L’infermiere in terapia intensiva e la gestione degli arresti cardiocircolatori nelle emergenze-urgenze intraospedaliere: uno studio retrospettivo monocentrico

Stefania Marino; Marco Campagna; Antonietta Catalanotto; Fabio Radici; Annalisa Alberti; Marco Bosio; Antonia Demarchi; Stefano Greco; Giorgia Saporetti; Stefania Tinti

doi:10.54103/dn/28175

Authors

Stefania Marino ASST Rhodense, Garbagnate Milanese, Italy
Marco Campagna ASST Rhodense, Garbagnate Milanese, Italy https://orcid.org/0009-0001-2395-6027
Antonietta Catalanotto https://orcid.org/0009-0004-9602-6981
Fabio Radici ASST Rhodense, Garbagnate Milanese, Italy https://orcid.org/0009-0008-6676-2848
Annalisa Alberti ASST Rhodense, Garbagnate Milanese, Italy
Marco Bosio ASST Rhodense, Garbagnate Milanese, Italy
Antonia Demarchi ASST Rhodense, Garbagnate Milanese, Italy https://orcid.org/0009-0007-3340-2224
Stefano Greco ASST Rhodense, Garbagnate Milanese, Italy
Giorgia Saporetti ASST Rhodense, Garbagnate Milanese, Italy
Stefania Tinti ASST-Rhodense

DOI:

https://doi.org/10.54103/dn/28175

Keywords:

Hear Arrest, Heart failure, Medical Emergency Team, In-hospital cardiac arrest, Critical care nursing

Abstract

BACKGROUND: critical care nursing is characterised by complex interventions, the ability of taking quick decisions and the capability of establishing the priority in applying the clinical interventions, according to the instability of the patient and to the evolution of time-dependent pathology.

Heart Arrest (HA) represents the third cause of death in Europe. According to the ISTAT evaluation, in Italy 45.000 sudden deaths occur every year and the most common cause of HA is Ventricular Fibrillation. In-Hospital Cardiac Arrest (IHCA) has been considered having unfavourable prognosis so that cardiopulmonary resuscitation might be considered unworthy.

AIM: to analyse the activation the Intra-Hospital Emergency Team and to examine the IHCA incidence at a Lombardy Region Hospital

METHODS: an observational retroactive mono-centric study was conducted through the analysis of historic data related to hospitalised patients, the EUIO service was activated for.

RESULTS: From 1° May 2023 to 31 July 2024 the EUIO team was activated 220 time; 42 calls were for HA.

Cardiac rhythms at the moment of the EUIO team intervention were so represented: Asystole (64%), Pulseless Electrical Activity (24%), Ventricular Fibrillation/Tachycardia (12%). The final outcome has shown a Return Of Spontaneous Circulation in 7% of the cases.

CONCLUSION: this study highlights the importance of the need of fast recognition of the critical conditions of patients. The results underline the value of a fast response system and the urgency of a prior evaluation in the at-risk patients from the EUIO team.