Cardiopulmonary resuscitation: outcome and its predictors among hospitalized adult patients in Pakistan

Khan, Nadeem Ullah; Razzak, Junaid Abdul; Ahmed, Humaid; Furqan, Muhammad; Saleem, Ali Faisal; Alam, Syed Muhammad Hammad; Huda, Anwar Ul; Khan, Uzma Rahim; Rehmani, Rifat

doi:10.1007/s12245-008-0016-4

Cited by 23 publications

(38 citation statements)

References 20 publications

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“…1 There have been a number of studies after that, which have reported outcome and the predictors affecting outcome. [2][3][4][5] Cardiopulmonary resuscitation is a frequently performed medical intervention in healthcare facilities. Successful cardiopulmonary resuscitation after in-hospital cardiac arrest depends on basic and advanced life support systems, the ability to immediately defibrillate the arrested heart, and the quality of the CPR intervention (Beuret et al; Jorgenson 1997).…”

Section: Introductionmentioning

confidence: 99%

“…But studies show a wide range of 'survival on discharge' (3-27%), which could be due to differences in the settings in which the CPR is performed and differences in inclusion/exclusion criteria. [5][6][7][8] To overcome this problem, the in-hospital Utstein style data collection (Utstein template) recommendation were published in 1997 and revised in 2004. 5,6 These recommendations defined a set of data elements that are essential for documenting in-hospital cardiac arrests and suggested guidelines for reviewing, reporting, and conducting research on this topic.…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7][8] To overcome this problem, the in-hospital Utstein style data collection (Utstein template) recommendation were published in 1997 and revised in 2004. 5,6 These recommendations defined a set of data elements that are essential for documenting in-hospital cardiac arrests and suggested guidelines for reviewing, reporting, and conducting research on this topic. 7 In the present audit, we sought to determine how well CPR is utilised at our institution by estimating the incidence and the outcome from in hospital cardiac arrest and also predict the factors affecting the outcome.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Chakravarthy

Mitra

Nonis

2012

Indian Heart Journal

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Objective: Cardiac arrest in the hospital wards may not receive as much attention as it does in the operation theatre and intensive care unit (ICU). The experience and the qualifications of personnel in the ward may not be comparable to those in the other vital areas of the hospital. The outcome of cardiac arrest from the ward areas is a reasonable surrogate of training of the ward nurses and technicians in cardiopulmonary resuscitation. We conducted an audit to assess the issues surrounding the resuscitation of cardiac arrest in areas other than operation theatre and ICU in a tertiary referral hospital. Aims of the audit:To assess the outcomes of cardiac arrest in a tertiary referral hospital. Areas such as wards, dialysis room and emergency room were considered for the audit.Methods: This is a retrospective observational audit of the case records of all the adult patients who were resuscitated from 'code blue'. Data for 2 years from 2007 was analysed by a research fellow unconnected with the resuscitations.Results: Twenty-two thousand three hundred and forty-four patients were admitted as in-patients to the hospital during the 2 years, starting May 2007 through May 2009. One hundred code blue calls were received during this time. Twenty-two of the total calls received were false. Among the 78 confirmed cardiac arrests 69 occurred in the wards, 2 in emergency room, 1 in cardiac catheterisation laboratory and 3 in dialysis room. Twenty-eight patients were declared dead after unsuccessful cardiopulmonary resuscitation. Among the 50 who were resuscitated with a return of spontaneous rhythm 26 died. Twenty-four patients were discharged (survival rate of 30%). The survival decreased significantly as the age progressed beyond 60. The resuscitation rates were better in day shifts in contrast to the night. Higher survival was noted in patients who received resuscitation in less than a minute. Conclusion:A overall survival to discharge rate of 30% was noted in this audit. Higher survival rates might be attributable to high rate and degree of training at the time of their employment, which was repeated at yearly interval.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Chakravarthy

Mitra

Nonis

2012

Indian Heart Journal

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“…The duration of CPR, and initial cardiac activity did not significantly influence 30-day-mortality in our study, but earlier findings reported elevated mortality rate after nonshockable rhythms (20) and the duration of CPR as an independent predictor of mortality. (21,22) It is well known that the original ILCOR guideline recommended TH after ventricular fibrillation but for other rhythms the "may also be beneficial" statement was used. (6) In the present study, serum lactate levels in the TH group were significantly higher than in the NT group on ICU admission and in the 12 th and 36 th hours after ROSC.…”

Section: Protein S100b Levelsmentioning

confidence: 99%

Effects of therapeutic hypothermia and kinetics of serum protein S100B after cardiopulmonary resuscitation

Mérei

Nagy²,

Woth³

et al. 2015

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“…[1][2][3][4] Guidelines therefore exist for terminating resuscitative efforts in cases of cardiac arrest that are deemed futile. 5,6 Nonetheless, successful resuscitation and good recovery after prolonged arrest have been documented.…”

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confidence: 99%

A Case of Survival after Cardiac Arrest and 3½ Hours of Resuscitation

Nusbaum¹,

Bassett²,

Gregorič³

et al. 2014

Texas Heart Institute Journal

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I n general, outcomes after cardiac arrest remain poor, especially in patients with risk factors such as unwitnessed arrest, unfavorable initial rhythm, older age, and prolonged resuscitation without return of spontaneous circulation (ROSC). 1-4Guidelines therefore exist for terminating resuscitative efforts in cases of cardiac arrest that are deemed futile. 5,6 Nonetheless, successful resuscitation and good recovery after prolonged arrest have been documented. [7][8][9][10] As the field of cardiopulmonary resuscitative medicine evolves, new techniques are being implemented to improve outcomes in patients who are in cardiac arrest. We present an example of how recent research findings in resuscitative medicine improved one patient's chances of survival. Case ReportIn June 2011, a 40-year-old white man with a history of hypertension, hyperlipidemia, obesity (body mass index, 34.9 kg/m 2 ), and chronic tobacco use presented with presyncopal symptoms. Severe pressure-like chest pain had started 24 hours previously and had completely resolved spontaneously 12 hours before the current presentation. An electrocardiogram (ECG) showed persistent ST-segment elevation in the anterior leads. He was hemodynamically well compensated. Initial laboratory reports showed cardiac troponin I elevation to a level above 50 ng/mL.The patient was not a candidate for primary percutaneous coronary intervention (PCI) for STEMI because of his delayed presentation, the complete resolution of his chest pain, and the development of anterior Q waves on his ECG. He was admitted to the cardiovascular care unit (CCU) and was treated conservatively with antiplatelet, anticoagulant, and antiarrhythmic therapy.The next morning, a coronary angiogram revealed an occluded proximal left anterior descending coronary artery, an occluded obtuse marginal branch, and a diffusely diseased right coronary artery. On hospital day 3, a positron emission tomographic viability scan showed only minimal viable myocardium and a large area of scar tissue; therefore, the patient was not a candidate for revascularization. He remained hemodynamically stable in the CCU and was subsequently transferred to the medicine floor.At 5:37 am on hospital day 5, the patient experienced sustained ventricular tachycardia and then lost consciousness. He had no spontaneous respirations, and neither the carotid nor femoral pulses could be palpated. His airway was secured, and positive-pressure ventilation was initiated. Simultaneously, cardiopulmonary resuscita-

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Cardiopulmonary resuscitation: outcome and its predictors among hospitalized adult patients in Pakistan

Cited by 23 publications

References 20 publications

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Effects of therapeutic hypothermia and kinetics of serum protein S100B after cardiopulmonary resuscitation

A Case of Survival after Cardiac Arrest and 3½ Hours of Resuscitation

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