Čimbenici preživljavanja u bolesnika zaprimljenih u hitnu medicinsku službu zbog zastoja srca

professional thesis

• Title (english): Factors influencing the survival of patients admitted to the emergency department due to cardiac arrest
• Author: Darinka Tunjić Pejak
• Mentor: Višnja Nesek Adam (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2019-02-18, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Emergency Medicine

Abstract

Cilj:
Preživljavanje i ishod bolesni ka sa zastojem srca te učinkovi tost kardiopulmonalne
reanimacije (KPR) ovisi o povezanosti brojnih čimbenika. Cilj studije bio je utvrditi postotak preživljavanja bolesnika nakon srčanog zastoja u odnosu na demografske karakteristike bolesnika te glavne karakteristike vezane uz reanimacijski postupak.
----- Ispitanici i metode: Provedeno je presječno analitičko istraživanje koje je uključivalo bolesnike zaprimljene u Hitnu internističku ambulantu Objedinjenog hitnog bolničkog prijema KB „Sveti Duh“ zbog srčanog zastoja kod kojih je primijenjena KPR u razdoblju od 01. siječnja 2010 god. do 31. prosinca 2015 god. Podaci su analizirani dijelom iz baze podataka informatičkog bolničkog sustava a dijelom iz medicinske dokumentacije bolesnika. ----- Rezultati: U istraživanju je uključeno 274 bolesnika, prosječne starosne dobi 71,74 godina. U
124 bolesnika postignut je spontani povratak cirkulacije a preživljavanje do otpusta iz bolnice
iznosi 17%. Rezultati su pokazali veće preživljavanje u bolesnika s kardijalni m uzrokom
srčanog zastoja, prvim ritmom pogodnim za defibrilaciju te kraćim trajanjem reanimacijskog
postupka. Primjena adrenalina i rane PM u ovom istraživanju pokazali su se kao negativni
prediktori preživljavanja. Nije bilo značajne razlike u preživljava nju ovisno o spol u bolesnika,
zbrinjavanju dišnog puta i pridruženim bolestima. -----
Zaključak: Istraživanje je pokazalo da su prvi zabilježeni ritam, kardijalni uzrok srčanog zastoja i kraće trajanje reanimacijskog postupka imali utjecaj na preživljavanje.

Abstract (english)

Aim: The survival and outcome of patients with cardiac arrest and the success of cardiopulmonary resuscitation (CPR) depends on the association of many factors. The aim of the study was to determine the percentage of survival after the cardiac arrest compared to the demographic characteristics of the patient and the main characteristics associated with the resuscitation process. -----
Subjects and Methods: A cross-sectional analytical study was conducted involving patients received in the Emergency department of a Clinical Hospital "Sveti Duh" due to cardiac arrest in which CPR was applied in the period from 1 January 2010. until 31 December 2015. The data were analyzed partly from the electr onic hospital information system and partly from the medical records of the patients. -----
Results: The study included 274 patients with an average age of 71.74 years. Spontaneous circulation return was achieved in 124 patients and survival to hospital discharge was 17%. The results showed greater survival in patients with cardiac causes of cardiac arrest, the first rhythm suitable for defibrillation and a shorter duration of resuscitation. The use of adrenaline and early chest compression in this study proved to be negative predictors of survival. There were no significant differences in survival depending on the sex of the patient, the choice of airway managing methods and associated diseases. -----
Conclusion: The study showed that the first recorded rhythm, the cardiogenic cause of cardiac arrest, and the shorter duration of the resuscitation process had an impact on survival.

• Keywords: srčani zastoj; kardiopulmonalna reanimacija; preživljavanje
• Keywords (english): cardiac arrest; cardiopulmonary resuscitation; survival
• Language: croatian
• URN:NBN: urn:nbn:hr:105:219945
• Study programme: Title: Emergency medicine; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra hitne medicine (sveučilišni/a magistar/magistra hitne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-02-14 08:55:29