Assessment of In-Hospital Cardiopulmonary Resuscitation Using Utstein Template in a University Hospital
DEMET TOK, GÖNÜL TEZCAN KELES, VERDA TOPRAK and ISMET TOPCU
Celal Bayar University, School of Medicine Department of Anesthesiology and Reanimation, Manisa, Turkey
The aim of this study was to evaluate the effectiveness of in-hospital cardiopulmonary resuscitation (CPR) strategies and identify key predictors of post-CPR survival in a university hospital setting. Using a form recommended by the European Resuscitation Council, data regarding in-hospital CPR attempts from January 2001 to December 2002 were recorded and analyzed. The main outcomes of interest were immediate survival after CPR and survival to hospital discharge. Of 307 patients who suffered cardiac arrest in the study period, 103 (33.5%) were resuscitated. Of these 103 patients, 28 (27.2%) survived immediately and 12 (11.7%) survived to hospital discharge. The key predictors of immediate survival were CPR duration and initial cardiac rhythm as monitored by ventricular fibrillation/pulseless ventricular tachycardia (VF/VT). The key predictors of survival to hospital discharge were CPR duration, immediate defibrillation, Glasgow Coma Scale score, and Early Prediction Score. Together, our results suggest that in-hospital CPR strategies require improvement. They also underscore the importance of data collection and analysis in evaluating the effectiveness of in-hospital CPR strategies.
keywords —— cardiac arrest; resuscitation; survival.
© 2004 Tohoku University Medical Press
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Tohoku J. Exp. Med., 2004, 202, 265-273
Address for reprints: Dr. Demet Tok, Erzene Mahallesi, 119 Sok. Ataberk 1 Apt., No: 1/5 - D: 7, Bornova, Izmir, Turkey.
e-mail: demet.tok@bayar.edu.tr