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Updated: Jun 6, 2025

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肥胖患者的心肺复苏:一个范围审查
Julie Considine1,2, Keith Couper3,4, Robert Greif5,6
1Deakin University, School of Nursing and Midwifery and Centre for Quality and Patient Safety in the Institute for Health Transformation, Geelong, VIC, Australia.
Resuscitation plus
|December 2, 2024
概括
这次审查发现,在心脏骤停期间,肥胖患者的结果有所变化. 虽然标准的CPR协议可能足够,但对于成年人来说,可能需要更长的CPR持续时间,从而影响资源.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 全球肥胖率不断上升,需要了解这群人心脏骤停的治疗方法.
- 国际复苏联络委员会 (ILCOR) 委托进行此次审查,以评估当前的证据.
研究的目的:
- 对发生心脏骤停的肥胖患者 (成人和儿童) 的治疗和治疗结果的证据进行范围审查.
- 确定关于肥胖个体中心肺复苏技术和质量指标的研究缺口.
主要方法:
- 使用Arksey和O'Malley框架进行范围审查,并遵守PRISMA-ScR指南.
- 在Medline,EMBASE和Cochrane数据库中搜索到2024年10月1日.
- 包括36项研究 (34项成人,2项儿科),叙事合成以SWiM报告准则为指导.
主要成果:
- 关于成年人的生存和神经功能,报告了可变的结果.
- 两个儿科研究表明,与正常体重儿童相比,肥胖儿童的结果 (神经学,生存,ROSC) 更差.
- 很少有研究报告了肥胖患者的CPR质量或技术修改.
结论:
- 目前的证据并不要求立即改变肥胖患者的标准心肺复苏方案.
- 肥胖的成年人可能需要更长的心肺复苏时间,这可能会带来潜在的人员和资源挑战.
- 对肥胖人口的特定心肺复苏技术和质量指标需要进一步的研究.
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