ファイル:CPR-groups.png
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概要
解説CPR-groups.png |
English: Survival from CPR among various groups |
日付 | |
原典 | 投稿者自身による著作物 |
作者 | Numbersinstitute |
Data and sources are below:
- Overall survival in hospitals[1]:e381, e390
- Overall survival outside hospitals.[2]
- A study of CPR in a sample of US hospitals from 2001 to 2010,[3]
- Another study, of advanced cancer patients.[4]
- An earlier study of Medicare patients in hospitals 1992-2005.[5]
- A study of King County WA patients who had CPR outside hospitals in 1999-2003.[6]
Nursing home residents' survival has been studied by several authors,[3] [5] [7] [8] [9] [10] [11] and is measured annually by the Cardiac Arrest Registry to Enhance Survival (CARES). CARES reports CPR results from a catchment area of 115 million people, including 23 state-wide registries, and individual communities in 18 other states as of 2019.[12] CARES data show that in health care facilities and nursing homes where AEDs are available and used, survival rates are double the average survival found in nursing homes overall.[2]
Survival Rate of Group at Left | Average Survival in Study | Group Rate as Fraction of Average | Subgroup Sample Size | Patients | |
---|---|---|---|---|---|
Current Total, Adults Outside Hospitals | 10% | 10% | 1.0 | 79,356 | 2018[2] |
AED used by Bystander on Adult Outside Hospitals, not in health facility or nursing home | 35% | 10% | 3.3 | 1,349 | 2018 |
Adults Outside Hospitals, Witnessed, with or without AED | 16% | 10% | 1.6 | 39,976 | 2018 |
Adults Outside Hospitals, Unwitnessed | 4% | 10% | 0.4 | 39,378 | 2018 |
OUTSIDE HOSPITALS, MULTIPLE CONDITIONS, King County WA | |||||
4-8 Major health conditions | 18% | 34% | 0.5 | 98 | 1999-2003[6] |
3 Major health conditions | 24% | 34% | 0.7 | 125 | 1999-2003 |
2 Major health conditions | 33% | 34% | 1.0 | 211 | 1999-2003 |
1 Major health condition | 35% | 34% | 1.0 | 323 | 1999-2003 |
0 Major health conditions | 43% | 34% | 1.3 | 286 | 1999-2003 |
OUTSIDE HOSPITALS, NURSING HOMES | |||||
Nursing homes | 4.3% | 10.4% | 0.4 | 9,105 | 2018[2] |
Nursing homes | 4.1% | 10.4% | 0.4 | 8,655 | 2017[2] |
Nursing homes | 4.4% | 10.8% | 0.4 | 6,477 | 2016[2] |
Nursing homes | 4.4% | 10.6% | 0.4 | 5,695 | 2015[2] |
Nursing homes | 4.5% | 10.8% | 0.4 | 4,786 | 2014[2] |
Nursing homes | 5.0% | 10.8% | 0.5 | 3,713 | 2013[2] |
AED used by staff or bystander in nursing home or health facility | 9.5% | 10.4% | 0.9 | 3,809 | 2018[2] |
AED used by staff or bystander in nursing home or health facility | 10.1% | 10.4% | 1.0 | 3,329 | 2017[2] |
AED used by staff or bystander in nursing home or health facility | 12.2% | 10.8% | 1.1 | 2,229 | 2016[2] |
AED used by staff or bystander in nursing home or health facility | 10.0% | 10.6% | 0.9 | 1,887 | 2015[2] |
AED used by staff or bystander in nursing home or health facility | 11.4% | 10.8% | 1.1 | 1,422 | 2014[2] |
Nursing homes, group homes, assisted living, King Co. WA | 4% | na | na | 218 | 99-00[11] |
Nursing homes, Denmark, best case, 30 days (witnessed, bystander CPR, AED before hospital) | 8% | 23% | 0.3 | 135 | 2001-14[9] |
Nursing homes in Denmark, live 30 days | 2% | 5% | 0.4 | 2,516 | 2001-14 |
Nursing homes, Copenhagen | 9% | 17% | 0.6 | 245 | 2007-11[7] |
Nursing homes, Denmark, ROSC | 12% | 13% | 0.9 | 2,516 | 2001-14[9] |
Nursing homes, Rochester, ROSC | 19% | 20% | 1.0 | 42 | 98-01[10] |
. | |||||
Current Total, Inside Hospitals | 26% | 26% | 1.0 | 26,178 | 2017[1] |
IN HOSPITALS, NURSING HOME RESIDENTS | |||||
Nursing home residents, mental CPC=3, dependent | 9% | 16% | 0.5 | 1,299 | 2000-08[8] |
Skilled nursing facility before hospital | 12% | 18% | 0.6 | 10,924 | 92-2005[5] |
Nursing home residents | 11% | 16% | 0.7 | 2,845 | 2000-08[8] |
Nursing home or other not home | 17% | 19% | 0.9 | 34,342 | 2001-10[3] |
IN HOSPITALS, BURDEN OF CHRONIC ILLNESS, Deyo-Charlson score | |||||
3-33 highest burden | 16% | 18% | 0.9 | 94,608 | 92-2005[5] |
2 some burden | 19% | 18% | 1.0 | 116,401 | 92-2005 |
1 low burden | 19% | 18% | 1.0 | 145,627 | 92-2005 |
0 lowest burden | 19% | 18% | 1.0 | 77,349 | 92-2005 |
IN HOSPITALS, INDIVIDUAL CONDITIONS | |||||
Liver insufficiency/failure | 10% | 19% | 0.5 | 10,154 | 2001-10[3] |
Advanced Cancer | 10% | 18% | 0.5 | 6,585 | 2006-10[4] |
Cancer or blood disease | 10% | 19% | 0.5 | 16,640 | 2001-10[3] |
Septicemia | 11% | 19% | 0.5 | 21,057 | 2001-10 |
Mental problems (CPC=3), dependent | 10% | 16% | 0.6 | 4,251 | 2000-08[8] |
Dialysis | 12% | 19% | 0.6 | 5,135 | 2001-10[3] |
Pneumonia | 14% | 19% | 0.7 | 18,277 | 2001-10 |
Respiratory insufficiency | 16% | 19% | 0.8 | 57,054 | 2001-10 |
Congestive heart failure | 19% | 19% | 1.0 | 40,362 | 2001-10 |
Diabetes | 20% | 19% | 1.0 | 41,154 | 2001-10 |
Pacemaker/ICD (implanted cardioverter defibrillator) | 20% | 19% | 1.1 | 10,386 | 2001-10 |
IN HOSPITALS, LOCATION OF CARE | |||||
Unmonitored | 15% | 19% | 0.8 | 22,899 | 2001-10[3] |
Intensive care unit | 18% | 19% | 0.9 | 81,176 | 2001-10 |
Monitored, other than ICU | 25% | 19% | 1.3 | 30,100 | 2001-10 |
IN HOSPITALS, PATIENT TRAITS | |||||
Patients' ages 90 or older | 12% | 18% | 0.7 | 34,069 | 92-2005[5] |
Patients' ages 85-89 | 15% | 18% | 0.8 | 62,530 | 92-2005 |
Patients' ages 80-84 | 17% | 18% | 0.9 | 91,471 | 92-2005 |
Patients' ages 75-79 | 19% | 18% | 1.0 | 98,263 | 92-2005 |
Patients' ages 70-74 | 21% | 18% | 1.1 | 84,353 | 92-2005 |
Patients' ages 65–69 | 22% | 18% | 1.2 | 63,299 | 92-2005 |
Black race | 15% | 19% | 0.8 | 27,246 | 2001-10[3] |
<$15,000 median income in patient's zip code | 13% | 18% | 0.7 | 10,626 | 92-2005[5] |
$15-$30,000 median income in patient's zip code | 18% | 18% | 1.0 | 87,164 | 92-2005 |
IN HOSPITALS, INITIAL HEART RHYTHM BEFORE CPR | |||||
Stopped (asystole) | 13% | 19% | 0.7 | 46,856 | 2001-10[3] |
Pulseless electrical activity | 14% | 19% | 0.7 | 53,965 | 2001-10 |
Other | 24% | 19% | 1.3 | 7,422 | 2001-10 |
Ventricular fibrillation (quiver) / ventricular tachycardia (rapid beat) | 38% | 19% | 2.0 | 27,653 | 2001-10 |
Cancer was also studied by Champigneulle et al.in Paris. In 2015 they reported survival after patients entered ICUs, not overall. Cancer ICU patients had the same ICU mortality and 6-month mortality as matched non-cancer ICU patients.[13] |
References
- ↑ a b Benjamin Emelia J. (2019-03-05). "Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association". Circulation 139 (10): e56–e528. DOI:10.1161/CIR.0000000000000659.
- ↑ a b c d e f g h i j k l m n National Reports by Year « MyCares. mycares.net. Retrieved on 2018-12-12.
- ↑ a b c d e f g h i (January 2014). "Hospital variation in survival after in-hospital cardiac arrest". Journal of the American Heart Association 3 (1): e000400. DOI:10.1161/jaha.113.000400. PMID 24487717. PMC: 3959682.
- ↑ a b (October 2017). "Patterns of Resuscitation Care and Survival After In-Hospital Cardiac Arrest in Patients With Advanced Cancer". Journal of Oncology Practice 13 (10): e821-e830. DOI:10.1200/JOP.2016.020404. PMID 28763260. PMC: 5640412.
- ↑ a b c d e f (July 2009). "Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly". The New England Journal of Medicine 361 (1): 22–31. DOI:10.1056/NEJMoa0810245. PMID 19571280. PMC: 2917337.
- ↑ a b (June 2007). "Chronic health conditions and survival after out-of-hospital ventricular fibrillation cardiac arrest". Heart 93 (6): 728–31. DOI:10.1136/hrt.2006.103895. PMID 17309904. PMC: 1955210.
- ↑ a b Søholm, Helle, John Bro-Jeppesen, Freddy K. Lippert, Lars Køber, Michael Wanscher, Jesper Kjaergaard, Christian Hassager (March 2014). "Resuscitation". Resuscitation 85 (3): 369–375. DOI:10.1016/j.resuscitation.2013.10.033. PMID 24269866.
- ↑ a b c d (January 2013). "Cardiopulmonary resuscitation outcomes in hospitalized community-dwelling individuals and nursing home residents based on activities of daily living". Journal of the American Geriatrics Society 61 (1): 34–9. DOI:10.1111/jgs.12068. PMID 23311551.
- ↑ a b c Pape, Marianne (April 2018). "Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study". Resuscitation 125: 90–98. DOI:10.1016/j.resuscitation.2018.02.004. PMID 29425977. ISSN 1873-1570.
- ↑ a b Shah, Manish N. (March 2007). "Cardiac arrests in skilled nursing facilities: continuing room for improvement?". Journal of the American Medical Directors Association 8 (3 Suppl 2): e27–31. DOI:10.1016/j.jamda.2006.12.005. PMID 17352981. ISSN 1538-9375.
- ↑ a b Becker, Linda J. (July 2003). "Resuscitation of residents with do not resuscitate orders in long-term care facilities". Prehospital emergency care: official journal of the National Association of EMS Physicians and the National Association of State EMS Directors 7 (3): 303–306. PMID 12879377. ISSN 1090-3127.
- ↑ CARES Fact Sheet « MyCares. mycares.net. Retrieved on 2019-06-27.
- ↑ Champigneulle, B. (July 2015). "What is the outcome of cancer patients admitted to the ICU after cardiac arrest? Results from a multicenter study". Resuscitation 92: 38–44. DOI:10.1016/j.resuscitation.2015.04.011. PMID 25917260. ISSN 1873-1570.
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