ISSN 2096-7446 CN 10-1655/R
主管:中国科协技术协会
主办:中华护理学会

中华急危重症护理杂志 ›› 2020, Vol. 1 ›› Issue (3): 197-202.

• 论著 • 上一篇    下一篇

院外心搏骤停数据库的构建

李爽 郭子剑 王胥人 陈楚琳 桂莉   

  • 收稿日期:2019-12-24 出版日期:2020-05-10 发布日期:2020-12-11

The construction of out-of-hospital cardiac arrest database

LI Shuang, GUO Zijjan, WANG Xuren, CHEN Chulin, GUI Li   

  • Received:2019-12-24 Online:2020-05-10 Published:2020-12-11

摘要:

目的:构建基于乌因斯坦(Utstein)模式的院外心搏骤停数据库,以便于统一规范收集数据和评价心肺复苏效果,从而有效提高心肺复苏质量和院外心搏骤停患者的存活率。方法参考美国心脏协会指南 、欧洲复苏协会指南以及国内外院外心搏骤停数据库,收集20121-20177月上海市浦东新区院外心搏骤停院前急救病例信息,使用MySQL数据库软件,以实体-关系模型和第三范式为设计指导,采用专家小组会议确定数据表结构,构建基于Utstein模式的院外心搏骤停数据库。结果构建了基于Utstein模式的院外心搏骤停数据库,共包含五大数据表模块,分别为基本资料表、心搏骤停资料表、复苏资料表、结局资料表以及重要时间资料表。数据库具备录入、查询、导出及管理功能,收入病例16122,规范了院外心搏骤停数据内容的录入标准和表达方式,其结构清晰、内容详实、操作便捷,可为未来院前急救中心常规院外心搏骤停患者的信息登记提供模板。结论基于Utstein模式构建的院外心搏骤停数据库,其资料收集标准符合我国国情,并提供了院外心搏骤停信息的精准管理平台,可为未来院外心搏骤停精准研究奠定基础,并为院外心搏骤停救治相关政策的制定提供科学依据。


关键词: 院外心搏骤停, 心肺复苏, 数据库

Abstract: Objective To construet the out-of hospital cardiac arrest (OHCA) database based on Utstein style for standardizing the ollection of data and evaluation of the efct of cardiopulmonary resuscitation,so as to ffctively improve the quality of cardiopulmonary resuscitation and the survival rate of OHCA patients. Methods Based on, AHA guidelines , European Resuscitation Council guidelines and OHCA databases , we collected OHCA emergency medical records from January 2012 to July 2017 in Pudong New Area and the OHCA database based on Utstein style was constructed with the use of MySQL software and under the guidance of E-R model as well as the third paradigm. The database table structure was determined by expert group meetings. Results The OHCA database was constructed based on Utstein style , which consisted of five modules , namely basic data table , cardiac arrest data table , resuscitation table , outcome table and important time table. The database had the functions of input , export , inquiry and management and included 16 122 medical records. It standardized the input and expression of OHCA data. It has clear structure detailed content and convenient operation , which can provide a template for the routine OHCA registration in Pre-hospital Emergency Center. Conclusion The OHCA database based on Utstein style establishes the OHCA data collection standard in line with the characteristics of our country and provides an accurate management platform of OHCA information. It is not only laying the foundation for the future accurate research of OHCA,but also provides a scientific basis for the formulation of policies related to OHCA treatment.

Key words:

Out-of-hospital Cardiac Arrest, Cardiopulmonary Resuscitation, Database