Journal of Emergency Practice and Trauma

Outcomes of cardiopulmonary resuscitation in the emergency department

Document Type : Original Article

Authors

Seyed Hossein Ojaghi Haghighi 1
Samad Shams Vahdati 2
Tarannom Mahmoudie 1
Pegah Sepehri Majd 1
Mohammad Mirza-Aghazadeh-Attari 3

1 Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran

2 Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

3 Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

https://doi.org/10.15171/jept.2017.14
Abstract
Objective: Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in the prevention of death or delaying it in a person with cardiac arrest. In this regard, demographic information about patients who need CPR is vital.
Methods: In this cross-sectional study patients with cardiopulmonary arrest or arrhythmias admitted to Imam Reza and Sina educational hospitals of Tabriz University of Medical Sciences from 22 December 2013 to 21 December 2014 entered the study. Demographic information such as age, sex, cardiopulmonary resuscitation time, the place of cardiopulmonary arrest (outside or inside the hospital), the duration of resuscitation process, success or failure of the resuscitation process and the mechanism of cardiopulmonary arrest were obtained.
Results: From a total of 354 cases of cardiopulmonary resuscitation, 281 cases (79%) were unsuccessful and 73 cases (21%) were successful. The average age of patients was 59 ± 22 years. The average time of the resuscitation process was 31 ± 12 minutes. There was a significant difference between the mean of age and resuscitation time in patients who had experienced successful or unsuccessful resuscitation (P = 0.0001). There was a significant relationship between sex and the success rate of resuscitation (P = 0.0001). In addition, a significant relationship between the success of the resuscitation operation and the ward of resuscitation was observed (P = 0.0001).
Conclusion: The most common mechanism leading to cardiopulmonary arrest among patients was asystole. In this regard, no significant difference was observed between successful and unsuccessful resuscitation processes. It was also observed that the success of resuscitation from 8 am to 4 pm was more than any other time period.

Keywords

Cardiopulmonary resuscitation (CPR)
Cardiac arrest
Emergency Department
Subjects
  1. Shiri H, Golshani Golbaghi G, Nikravan Mofrad M. Comprehensive CPR in Adult. Tehran: Noore-Danesh Publication; 2001. p. 1-5. [In Persian].
  2. Olotu A, Ndiritu M, Ismael M, Mohammed S, Mithwani S, Maitland K, et al. Characteristics and outcome of cardiopulmonary resuscitation in hospitalised African children. Resuscitation 2009; 80(1): 69-72. doi: 10.1016/j. resuscitation.2008.09.019.
  3. Lee K. Cardiopulmonary resuscitation: new concept. Tuberc Respir Dis (Seoul) 2012; 72(5): 401-8. doi: 10.4046/ trd.2012.72.5.401.
  4. Rakić D, Rumboldt Z, Carević V, Bagatin J, Polić S, Pivac N, et al. In-hospital cardiac arrest and resuscitation outcomes: rationale for sudden cardiac death approach. Croat Med J 2005; 46(6): 907-12. doi: 10.1161/hc4701.099784.
  5. Kim C, Fahrenbruch CE, Cobb LA, Eisenberg MS. Out-of-hospital cardiac arrest in men and women. Circulation 2001; 104(22): 2699-703.
  6. Bellomo R, Goldsmith D, Uchino S, Buckmaster J, Hart GK, Opdam H, et al. A prospective before-and-after trial of a medical emergency team. Med J Aust 2003; 179(6): 283-8.
  7. Shams Vahdati S, Ojaghi Haghighi S, Paknejad P, Fahimi R, Tajoddini S. One year evaluation of trauma patients’ death. Journal of Emergency Practice and Trauma 2016; 2(2): 31- 2. doi: 10.15171/jept.2016.07.
  8. Tyrer F, Williams M, Feathers L, Faull C, Baker I. Factors that influence decisions about cardiopulmonary resuscitation: the views of doctors and medical students. Postgrad Med J 2009; 85(1009): 564-8. doi: 10.1136/pgmj.2009.079491.
  9. Salari A, Mohammad Nejad E, Vanaki Z, Ahmadi F. Effect of in-hospital cardiopulmonary cerebral resuscitation management on resuscitation outcomes. J Crit Care Nurs 2011; 4(1): 13-22.
  10. Christenson J, Nafziger S, Compton S, Vijayaraghavan K, Slater B, Ledingham R, et al. The effect of time on CPR and automated external defibrillator skills in the Public Access Defibrillation Trial. Resuscitation 2007; 74(1): 52-62. doi: 10.1016/j.resuscitation.2006.11.005.
  11.  Ghaffarzadeh A, Shams Vahdati S, Salmasi S. Assessment of emergency medicine residents’ cardiopulmonary resuscitation  team in imam reza hospital. J Cardiovasc Thorac Res 2012; 4(3): 85-6. doi: 10.5681/jcvtr.2012.021.
  12.  Benin AL, Borgstrom CP, Jenq GY, Roumanis SA, Horwitz LI. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. BMJ Qual Saf 2012; 21(5): 391-8. doi: 10.1136/ bmjqs-2011-000390.
  13. Kazaure HS, Roman SA, Sosa JA. Epidemiology and outcomes of in-hospital cardiopulmonary resuscitation in the United States, 2000–2009. Resuscitation 2013; 84(9): 1255-60. doi: 10.1016/j.resuscitation.2013.02.021.
  14. Stapleton RD, Ehlenbach WJ, Deyo RA, Curtis JR. Long-term outcomes after in-hospital CPR in older adults with chronic illness. Chest 2014; 146(5): 1214-25. doi: 10.1378/ chest.13-2110.
  15. Youness H, Al Halabi T, Hussein H, Awab A, Jones K, Keddissi J. Review and outcome of prolonged cardiopulmonary resuscitation. Crit Care Res Pract 2016; 2016: 7384649. doi: 10.1155/2016/7384649.
  16.  Pearson DA, Nelson RD, Monk L, Tyson C, Jollis JG, Granger CB, et al. Comparison of team-focused CPR vs standard CPR in resuscitation from out-of-hospital cardiac arrest: results from a statewide quality improvement initiative. Resuscitation 2016; 105: 165-72. doi: 10.1016/j. resuscitation.2016.04.008.
  17.  Miranzadeh S, Adib-Hajbaghery M, Hosseinpour N. A prospective study of survival after in-hospital cardiopulmonary resuscitation and its related factors. Trauma Mon 2016; 21(1): e31796. doi: 10.5812/ traumamon.31796.
  18.  Tavakoli N, Bidari A, Shams Vahdati S. Serum cortisol levels as a predictor of neurologic survival in successfully resuscitated victims of cardiopulmonary arrest. J Cardiovasc Thorac Res 2012; 4(4): 107-11. doi: 10.5681/jcvtr.2012.026.
  19.  Goodarzi A, Jalali A, Almasi A, Naderipour A, Kalhori RP, Khodadadi A. Study of survival rate after cardiopulmonary resuscitation (CPR) in hospitals of Kermanshah in 2013. Glob J Health Sci 2014; 7(1): 52-8. doi: 10.5539/gjhs. v7n1p52

 

Journal of Emergency Practice and Trauma
Volume 3, Issue 2
July 2017
Pages 49-52

  • Receive Date 02 May 2017

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