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Journals / Journal of Experimental and Clinical Medicine / 2024 / Volume: 41 Issue: 4

Retrospective evaluation of cases with cardiopulmonary resuscitation in the emergency department

Berkan Demirci(AMASYA SABUNCUOĞLU ŞEREFEDDİN EĞİTİM VE ARAŞTIRMA HASTANESİ)0000-0001-5263-6690
Latif Duran(ONDOKUZ MAYIS UNIVERSITY)0000-0002-5632-2469
Pages
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Publication Date
2024-12-31
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Survival rate and neurological recovery are better in patients with cardiac-induced CPA.

📌 3 Key Takeaways

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Objective & Hypothesis:In this study, the cases which underwent cardiopulmonary resuscitation (CPR) in the emergency department of our hospital were examined.
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Key Findings & Data:A total of 371 patients were included in this study (between 01.01.2017 and 31.12.2018).
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Conclusion & Impact:Survival rate and neurological recovery are better in patients with cardiac-induced CPA.
🔬Design:Research Article
📍Scope:2017 Verileri
⚙️Variables:Cardiac arrest · cardiopulmonary resuscitation · emergency department

Abstract

In this study, the cases which underwent cardiopulmonary resuscitation (CPR) in the emergency department of our hospital were examined. We aimed to obtain the initial data on this subject and contribute to the literature by determining the demographic and clinical characteristics, neurological recovery, factors affecting prognosis and survival of the cases that underwent CPR. A total of 371 patients were included in this study (between 01.01.2017 and 31.12.2018). Patient data were obtained retrospectively from patient files in the hospital archives and through the hospital automation system. Patients that underwent CPR were grouped according to age, gender, location of arrest, arrest rhythm, duration and result of CPR. In our study, return of spontaneous circulation (ROSC) rate after CPR was 36.9% in hospital cardiac arrest (IHCA) cases and was 33.7% in out of-hospital cardiac arrest (OHCA) cases. In cases with ROSC, 0-24 hour survival rate was 59.7%, 1-30 day survival rate was 32.1%, 1-12 month survival rate was 8.2%. It was determined that 6 (5.7%) of the cases with ROSC in IHCAs and 4 (13.8%) of cases with ROSC in OHCAs were discharged. Neurological recovery according to cerebral performance category (CPC) scale in 10 patients discharged from the hospital was; CPC-1 in 7 patients, CPC-3 in 3 patients, while brain death (CPC-5) occurred in 6 patients with ROSC after CPR. The rate of ROSC after CPR is higher in IHCA cases. CPR is more successful in patients with coronary artery disease and hypertension as comorbid diseases, contrary to the lower success rate in patients with malignancy. Survival rate and neurological recovery are better in patients with cardiac-induced CPA.

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Cite This Article

Demirci, B., Duran, L. (2024). Retrospective evaluation of cases with cardiopulmonary resuscitation in the emergency department. Journal of Experimental and Clinical Medicine, Volume: 41 Issue: 4. https://ajindex.com/articles/1422629

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References (12)

  1. Lee SY, Song KJ, Do Shin S, Hong KJ. Epidemiology and outcome of emergency medical service witnessed out-of-hospital-cardiac arrest by prodromal symptom: Nationwide observational study. Resuscitation. 2020.
  2. Ozcan V, Demircan C, Engindeniz Z, Turanoglu G, Ozdemir F, Ocak O, et al. Analysis of the outcomes of cardiopulmonary resuscitation in an emergency department. Acta cardiologica. 2005;60(6):581-7.
  3. Hanif AA, Rachman IA, Yuwono HS. Factors influencing the success rate of cardiopulmonary resuscitation. Althea Medical Journal. 2015;2(4):615-9.
  4. Xue J-k, Leng Q-y, Gao Y-z, Chen S-q, Li Z-p, Li H-p, et al. Factors influencing outcomes after cardiopulmonary resuscitation in emergency department. World journal of emergency medicine. 2013;4(3):183.
  5. Pandian GR, Thampi SM, Chakraborty N, Kattula D, Kundavaram PPA. Profile and outcome of sudden cardiac arrests in the emergency department of a tertiary care hospital in South India. Journal of emergencies, trauma, and shock. 2016;9(4):139.
  6. Ong MEH, Tiah L, Leong BS-H, Tan ECC, Ong VYK, Tan EAT, et al. A randomised, double-blind, multi-centre trial comparing vasopressin and adrenaline in patients with cardiac arrest presenting to or in the Emergency Department. Resuscitation. 2012;83(8):953-60.
  7. Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-Hospital Cardiac Arrest: A Review. Jama. 2019;321(12):1200-10.
  8. Liu N, Ong MEH, Ho AFW, Pek PP, Lu T-C, Khruekarnchana P, et al. Validation of the ROSC after cardiac arrest (RACA) score in Pan-Asian out-of-hospital cardiac arrest patients. Resuscitation. 2020;149:53-9.
  9. Zive D, Schmicker R, Daya M, Kudenchuk P, Nichol G, Rittenberger J, et al. Survival andvariability over time from out of hospital cardiac arrest across large geographically diverse communities participating in the Resuscitation Outcomes Consortium. Resuscitation. 2018;131:74-82.
  10. Ebell MH, Afonso AM. Pre-arrest predictors of failure to survive after in-hospital cardiopulmonary resuscitation: a meta-analysis. Family practice. 2011;28(5):505-15.
  11. Rohlin O, Taeri T, Netzereab S, Ullemark E, Djärv T. Duration of CPR and impact on 30- day survival after ROSC for in-hospital cardiac arrest—a Swedish cohort study. Resuscitation. 2018;132:1-5.
  12. Hirlekar G, Karlsson T, Aune S, Ravn-Fischer A, Albertsson P, Herlitz J, et al. Survival and neurological outcome in the elderly after in-hospital cardiac arrest. Resuscitation. 2017;118:101-6.