胸部圧縮率と心停止の結果の関係
Ahamed H Idris1, Danielle Guffey, Tom P Aufderheide
1Division of Emergency Medicine, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75390-8579, USA. aidris@sbcglobal.net
Circulation
|May 25, 2012
まとめ
病院外での心停止のための最適な胸部圧縮率は,自発的な循環の回復のために125/分に近いです. しかし,圧縮率は,これらの患者の病院退院までの生存率に有意な影響を及ぼさなかった.
科学分野:
- 緊急医療 緊急医療
- 心臓病学 心臓病学
- 蘇生科学 蘇生科学とは
背景:
- 現在の心肺蘇生ガイドラインは,1分間に少なくとも100回の胸圧縮を推奨しています.
- 研究によると,最適の血流は,120/分程度の圧縮速度で発生することが示唆されています.
- 病院外心停止 (OOHCA) 時の圧縮率と患者のアウトカムへの影響に関するデータは限られている.
研究 の 目的:
- OOHCAの蘇生中に緊急医療サービス (EMS) が使用する胸部圧縮率を記述する.
- 胸部圧縮率とOOHCAにおける患者のアウトカムとの関係を決定する.
主な方法:
- 20歳以上のOOHCA患者の心肺蘇生中のモニター-除細動器の記録から得られたデータの分析.
- 2005年12月から2007年5月までの3098人の患者を再蘇生アウトカムコンソーシアムに含める.
- 多変数ロジスティック回帰と立方スラインモデルで,胸部圧縮率と結果の関連性を評価します.
主要な成果:
- 平均胸部圧縮率は112 ± 19/分でした.
- 圧縮率と自発循環の回復 (ROSC) の間には曲線的関連が観察され,ピークは約125/分であった.
- 胸部圧縮率と退院までの生存率との間に有意な関連性は見つかりませんでした.
結論:
- 胸部圧縮率は,OOHCAにおける自発的循環の回復を達成する可能性と関連しています.
- 胸部圧縮率は,OOHCA患者の病院退院までの生存率に影響を与えないようです.
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