A prospective study of survival after in-hospital cardiopulmonary resuscitation and its related factors

Miranzadeh, S. and Adib-Hajbaghery, M. and Hosseinpour, N. (2016) A prospective study of survival after in-hospital cardiopulmonary resuscitation and its related factors. Trauma Monthly, 21 (1).

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Abstract

Background: Despite several studies, there is no agreement on factors that affect survival after in-hospital cardiopulmonary resuscitation (CPR). Objectives: This study aimed to evaluate the survival rate of in-hospital CPR and its related factors at Shahid Beheshti hospital in Kashan, Iran, in 2014. Patients and Methods: A descriptive study was conducted on all cases of CPR performed in Kashan Shahid Beheshti hospital during a 6-month period in 2014. Through a consecutive sampling method, 250 cases of CPR were studied. A three-part researcher-made instrument was used. The outcome of CPR was documented as either survival to hospital discharge or unsuccessful (death of the patient). Chi-square test, t test, and logistic regression analysis were used to analyze the data. Results: Of all CPR cases, 238 (95.2) were unsuccessful and 12 (4.8) survived to hospital discharge. Only 2.6 of patients who were resuscitated in medical units survived to hospital discharge, whereas this rate was 11.4 in the emergency department. Only 45 (18) patients were defibrillated during resuscitation; in 11 patients, defibrillation was performed between 15 to 45 minutes after the initiation of CPR. The mean time from initiation of CPR to the first DC shock was 13.93 ± 8.88 minutes. Moreover, the mean duration of CPR was 35.11 ± 11.42 minutes. The survival rate was higher in the morning shift and lower during the time of shift change (9.4 vs. 0). The duration of CPR and speed of arrival of the CPR team were identified as factors that predicted the outcome of CPR. Conclusions: The survival rate after in-hospital CPR was very low. The duration of CPR and the time of initiating CPR effects patients' outcomes. These findings highlight the crucial role of an organized, skilled, well-established and timely CPR team. Copyright © 2016, Trauma Monthly.

Item Type: Article
Additional Information: cited By 1
Uncontrolled Keywords: chi square test; death; defibrillation; emergency ward; hospital; hospital discharge; human; logistic regression analysis; major clinical study; prospective study; resuscitation; sampling; scientist; Student t test; survival rate; velocity
Subjects: Medicine
Divisions: Faculty of Nursing & Midwifery > Department of Nursing - Medical Surgical
Depositing User: editor . 2
Date Deposited: 06 Mar 2017 16:53
Last Modified: 06 Mar 2017 16:53
URI: http://eprints.kaums.ac.ir/id/eprint/183

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