Influencing Factors On The Quality Of The Bundle Therapy For The Patients Suffered With Post Cardiac Arrest Syndrome In Suzhou Area

Objective: To survey the implementation of bundle therapy for post cardiac arrestsyndrome (PCAS) patients in Suzhou area and analyze the relationship between humanresources, equipment dispose, cognition of doctors and the quality of bundle therapy，inorder to provide the basic data for standardized treatment in the patients with PCAS.Methods: It’s a retrospective cohort study. Datas were from patients of11intensivecare units admitted to hospital, suffered from cardiac arrest in and out of hospital, between2013January to October in Suzhou area. Clinical datas were collected with Utsteinmodel,and to evaluate the standard-reaching rate, including the Core temperature (T),Mean arterial blood pressure (MAP), Peripheral oxygen saturation (SPO2), Partial pressureof carbon dioxide (PaCO2), Peripheral blood glucose (Glu) and Central venous Pressure(CVP) during first72hours after cardiac arrest.In addition，the patients were divided into two groups according to the area,prefecture-level hospital group and county-level hospital group. To compare thedifferences of the standard-reaching rates as well as the implementation rates between thetwo groups and evaluate the personnel allocation, medical equipment configuration andcognition of doctors. Then put the significant variables into the Logistic analysis, in orderto clarify the impact on the quality of management with PCAS bundle therapy during thefirst6hours after CA.Results: A total of52patients with cardiac arrest were enrolled in the study,18patients were from the prefecture-level hospital group,34patients were from the other one.The standard-reaching rate of SPO2within the72hours after CA is the highest(93.8%); therates of MAP and Glu are lower, just67.6%and57.3%; the rates of PaCO2and TH are thelowest, only35.3%and19.2%.The comparison of the standard-reaching rates between twogroups shows that the rates of SPO2、Glu and TH in prefecture-level hospital group are higher than the other one, and the rate of MAP in country-level hospital group is higherthan the other one(P<0.05).The bed/nurse ratio and the record frequency of Core temperature are the influencingfactors for the standard-reaching rate of temperature within the first6hours after CA；Thebed/doctor ratio and the cognition of doctors are the influencing factors for thestandard-reaching rate of blood glucose within the first6hours after CA.The testingfrequency of blood gas analysis is the independent influencing factor for thestandard-reaching rate of PaCO2within the first6hours after CA；The recording frequencyof Core temperature is the independent influencing factor for the standard-reaching rate ofCore temperature within the first6hours after CA.Conclusion: The quailty of bundle therapy for Post cardiac arrest syndrome (PCAS)patients in Suzhou area should be improved, especially for the development of coretechnique, human resources and the cognition of doctors of county-level hospitals shouldbe further strengthened.