Survival rate of the arriving patients with cardiac arrest in the emergency cardiology department of a public hospital

Postgraduate Thesis uoadl:2767483 335 Read counter

Unit:
Library of the School of Health Sciences
Κατεύθυνση Μονάδες Εντατικής Θεραπείας και Επείγουσα Νοσηλευτική
Deposit date:
2018-06-05
Year:
2018
Author:
Papadopoulou Styliani
Supervisors info:
Θ.Καπάδοχος, Λέκτορας Εφαρμογών, Νοσηλευτική, Πανεπιστήμιο Δυτικής Αττικής
Αντ. Καλογιάννη, Λέκτορας Εφαρμογών, Νοσηλευτική, Πανεπιστήμιο Δυτικής Αττικής
Μ. Κελέση, Αναπληρώτρια Καθηγήτρια, Νοσηλευτική, Πανεπιστήμιο Δυτικής Αττικής
Original Title:
Ποσοστό επιβίωσης των προσερχόμενων ασθενών με καρδιακή ανακοπή στο καρδιολογικό ιατρείο του ΤΕΠ ενός δημοσίου νοσοκομείου
Languages:
Greek
Translated title:
Survival rate of the arriving patients with cardiac arrest in the emergency cardiology department of a public hospital
Summary:
Introduction: Cardiac arrest is an urgent and extremely life-threatening condition that, if not treated promptly and effectively, can lead to death. Despite progress in emergency treatment, the survival rate of patients transferred to the emergency department with out-of-hospital cardiac arrest is low.
Aim of this research study was to investigate the survival rate of the incoming patients with cardiac arrest in the cardiology infirmary of the emergency department of a public hospital and the time they spent in the hospital until discharge.
Material-Method: The study included 105 patients who were transferred due to a cardiac arrest at the cardiology infirmary of the emergency department of Tzaneio hospital, Piraeus, during the period April - December 2017. The data were collected from the National Center of Emergency Dispatch's printed forms, as well as from the patients’ import book at the emergency department.
Results: A 13% of patients with cardiac arrest have returned to spontaneous circulation in the emergency department, of which 71% died and 28% were discharged. Patients with known cardiac history were more likely to survive after cardiac arrest than patients without known history (F-test, p = 0.007). Also, patients with a shockable rhythm were more likely to recover from arrest, upon arrival at the emergency room, compared to patients who had a non-shockable rhythm (F-test, p <0.001). In addition, patients who received defibrillation, both during their transfer via ambulance and at the emergency room, were more likely to survive than those who did not receive defibrillation (F-test, p <0.001). No statistically significant correlation was found between the studied factors and survival after cardiac arrest, in the patients discharged from the hospital.
Conclusions: The survival rate of the incoming patients with cardiac arrest at the emergency department of Tzaneio hospital, Piraeus was low. The victims of cardiac arrest that had a known cardiological problem, a shockable rhythm and were defibrillated during transfer or at the emergency room were more likely to have a return of spontaneous circulation.
Key words: Cardiac arrest, resuscitation, survival, emergency department.
Main subject category:
Health Sciences
Keywords:
Cardiac arrest, Resuscitation, Survival, Emergency department.
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
67
Number of pages:
55
File:
File access is restricted only to the intranet of UoA.

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