Derg 6:91–100. https://dergipark. org.tr/tr/download/article-file/404535
- Geçmen Ç, Kahyaoğlu M, Kalaycı A, Naser A, Akgün Ö, Alpay E, et al. Üçüncü Basamak Bir Merkezden Kardiyak Arrest Serisi. Koşuyolu Heart J 2018;21:16–20. [CrossRef]
- Öztürk D, Altinbilek E, Koyuncu M, Sönmez BM, Çaltili Ç, Ikizceli I, et al. Successful application of acute cardiopulmonary resuscitation. J Acute Dis 2015;4:218–21. [CrossRef]
- Balcı KG, Balcı MM, Şen F, Akboğa MK, Kalender E, Yılmaz S, et al. Predictors of neurologically favorable survival among patients with out-of-hospital cardiac arrest: A tertiary referral hospital experience. Turk Kardiyol Dern Ars 2017;45:254–60. [CrossRef]
- Erdur B, Ergin A, Turkcuer I, Ergin N, Parlak I, Serinken M, Bozkir M. Evaluation of the outcome of out-of-hospital cardiac arrest resuscitation efforts in Denizli, Turkey. J Emerg Med 2008;35:321–7. [CrossRef]
- Martinell L, Nielsen N, Herlitz J, Karlsson T, Horn J, Wise MP, et al. Early predictors of poor outcome after out-of-hospital cardiac arrest. Crit Care 2017;21:96. [CrossRef]
- Bagai A, McNally BF, Al-Khatib SM, Myers JB, Kim S, Karlsson L, et al. Temporal differences in out-of-hospital cardiac arrest incidence and survival. Circulation 2013;128:2595–602. [CrossRef]
- Karataş A, Baydın A, Otal Y. Acil Serviste Hayatını Kaybeden Olguların Retrospektif Analizi. Akademik Acil Tıp Derg 2007;5:14–7.
- Özmete Ö, Bali Ç, Ergenoğlu P, Yeşilağaç H, Karagün Ö, Gülalp B, et al. Acil Servise Hastane Dışı Kardiyak Arrestle Getirilen Hastaların Karakteristiği ve Sonuçları. Anestezi Derg 2017;25:239–42.
- Kitamura T, Kiyohara K, Sakai T, Iwami T, Nishiyama C, Kajino K, et al. Epidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: a population-based study. BMJ Open 2014;4:e006462. [CrossRef]
- Shin J, Lim YS, Kim K, Lee HJ, Lee SJ, Jung E, et al. Initial blood pH during cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients: a multicenter observational registry-based study. Crit Care 2017;21:322. [CrossRef]
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2020 |
| Yayımlandığı Sayı | Yıl 2020Sayı: 4 |