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《Chinese Journal of Difficult and Complicated Cases》 2010-08
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Multivariate analysis of prognosis in cardiopulmonary resuscitation after return of spontaneous circulation recovery

WANG Yan.Department of Emergency,Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100043,China  
Objective To explore the prediction factors of evaluate the prognosis in cardiopulmonary resuscitation (CPR) after return of spontaneous circulation(ROSC).Methods Totally 213 patients with CPR after ROSC were enrolled in study and clinic data were collected.The factors which possibly predict outcomes of CPR after ROSC were analyzed by single factor analysis and multivariate analysis respectively.Results The age,basic disease,site of cardiac arrest couldn't predict the outcome of patients with CPR after ROSC;but the arrest times,rescuing times, rhythm of the heart before arrest and during rescue cause,APACHEⅡscore,hyperspasmia or myoclonus and neural reflex of brainstem after 3 days could predict the outcome.The value sort order of prediction factors from maximum to minimum were neural reflex of brainstem,hyperspasmia or myoclonus,arrest times,rhythm of the heart before arrest, APACHEⅡscore,rhythm of the heart during rescue cause and rescuing times.Conclusion The neural reflex of brainstem and cerebral cortex functions after 3 days of CPR had the superem veracity for predict the outcome of patients with CPR after ROSC.The following factors include neural reflex of brainstem,hyperspasmia or myoclonus,arrest times,rhythm of the heart before arrest,APACHEⅡscore,rhythm of the heart during rescue cause and rescuing times may be the basic factors which used to build up outcome prediction system for patients with CPR after ROSC.
【CateGory Index】: R459.7
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