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- Title
La gestione dell'arresto cardiorespiratorio nei pazienti adulti degenti al di fuori dall'area critica: analisi dei sistemi di risposta rapida all'emergenza intraospedaliera, efficacia e attuabilità.
- Authors
CASUMARO, CLAUDIA; MONESI, ALESSANDRO
- Abstract
Introduction: The incidence of in-hospital cardiopulmonary arrest is in the range of 1-5 per 1000 admissions. Data from the American Heart Association's National Registry of CPR indicate that survival to hospital discharge after in-hospital cardiaopulmonary arrest is 17.6%. Before an in-hospital cardiopulmonary arrest, 60-70% of patients shows a change in vital signs. Purpose: To investigate Rapid Response Systems (RRSs) as a method to manage Cardiopulmonary Arrest in adult hospitalized patients outside the Intensive Care Unit (ICU). To assess the clinical effectiveness of RRSs on reducing hospital mortality, non-ICU cardiopulmonary arrests and unscheduled ICU admissions. To assess economic sustainability. Methods: Literature analysis, without time limits until June 2017, using Cochrane Library, PubMed, Cinahl, TRIP DataBase, Up To Date and the international guidelines of European Resuscitation Council (ERC) and American Heart Association (AHA). Results: 5 studies (3 systematic reviews with meta-analysis, 1 Cochrane review, 1 critical clinical review), guidelines of AHA (2010) and ERC (20102015). Discussion: RRSs are diffused with wide differences, particularly in regard to team structure, functions, activation criteria, management of primary responsibility; after all RRSs are clinical effective. Conclusion: Implemetation of RRSs reduce the rate of in-hospital cardiopulmonary arrest outside ICU and may reduce the rate of in-hospital mortality, however it is not possible to determinate RRS best organization for clinical efficacy and economic sustainability.
- Subjects
CARDIAC arrest; CINAHL database; HOSPITAL patients; INFORMATION storage &; retrieval systems; MEDICAL databases; MEDICAL protocols; MEDLINE; SYSTEMATIC reviews; TREATMENT effectiveness; DATA analysis software; DESCRIPTIVE statistics
- Publication
SCENARIO: Official Italian Journal of ANIARTI, 2018, Vol 35, Issue 2, p27
- ISSN
1592-5951
- Publication type
Article
- DOI
10.4081/scenario.2018.247