Critical Care· 2020Q1· Derleme
Kardiyopulmoner Resüsitasyon (CPR) Alan Erişkin Hastane Dışı Kardiyak Arrest Hastalarında Küresel Hayatta Kalma Oranı: Sistematik Bir Derleme ve Meta-Analiz
The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis
- 969atıf
- Q1SCImago
- 2020yıl
Kısa özet
141 çalışmanın meta-analizi, CPR uygulanan hastane dışı kardiyak arrest (OHCA) hastalarında hastaneden taburcu olma sağkalım oranının %8,8 olduğunu ve 1 yıllık sağkalım oranının %7,7 olduğunu ortaya koymaktadır. Sağkalım oranları son 40 yılda mütevazı bir artış göstermiştir.
Yapay zekâ ile başlık ve abstract'tan üretildi; tam metin okunmaz.
Ana noktalar
- CPR uygulanan OHCA hastalarında küresel olarak hastaneden taburcu olma sağkalım oranı %8,8'dir (95% GA 8,2-9,4%).
- Bu hastalar için 1 yıllık sağkalım oranı %7,7'dir (95% GA 5,8-9,5%).
- Sağkalım oranları son 40 yılda artış göstermiştir.
- Sağkalım, tanık olunan arrestlerde, bystander CPR uygulananlarda ve Avrupa/Kuzey Amerika'da yaşayanlarda daha yüksektir.
Yapay zekâ ile başlık ve abstract'tan üretildi; tam metin okunmaz.
Özet (abstract)
BACKGROUND: To quantitatively summarize the available epidemiological evidence on the survival rate of out-of-hospital cardiac arrest (OHCA) patients who received cardiopulmonary resuscitation (CPR). METHODS: We systematically searched the PubMed, Embase, and Web of Science databases, and the references of retrieved articles were manually reviewed to identify studies reporting the outcome of OHCA patients who received CPR. The overall incidence and outcome of OHCA were assessed using a random-effects meta-analysis. RESULTS: A total of 141 eligible studies were included in this meta-analysis. The pooled incidence of return of spontaneous circulation (ROSC) was 29.7% (95% CI 27.6-31.7%), the rate of survival to hospital admission was 22.0% (95% CI 20.7-23.4%), the rate of survival to hospital discharge was 8.8% (95% CI 8.2-9.4%), the pooled 1-month survival rate was 10.7% (95% CI 9.1-13.3%), and the 1-year survival rate was 7.7% (95% CI 5.8-9.5%). Subgroup analysis showed that survival to hospital discharge was more likely among OHCA patients whose cardiac arrest was witnessed by a bystander or emergency medical services (EMS) (10.5%; 95% CI 9.2-11.7%), who received bystander CPR (11.3%, 95% CI 9.3-13.2%), and who were living in Europe and North America (Europe 11.7%; 95% CI 10.5-13.0%; North America: 7.7%; 95% CI 6.9-8.6%). The survival to discharge (8.6% in 1976-1999 vs. 9.9% in 2010-2019), 1-month survival (8.0% in 2000-2009 vs. 13.3% in 2010-2019), and 1-year survival (8.0% in 2000-2009 vs. 13.3% in 2010-2019) rates of OHCA patients who underwent CPR significantly increased throughout the study period. The Egger's test did not indicate evidence of publication bias for the outcomes of OHCA patients who underwent CPR. CONCLUSIONS: The global survival rate of OHCA patients who received CPR has increased in the past 40 years. A higher survival rate post-OHCA is more likely among patients who receive bystander CPR and who live in Western countries.
Yazarların özeti; kaynağından alınmıştır. Critical Care, 2020 · DOI ↗
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