Cardiac Arrest Registry at a Tertiary Center

Yıl 2018, Cilt: 21 Sayı: 1, 16 - 20, 01.04.2018

Çetin Geçmen Muzaffer Kahyaoğlu Arzu Kalaycı Abdulrahman Naser Özge Akgün Özkan Candan Ahmet Güner Mehmet Çelik Can Yücel Karabay Akın İzgi Cevat Kırma

Öz

Introduction: Cardiac
arrest, which may result in death without an effective cardiopulmonary
resuscitation (CPR), is the unexpected loss of cardiac functions. Sudden
cardiac arrest is classified as in-hospital and out-of-hospital depending on the
place where the event occurs.

Patients and Methods: In this
study, 134 patients (age, >18 years) who were admitted or were brought with
the help of their relatives or in an ambulance and medical equipment to the
Emergency Department of Kosuyolu Cardiac Hospital with the diagnosis of
in-hospital or out-of-hospital cardiac arrest between 2013 and 2016 were
enrolled. Demographic characteristics of the patients were obtained from the
hospital database.

Results: In total,
134 patients were included in this study. Of these, 95 (71%) were males and 39
(29%) were females. The mean patient age was 61.7 ± 14.6 years. In a total of
134 cardiac arrests, 58 were in-hospital and 76 were out-of-hospital. Among the
patients who exhibited electrical activity with pulse after CPR, 35 (64.8%)
experienced in-hospital cardiac arrest and 19 (35.2%) experienced
out-of-hospital cardiac arrest, whereas among the patients who exhibited
pulseless electrical activity after CPR, 23 (28.7%) experienced in-hospital
cardiac arrest and 57 (71.2%) experienced out-of-hospital cardiac arrest (p<
0.001).

Conclusion: The most common cause of
cardiac arrest in our study cohort was myocardial infarction with ST segment
elevation, followed by congestive heart failure and indefinite causes. Asystole
was the most common rhythm at admission. The rate of ventricular fibrillation
detected in the returning group was found to be higher than the non-returning
group and the difference was statistically significant (p< 0.001). Similary
to literature in our study, pulsatile electrical rhythm was found to be more
prominent in pulsatile rhythms.

Anahtar Kelimeler

Cardiac, arrest

Üçüncü Basamak Bir Merkezden Kardiyak Arrest Serisi

Öz

Giriş: Kardiyak arrest etkili kardiyopulmoner resüsitasyon (KPR)
yapılmazsa ölümle sonuçlanan kardiyak fonksiyonların beklenmedik şekilde
kaybolmasıdır. Ani kardiyak arrest olayın meydana geldiği yere bağlı olarak
hastane içi ve dışı olarak sınıflandırılır.

Hastalar ve Yöntem: Çalışmaya 2013-2016 yılları
arasında kardiyak arrest tanısıyla hastane içi ve hastane dışı olmak üzere
Koşuyolu Kalp Hastanesi Acil Servisine başvuran veya hasta yakını ya da
ambulans yardımı ile tıbbi ekipmanla getirilen 18 yaş üstü 134 hasta dahil edilmiştir.
Hastaların demografik özellikleri hastane veri tabanından sağlanmıştır.

Bulgular: Çalışmaya 95 (%71) erkek, 39 (%29) kadın  hasta olmak üzere toplam 134 hasta dahil
edilmiştir. Yaş ortalaması 61.7 ± 14.6 olarak saptandı. Total 134 kardiyak
arrestin 58’i hastane içi, 76’sı hastane dışı olarak saptanmıştır. KPR sonrası
nabızlı elektriksel aktivite saptanan hastaların 35 (%64.8)’i hastane içi
arrest, 19 (%35.2)’u hastane dışı arrest; nabızlı elektriksel aktivite
sağlanamayan hastaların 23 (%28.7)’ü hastane içi arrest, 57 (%71.2)’si  hastane dışı arrest olarak saptanmıştır
(p< 0.001).

Sonuç: Çalışmamızda kardiyak
arrest nedeni olarak en sık nedenler; ST yükselmeli miyokart infarktüsü,
konjestif kalp yetersizliği ve nedeni belirlenemeyen grup olarak belirlenmiştir.
Geliş ritmi olarak en fazla asistol ritmi saptanmıştır. KPR sonrası nabızlı
elektriksel aktivite sağlanan grupta saptanan ventriküler fibrasyon oranı
nabızlı elektriksel aktivite sağlanamayan gruptakine göre daha yüksek oranda
tespit edilmiş ve istatistiksel olarak anlamlı saptanmıştır. Çalışmamızda
literatüre benzer olarak şoklanabilir ritim olanlarda nabızlı elektriksel
aktivite sağlanma oranı daha fazla saptanmıştır.

Anahtar Kelimeler

Kardiyak, arrest

Kaynakça

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