Analysis of “Code Blue” events in a single center: A cohort study with 419 incidents

Abstract

Aim: Cardiac arrest sustains a significant cause of in-hospital morbidity and mortality worldwide and “Code Blue” (emergency code) is defined as a hospital code used to indicate a patient requiring immediate resuscitation. In this study we aimed to evaluate the ‘‘code Blue’’ events retrospectively in our hospital.

Methods: Data were collected from the file book that is contained the patients’ name, protocol numbers, duration of arrivals to the arrest locale, final results of CPR and the CPR team’s names, locales of “code blue”. Patients’ gender, locales of “code blue”, false or right “code blue” situations, final results were analyzed. 

Results: One hundred-nineteen “code blue” situations were analyzed, 132 of 339 true “code blue” patients died at the locale after CPR. One hundred-forty four patients were transferred to reanimation unit, 29 were to the coronary intensive care unit (ICU), 28 were to the cardio-vascular surgery ICU, four were to pediatric-ICU and two were taken to the emergency operations. Also 113 of these 207 remaining patients were died in these units in later times, 94 patients survived. Eighty of them were determined as false code blue.

Conclusions: Even the situation is in-hospital cardiac arrest and the CPR is performed by skilled team mortality rate may still be high. To prevent the false code blue situations, in-house training is indispensable for every hospital workers.

Keywords

• Code Blue,In-hospital arrest,False Code Blue,Resuscitation

Tek merkezde “Mavi Kod” olaylarının analizi: 419 vakalı kohort çalışma

Öz

Amaç: Kardiyak arrest, dünya çapında hastane içi morbidite ve mortalitenin önemli bir nedenini olup “Mavi Kod” (acil durum kodu), hemen resüsitasyon gerektiren bir hastayı belirtmek için kullanılan bir hastane kodu olarak tanımlanmaktadır. Bu çalışmada, hastanemizde verilen mavi kodları retrospektif olarak değerlendirmeyi amaçladık.

Yöntemler: Çalışma verileri, hastanın adının, protokol numaralarının, olay yerine varış sürelerinin, resüsitasyon ekibinin adlarının, olay yerinin olduğu “Mavi Kod” defterinden toplandı. Hastaların cinsiyeti, “Mavi Kod” bölgelerinin yerleri, yanlış veya doğru “Mavi Kod” durumları, hastaların nihai sonuçları analiz edildi.

Bulgular: 419 “Kod mavi” durumu incelendi, 339 hastanın 132'sinin olay yerinde resüsitasyon sonrasında öldüğü görüldü. Yüz kırk dört hasta reanimasyon ünitesine, 29'u koroner yoğun bakıma, 28'i kalp-damar cerrahisi yoğun bakımına, 4'ü pediatrik yoğun bakıma ve 2'si acil operasyona alındı. Ayrıca bu 207 hastanın 113'ü bu birimlerde daha sonra öldü, 94 hasta hayatta kaldı. Seksen, mavi kod yanlış olarak belirlendi.

Sonuçlar: Kardiyak arrest durumu hastane içinde bile olsa ve resüsitasyon yetenekli bir ekip tarafından yapılsa bile ölüm oranı hala yüksektir. Yanlış mavi kod durumlarını önlemek için, tüm hastane çalışanlarına kurum içi eğitimler vazgeçilmezdir.

Anahtar Kelimeler

• Mavi kod,Hastane içi arrest,Yanlış mavi kod,Resüsitasyon

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