Outcome of Adult Cardiopulmonary Resuscitations at a Tertiary Referral Center Including Results of "Limited" Resuscitations

Abstract

Very ill patients in unmonitored beds are at increased risk for a nonwitnessed cardiac arrest and poor resuscitation outcome during the night. Closer vigilance of these patients at night is warranted. The outcome of limited resuscitation efforts is very poor.

Factors influencing outcomes after cardiopulmonary resuscitation in emergency department

“…[15,17] In the present study, the patients with total adrenaline ≤5 mg had a better ROSC, survived for 24 hours, survived to hospital discharge, or survived to discharge with favourable neurological outcomes, compared those with total adrenaline >5 mg ( P <0.01), whereas multivariate logistic regression analysis showed that total adrenaline level ≤5 mg was identified as a favorable predictor for ROSC. Currently, a larger number of trials and a randomized controlled trial[23,24] focused on outcomes of CA patients whenever adrenaline given or not.…”

“…In a study by Dumot et al,[17] CA with witness had a 2.2 times chance for surviving to discharge, compared with CA without witness. Rafati et al[18] also reported the similar observation.…”

“…[14,17,18] Hajbaghery et al[22] thought that the duration of CPR could be used to assess the response time, the severity of patients, and the efficiency of CPR. In our study, the patients with a duration of CPR ≤15 minutes had a better outcome of ROSC, 24-hour survival, survival to hospital discharge, and neurologically favorable survival to discharge.…”

Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective study

“…Unexpected in-hospital cardiac arrest is common and associated with a high mortality rate [1][2][3][4]. When cardiac arrest occurs in a general ward area, many hospitals use a "cardiac arrest team" to respond and provide immediate resuscitation.…”

Advances in Resuscitation

“…For in-hospital SCD, intubation within 5 minutes (compared with intubation performed Ͼ5 minutes after arrest) has been associated with either worse outcome or a slight increase in 24-hour survival without increased ROSC. 85,86 Out-of-hospital data are more heterogeneous: Both intubation (regardless of timing) and intubation within 12 minutes have been associated with improved survival in retrospective studies. 87,88 On the other hand, studies assessing minimally interrupted cardiac resuscitation and passive ventilation suggest that intubation may not be advantageous.…”