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Monitoring cardiopulmonary resuscitation quality in emergency departments: a national survey in China on current knowledge, attitudes, and practices

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单位: [1]Peking Univ, Dept Emergency Med, Hosp 3, Beijing 100191, Peoples R China [2]Sichuan Univ, Dept Emergency Med, West China Hosp, Chengdu 610041, Peoples R China [3]Fudan Univ, Dept Emergency Med, Zhongshan Hosp, Shanghai 200032, Peoples R China [4]China Med Univ, Dept Emergency Med, Hosp 1, Shenyang 110001, Peoples R China [5]Cent South Univ, Dept Emergency Med, Xiangya Hosp 2, Changsha 410011, Peoples R China [6]Peking Univ, Dept Emergency Med, Shenzhen Hosp, Shenzhen 518036, Peoples R China [7]Peking Univ, Dept Emergency Med, Hosp 1, Beijing 100034, Peoples R China [8]Innor Mongolia Med Univ, Dept Emergency Med, Affiliated Hosp, Hohhot 010050, Innor Mongolia, Peoples R China [9]China Japan Friendship Hosp, Dept Emergency Med, Beijing 100029, Peoples R China
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关键词: Cardiac arrest Cardiopulmonary resuscitation High-quality cardiopulmonary resuscitation Cardiopulmonary resuscitation quality control

摘要:
Background To investigate current knowledge, attitudes, and practices for CPR quality control among emergency physicians in Chinese tertiary hospitals. Methods Anonymous questionnaires were distributed to physicians in 75 tertiary hospitals in China between January and July 2018. Results A total of 1405 respondents answered the survey without obvious logical errors. Only 54.4% respondents knew all criteria of high-quality CPR. A total of 91.0% of respondents considered CPR quality monitoring should be used, 72.4% knew the objective method for monitoring, and 63.2% always/often monitored CPR quality during actual resuscitation. The main problems during CPR were related to chest compression: low quality due to fatigue (67.3%), inappropriate depth (57.3%) and rate (54.1%). The use of recommended monitoring methods was reported as follows, ETCO2 was 42.7%, audio-visual feedback devices was 10.1%, coronary perfusion pressure was 17.9%, and invasive arterial pressure was 31.1%. A total of 96.3% of respondents considered it necessary to participate in regular CPR retraining, but 21.4% did not receive any retraining. The ideal retraining interval was considered to be 3 to 6 months, but the actual interval was 6 to 12 months. Only 49.7% of respondents reported that feedback devices were always/often used in CPR training. Conclusion Chinese emergency physicians were very concerned about CPR quality, but they did not fully understand the high-quality criteria and their impact on prognosis. CPR quality monitoring was not a routine procedure during actual resuscitation. The methods recommended in guidelines were rarely used in practice. Many physicians had not received retraining or received retraining at long intervals. Feedback devices were not commonly used in CPR training.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 急救医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 急救医学
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出版当年[2020]版:
Q3 EMERGENCY MEDICINE
最新[2023]版:
Q1 EMERGENCY MEDICINE

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2020版] 出版当年五年平均[2016-2020] 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Peking Univ, Dept Emergency Med, Hosp 3, Beijing 100191, Peoples R China
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