A Retrospective Review on Charlson Comorbidity Index (CCI) as a Predictor of Return-of-spontaneous-circulation and Survival-to-discharge of Geriatric In-hospital Cardiopulmonary Resuscitation (CPR) in a Regional Acute Hospital in Hong Kong
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 394
- 试验地点
- 1
- 主要终点
- sustained return of spontaneous circulation (ROSC), survival at 24 hours, survival at hospital discharge, and at 1 year.
研究概览
简要总结
The goal of this observational study is to learn about the factors affecting the outcome (survival) of cardiopulmonary resuscitation in older persons in a hospital. The main questions it aims to answer are:
- Whether age would affect outcome
- Whether Charlson Comorbidity Index would affect outcome
- Whether the conditions (e.g. heart rhythm) immediately before resuscitation would affect survival.
Researchers would compare the patients who deceased with the patients who survived.
详细描述
The goal of this review was to investigate the impact of age, existing medical conditions. and other factors before cardiac arrest in predicting outcome of in-hospital cardiopulmonary resuscitation (CPR) of older persons.
It was conducted on all patients aged ≥ 65, who underwent CPR in acute medical and geriatric wards (excluding Intensive Care Unit) in United Christian Hospital from January 2017 to December 2018.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 65 Years 至 101 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All adults aged 65 or above with in-hospital cardiac arrest and undergoing CPR in wards of Department of Medicine and Geriatrics (excluding Intensive Care Unit (ICU)) in United Christian Hospital (total bed 1,174 with 16 ICU beds) in Hong Kong from 1 January 2017 to 31 December 2018
- •In patients with multiple resuscitation events, only the first in-hospital CPR was included.
排除标准
- •Patients with existing Do-Not-Attempt-Cardiopulmonary-Resuscitation (DNACPR) order
- •Patients younger than 65 years old
- •Out-of-hospital CPR in the index admission
- •CPR occurred in ICU / Emergency Department / Operating Theatre / wards other than medical wards
结局指标
主要结局
sustained return of spontaneous circulation (ROSC), survival at 24 hours, survival at hospital discharge, and at 1 year.
时间窗: 2017 - 2018
Sustained ROSC is defined as documented return of adequate circulation in the absence of ongoing chest compressions, and the duration should be of 20 minutes or above
次要结局
未报告次要终点
研究者
Jane Yidan Zhu
Dr Jane Yidan Zhu, Associate Consultant
Haven of Hope Hospital