鎮痛と蘇生 : 現在の研究

The Impact of Continuous Patient Monitoring at Various Times of Day on In-hospital Cardiac Arrest Mortality

Michael Mayette and Geoffrey K. Lighthall

The Impact of Continuous Patient Monitoring at Various Times of Day on In-hospital Cardiac Arrest Mortality

It is estimated that around 200000 treated in-hospital cardiac arrests occur annually in the United States, and this incidence may be increasing. Despite advances in management, unfavorable neurological outcomes and mortality remain high. Overall survival to hospital discharge is highly variable between studies, ranging from 0% to 42% with an estimated average in larger studies around 20% . Prior studies have demonstrated the association between criteria-defined abnormal vital signs on continuous monitoring and the incidence of cardiac arrest. The clinical benefit of monitoring on arrest outcomes was studied in a single-center study, with rates of survival to discharge in monitored wards arrests of 43.2% vs. 31.1% for non-monitored wards (p = 0.004).