Journal of Holistic Nursing And Midwifery
مجله پرستاری و مامایی جامع نگر
JHNM
Literature & Humanities
http://hnmj.gums.ac.ir
1
admin
2588-3712
10.32598
en
jalali
1400
12
1
gregorian
2022
3
1
32
2
online
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fulltext
en
Predictors of Long-Term Survival after Cardiopulmonary Resuscitation
تخصصي
Special
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Abstract </span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Survival after cardiac arrest is one of the most important issues related to the safety and quality of patient care, and unexpected events such as failure to follow guidelines can endanger the patient's safety. </span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="background:white"><span new="" roman="" style="font-family:" times="">Objective:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> This study aimed to determine the long-term survival after cardiopulmonary resuscitation and its predictors in patients with cardiac arrest.</span></span><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">In this retrospective study, individual, disease-related, and 3-day follow-up-related factors were monitored after the cardiopulmonary resuscitation (CPR) in all patients with long-term survival after cardiac arrest (CA) who were discharged from the hospital between 2016 and 2019. Patients' survival or death after CPR was followed up by telephone interviews. </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The patient's survival time after discharge was calculated until the interview day</span></span><span new="" roman="" style="font-family:" times="">. </span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The obtained</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">data were analyzed by the Kaplan-Meier and Cox regression tests.</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Out of 1565 CPR cases (both In-Hospital Cardiac Arrest [IHCA] and Out-of-Hospital Cardiac Arrest [OHCA]), 667 were successful, of which 156 patients had long-term survival. The mean ±SD of the survival time for patients was 30.98 ±1.78 months. Significant variables in associations with long-term survival were old age (>60 y) (HR=1.811, 95%CI;1.019-3.218, P=0.043), initial asystole rhythm (HR=4.199; 95%CI:2.129-8.282; P=0.001), ventricular tachycardia (VT) (HR=2.315; 95%CI:1.171-4.576; P=0.016), connection to mechanical ventilator (HR=1.992; 95%CI:1.229-3.229; P=0.005), cardiovascular disease (HR=1.795; 95%CI:1.111-2.901; P=0.017), and abnormal SpO<sub>2</sub> (HR=2.447; 95%CI:1.507-3.972; P=0.001). Multivariate analysis also showed that asystole rhythm (P=0.001), VT (P=0.052), and prolonged duration of CPR (>20 min)</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(P=0.043) significantly increase the risk of death.</span></span><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusions:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The major predictors in this study were age, initial rhythm, connection to a mechanical ventilator, CPR duration,</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">cardiovascular disease, and SpO<sub>2</sub> monitoring. Therefore, introducing post-resuscitation care protocols and conducting training programs and further studies are warranted.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></b></span></span></span><br>
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Cardiac arrest, Resuscitation, guideline, Long-term care, survival
124
134
http://hnmj.gums.ac.ir/browse.php?a_code=A-10-1349-1&slc_lang=en&sid=1
Parivash
Nazarpour
0000-0001-5522-216X
No
Nursing (MSN), Department of Nursing, School of Nursing and Midwifery, Guilan University of medical sciences, Rasht, Iran
Fateme
Jafaraghaee
fja_a80@yahoo.com
0000-0001-8479-6832
Yes
Associate professor of Nursing, Department of Nursing, School of Nursing and Midwifery, Guilan University of medical sciences, Rasht, Iran
Mohammad Taghi
Moghadamnia
0000-0002-3380-5142
No
Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of medical sciences, Rasht, Iran
Saman
Maroufizadeh
0000-0001-5794-3876
No
Assistant Professor, Department of Biostatistics, School of Health, Guilan University of Medical Sciences, Rasht, Iran