Endurlífgun á sjúkrahúsi : umfang og árangur endurlífgunarstarfsemi á Landspítala

• Main Authors: Bylgja Kærnested, Ólafur Skúli Indriðason, Jón Baldursson, Davíð O. Arnar
• Other Authors: Landspítala Hringbraut, Reykavík
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2009
• Subjects: Endurlífgun; Hjartastopp; Adult; After-Hours Care; Aged; 80 and over; Cardiopulmonary Resuscitation; Heart Arrest; Hospital Mortality; Hospitalization; Hospitals; University; Humans; Iceland; Middle Aged; Patient Care Team; Patient Discharge; Patient Transfer; Risk Assessment; Risk Factors; Tachycardia; Ventricular; Treatment Outcome; Ventricular Fibrillation; Young Adult; Smella; Utstein
• Online Access: http://hdl.handle.net/2336/80073

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open INTRODUCTION: Survival after in-hospital cardiac arrest has not been previously reported in Iceland and the purpose of this study was to examine the outcomes of in-hospital resuscitation over a two year period. MATERIAL AND METHODS: There are resuscitation teams on each of the two campuses of the University Hospital in Reykjavik. Since the beginning of 2006, the resuscitation teams have compiled their reports in a structured form, Utstein style. RESULTS: During 2006 and 2007 resuscitation teams were activated on a total of 311 occasions. Of those, there was need for a full cardiopulmonary resuscitation because of cardiac arrest of in patients in 80 cases (26%). Return of spontaneous circulation was achieved or the patient survived to be transferred to the intensive care unit in 55 (69%) of the 80 cases. Survival to discharge was 33%. Survival to discharge was better if the arrest occurred between 8 AM and 4 PM during daytime (50%), than outside of regular working hours (23%, p=0.02). The survival was better if ventricular tachycardia or fibrillation was the first rhythm encountered (50%) than if the initial rhythm turned out to be asystole or pulseless electrical activity (12%, p=0.002). Those who survived resuscitation were generally younger than those who did not (p=0.002). CONCLUSION: The outcomes were similar to those reported at institutions in our neighboring countries. The survival rate was lower if the cardiac arrest occurred outside of regular working hours and if ventricular tachycardia or fibrillation was the first encountered rhythm. Inngangur: Á undanförnum árum hefur farið fram víðtæk endurskipulagning á tilhögun endurlífgunarmála á Landspítala. Tilgangur rannsóknarinnar var að meta umfang og árangur þessarar starfsemi. Efniviður og aðferðir: Á Landspítala starfa tvö endurlífgunarteymi, við Hringbraut og í Fossvogi. Frá ársbyrjun 2006 hafa skýrslur um endurlífgunartilraunir verið fylltar út ...