Evaluation of Cardiopulmonary Resuscitation (CPR) for Patient Outcomes in Emam Reza hospital in 2020

Abstract

Based on the results of studies, accurate statistics on the rate of successful or unsuccessful resuscitation are not available, and it is not clear when and with what quality cardiopulmonary resuscitation was performed and what has been the consequence. The aim of this study is to evaluation of Cardiopulmonary Resuscitation (CPR) for patient outcomes in Emam Reza hospital in 2020. Materials and Methods: This study was descriptive - observational study and the target population included all patients with cardiopulmonary arrest admitted to Imam Reza Hospital in Tabriz during the last quarter of the year 2020 (66 people). The sampling method in this study was census. Cardiopulmonary resuscitation checklist was used in this study. The mean response time was recorded as the time recorded from the moment of the patient's cardiac arrest to the arrival of the resuscitation team. Return of spontaneous circulation (ROSC) was considered based on the patient's carotid pulse touch. The duration of CPR was from the moment of resuscitation operation to the return of spontaneous circulation of the patient. Finally, the outcome of cardiopulmonary resuscitation was evaluated in the form of return of spontaneous original circulation of the patient, survival and discharge from the hospital, and clinical status at the time of discharge according to the Glasgow Outcome Scale (GOS). Demographic characteristics of patients were also collected through a questionnaire. Results: In this study, the mean (standard deviation) age of the subjects was 62.59 (±20.7) years. The most common causes of hospitalization in the studied patients were lung diseases, neurological diseases and gastrointestinal diseases with 21 cases (31.8%), 14 cases (21.2%) and 7 cases (10.6%), respectively. Medium (25th and 75th percentages) of the number of hospitalization days to time of resuscitation was 7.0 (2.0-13.0) days. Also in all of these subjects, the time elapsed from the announcement of the resuscitation code to the start of resuscitation was immediately below 30 seconds. In 7 cases (10.6%) of the subjects, resuscitation was performed until the first defibrillation. The first heart rhythm in monitoring after cardiopulmonary arrest was Asystole in 53 cases (80.3%), Bradycardia in 6 cases (9.1%) and VT in 7 cases (10.6%). The number of resuscitations of these subjects was in 35 cases (53.0%) one times, in 24 cases (36.4%) two times, in 5 cases (7.6%) three times and in 2 cases (2.3%) four times. In this study, the mean (SD) duration of resuscitation was in the first turn 28.56 (±14.5), in the second turn 30.81 (±11.2), in the third turn 31.43 (±11.1) and in the fourth turn 47.50 (±3.5) minutes. Successful outcome of resuscitation was in the first turn 36 cases (54.5%), in the second turn 7 cases (22.6%), in the third turn 2 cases (28.6%) and in the fourth turn zero cases (0.0%). Also, the outcome of resuscitation according to GOS criteria was in 61cases (92.5%) death, in zero cases (0.0%) vegetative status, in 2 cases (3.0%) severe disability, in 1 case (1.5%) moderate disability and in 2 cases (3.0%) good recovery. percentage of survivors with bradycardia heart rhythm was higher.