Bir üniversite hastanesinde mavi kod uygulamasının sonuçları

Abstract

The blue code is an early warning system that enables the necessary interventions to be made individuals whose basic life functions are at risk or have stopped. The purpose of this study is to evaluate the blue code application in our hospital and to analyze the management of these patients. Material and Methods: Data of 154 patients with code blue call between April 2016 and September 2016 were retrospectively analysed. Patients age, gender, code blue call time, the most call given unit, team's arrival time to unit, cardiopulmonary resuscitation (CPR) time, the initial rhythm survival and discharge rates were investigated. Results: A total of 154 patients (97 male, 57 female) were evaluated in the study. The mean age of the patients was 62 years. 83 (53.9%) of the code blue calls occurred after hours and the most frequent calls given by internal intensive care unit. The mean time for the code blue team to arrive was 1.25 minutes and the mean duration of CPR was 27 minutes. The most frequent initial cardiac rhythm detected in patients was asystole (87%). Spontaneous circulation was provided in 24 patients and 130 died. Sixteen patient were discharged after further follow-up and treatment. When the blue code call was given from the patients who were discharged, the first cardiac rhythm detected ventricular fibrillation in 9 patient, sinus rhythm in 5 patient and asystole in 2 patient. Conclusion: When evaluated of the code-blue calls in our hospital, the most common rhythm in cardiopulmoner arrest cases were asystoly but survival and discharged rates were more likely in patient which initial rthym is ventricular fibrillation.

Analysis of “code blue” application and results: a single center experience

“…Besides, it has been found that the response rate to CPR is between 15-40% in literature, and that intervention in the first 3 minutes increases the patient's chance of survival more (6). Considering the gender status of the patients with code blue, it is seen that it is between 55-70% in male and 30-45% in females (7,9,10). If our study is compared with the literature, it will be seen that the results are similar.…”

“…As a result of the Petrie et al study is meaningful at this point, patients mortality rate was found to be approximately 100% in cases whose response time exceeded 8 minutes (4). Another remarkable results of the studies are that the chance of survival and the rate of discharge of the patients increase with the early defibration of the code blue team (5)(6)(7)(8)(9). Besides, it has been found that the response rate to CPR is between 15-40% in literature, and that intervention in the first 3 minutes increases the patient's chance of survival more (6).…”

Results of the Blue Code Application in Chest Diseases and Chest Surgery Training and Research Hospital

“…ABD'de yıllık ortalama 200.000 olgu rapor edilmiş olup, hastaneden taburculuk sonrası sağkalım oranı %7-26 civarındadır. Hastane içi kardiyak arrestlerin önlenmesi, klinik durumu bozulan hastaların tanınması, yardım çağrı sisteminin bulunması, hasta monitarizasyonu, personel eğitimi ve etkili bir müdahalenin gerçekleştirilmesini gerektirir (2,3).…”