eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 2: 141 - 147

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.02.002

Research Paper

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

  • LIU Yajie ,
  • WANG Yuwei ,
  • WANG Sa ,
  • WANG Meiling ,
  • YAN Danping ,
  • XU Shurong ,
  • WU Qingfeng
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  • 1. Nursing Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China
    2. Department of Emergency Medicine， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China

Received date: 2025-03-28

  Online published: 2026-02-02

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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

Cite this article

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 . DOI: 10.3761/j.issn.2096-7446.2026.02.002

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