Korean Circ J.  2017 Jul;47(4):455-461. 10.4070/kcj.2016.0437.

Factors Influencing the Quality of Standardized Treatment for Patients with Post-Cardiac Arrest Syndrome

• Lu J
• Liu L
• Zhu J
• Guo X

• KMID: 2392882
• DOI: http://doi.org/10.4070/kcj.2016.0437

Abstract

BACKGROUND AND OBJECTIVES
For the present study, we investigated the factors that influence the quality of standardized treatment for patients with post-cardiac arrest syndrome (PCAS) to improve the quality of PCAS treatment.
SUBJECTS AND METHODS
We collected data on patients with cardiac arrest (CA) who were admitted to the intensive care units (ICUs) of 11 hospitals-Class II Grade A or above-in Suzhou from January to October 2013. Indexes of standardized treatment were observed within 72 hrs of CA. We analyzed monitoring techniques, monitoring frequency, ICU human and material resources, and intensivists' knowledge of PCAS treatment to explore how those factors affected the management of patients with PCAS.
RESULTS
The bed/nurse ratio and the frequency with which core temperature was recorded correlated closely with the implementation of therapeutic hypothermia (TH) within 6 hrs of CA. The bed/doctor ratio and intensivists' knowledge about PCAS correlated closely with high-quality blood glucose control within 6 hrs of CA. Furthermore, the frequency with which core temperature was recorded was an independent factor influencing the quality of TH implementation, and the number times blood gas was analyzed was an independent factor influencing how well partial pressure of carbon dioxide was kept within the normal range in the 6 hrs after CA.
CONCLUSION
The frequency of core temperature measurements and the number of times blood gas is analyzed are the most important factors influencing the quality of standardized treatment for patients with PCAS.

Keyword

Heart arrest; Therapeutics, treatment outcome; Prognosis, quality of health care

MeSH Terms

Blood Glucose
Carbon Dioxide
Heart Arrest
Humans
Hypothermia, Induced
Intensive Care Units
Partial Pressure
Passive Cutaneous Anaphylaxis
Reference Values
Blood Glucose
Carbon Dioxide

Figure

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  Fig. 1 Flow chart of patient inclusion and outcomes. CA: cardiac arrest, ICU: intensive care unit, ROSC: restoration of spontaneous circulation, GCS: glasgow coma scale.

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