Background:It is proposed that patients in single-occupancy patient rooms (SPRs) carry a risk of less surveillance by nursing and medical staff and that resuscitation teams need longer to arrive in case of in-hospital cardiac arrest (IHCA). Higher incidences of IHCA and worse outcomes after cardiopulmonary resuscitation (CPR) may be the result.Objectives:Our study examines whether there is a difference in incidence and outcomes of IHCA before and after the transition from a hospital with multibedded rooms to solely SPRs.Methods:In this prospective observational study in a Dutch university hospital, as a part of the Resuscitation Outcomes in the Netherlands study, we reviewed all cases of IHCA on general adult wards in a period of 16.5 months before to 16.5 months after the transition to SPRs.Results:During the study period, 102 CPR attempts were performed: 51 in the former hospital and 51 in the new hospital. Median time between last-seen-well and start basic life support did not differ significantly, nor did median time to arrival of the CPR team. Survival rates to hospital discharge were 30.0% versus 29.4% of resuscitated patients ( p = 1.00), with comparable neurological outcomes: 86.7% of discharged patients in the new hospital had Cerebral Performance Category 1 (good cerebral performance) versus 46.7% in the former hospital ( p = .067). When corrected for telemetry monitoring, these differences were still nonsignificant.Conclusions:The transition to a 100% SPR hospital had no negative impact on incidence, survival rates, and neurological outcomes of IHCAs on general adult wards.

中文翻译：

---

过渡到单人病房是否会影响院内心脏骤停的发生率和结果？


背景：有人提出，单人病房（SPR）中的患者面临护理和医务人员监视较少的风险，并且在发生院内心脏骤停（IHCA）的情况下，复苏团队需要更长的时间才能到达。其结果可能是心肺复苏 (CPR) 后 IHCA 的发生率更高，结果更差。 目的：我们的研究探讨从拥有多床房间的医院过渡到单独 SPR 之前和之后 IHCA 的发生率和结果是否存在差异。 ：在荷兰大学医院的这项前瞻性观察研究中，作为荷兰复苏结果研究的一部分，我们回顾了过渡到 SPR 之前 16.5 个月至之后 16.5 个月期间普通成人病房的所有 IHCA 病例。结果：研究期间，进行了 102 次心肺复苏尝试：原医院 51 次，新医院 51 次。最后一次就诊与开始基本生命支持之间的中位时间没有显着差异，心肺复苏团队到达的中位时间也没有显着差异。出院存活率分别为 30.0% 和复苏患者的 29.4% (p = 1.00)，神经学结果相当：新医院出院患者中 86.7% 的脑功能类别为 1（良好的脑功能），而前者为 46.7%医院 (p = .067)。当对遥测监测进行校正时，这些差异仍然不显着。结论：向 100% SPR 医院的转变对普通成人病房 IHCA 的发生率、生存率和神经系统结果没有负面影响。