急诊心搏骤停患者的临床特征及自主循环恢复的影响因素研究

doi:10.3761/j.issn.2096-7446.2026.02.002

Abstract

Abstract:

Objective To investigate the clinical characteristics of patients with cardiac arrest（CA） in the emergency department and the factors influencing the return of spontaneous circulation（ROSC）. Methods A retrospective analysis was conducted on the 325 emergency CA cases who underwent cardiopulmonary resuscitation（CPR） at a tertiary hospital in Zhejiang Province from January 2021 to December 2023. The factors influencing ROSC were examined using univariate and multivariate logistic regression analyses. Results Among them，the rate of ROSC was 30.14% in patients with out-of-hospital cardiac arrest（OHCA） and 55.17% in those with in-hospital cardiac arrest（IHCA）. Furthermore，regression analysis demonstrated that，compared with patients whose in-hospital resuscitation time was less than 15 minutes，those with longer resuscitation time had a markedly lower probability of ROSC，and the difference was statistically significant（P<0.001）. Initiating ECMO（β=4.709，P<0.001，OR=110.994，95%CI：23.763-518.452） and metabolic disease（β=1.594，P=0.004，OR=4.924，95%CI：1.685-14.387） were protective factors influencing ROSC in all CA patients. Conclusion Initiation of ECMO and the presence of metabolic disorders were identified as independent protective factors for ROSC in patients with cardiac arrest，highlighting the need for reinforced blood glucose monitoring in individuals with metabolic disorders during resuscitation.

Key words: Cardiac Arrest, Return of Spontaneous Circulation, Cardiopulmonary Resuscitation, Influencing Factors, Metabolic Diseases

LIU Yajie, WANG Yuwei, WANG Sa, WANG Meiling, YAN Danping, XU Shurong, WU Qingfeng. A study on the clinical characteristics of emergency cardiac arrest patients and the factors affecting the restoration of normal circulation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 141-147.

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References 29

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A study on the clinical characteristics of emergency cardiac arrest patients and the factors affecting the restoration of normal circulation

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