Factors Influencing the Success Rate of Cardiopulmonary Resuscitation

Abstract

Background: Cardiopulmonary resuscitation (CPR) is a series of actions performed on cardiac arrest patients. Not all patients receiving CPR can survive. The outcome of CPR is influenced by several factors. This study was conducted to determine the success rate of CPR and the factors influencing it in Dr. Hasan Sadikin General Hospital in 2013. Methods: This study was conducted by using 168 patient medical records who underwent CPR and met the inclusion criteria in the Resuscitation Room of Dr. Hasan Sadikin General Hospital from January to December 2013. The collected data consisted of age, gender, pre-arrest diagnosis, initial rhythm, response time and clinical outcome of CPR. The results were expressed in frequencies and percentage. The data were analyzed using the chi-square test. Results: The Success rate of CPR was 15.5%. The success rate was higher in patients with cardiac prearrest diagnoses (8.33%, p=0.024). The most common initial rhythm was unshockable rhythms (83.92%), yet patients with shockable heart rhythms had higher success rates (40.74%, p<0.001). All of the surviving patients had response time within the first minute from cardiac arrest. Conclusions: Success rate of CPR in the resuscitation room of Dr. Hasan Sadikin General Hospital during 2013 is still low. The factors influencing the survival rate are the pre-arrest diagnosis and initial heart rhythm.

The outcomes of cardiopulmonary resuscitation and their predictors during the coronavirus 2019 pandemic in Iran

“…Study findings also showed baseline rhythm as a significant predictor of ROSC and CPR–discharge survival so that the highest ROSC and CPR–discharge survival rate was among patients with shockable dysrhythmias (VT). Similarly, previous studies reported shockable dysrhythmias as a significant predictor of ROSC [ 26 , 32 , 33 ]. Strong evidence exists regarding higher CPR success rate among patients with shockable dysrhythmias when defibrillation is used [ 34 ].…”

Investigating the outcomes of cardiopulmonary resuscitation and factors affecting it: A cross‐sectional study at Dr. Moaven Hospital, Sahneh City from 2014 to 2021

“…1,14 Age, gender, purpose for visit, use of defibrillation, and other characteristics all have an impact. 15,16 Age and gender cannot be changed, but factors such as minimal waste of time at the start of resuscitation operations, timely use of defibrillators, employees' level of knowledge and experience, and pharmaceutical interventions are among the factors that can increase the probability of patient survival with appropriate intervention. 15,17,18 Investigating the factors influencing the success or failure of CPR is medically, economically, and ethically vital to propose adequate and scientific solutions to lessen the obstacles to successful resuscitation.…”

“…In some research, the underlying cause is regarded as an important factor 1,14 . Age, gender, purpose for visit, use of defibrillation, and other characteristics all have an impact 15,16 . Age and gender cannot be changed, but factors such as minimal waste of time at the start of resuscitation operations, timely use of defibrillators, employees' level of knowledge and experience, and pharmaceutical interventions are among the factors that can increase the probability of patient survival with appropriate intervention 15,17,18 .…”