Analysis of “code blue” application and results: a single center experience

Abstract

Aim: This study was prepared to analyze the “Code Blue” application and results in Hitit University Erol Olçok Training and Research Hospital. Material and Method: Whole of the code blue calls issued in our hospital in 2019 were retrospectively examined and evaluated within the framework of the necessary legal permissions. In this context, arrival time of the code blue team at the scene, CPR performance, duration, results of application and demographic information of patient, place, date and time data were collected. The obtained data were analyzed using the SPSS (Statistical Package for Social Science). Results: Between 01.01.2019 and 31.12.2019 a total of 748 code blue notifications were evaluated. The average time for the blue code team to reach the patient was 2.06 minutes. Code blue call was made mostly in intensive care units, by nurses and in January. Patients who underwent code blue intervention 55.89% of them were male and 44.11% were female. Code blue calls were requested the most was the range of 61-80 ages. The oldest patient who received CPR was 105 years old, and the youngest was 2 years old. Besides, code blue call reason is most respiratory+cardiac arrest (243), cardiac arrest (199) and respiratory arrest (109). The results of the whole code blue interventions in 2019, it was figured out that 401 of the patients were dead, 135 of them were taken into intensive care, 173 of them were monitored in the service, 25 people were transferred to the emergency, 12 calls were wrong calls and 2 calls for exercise. Conclusion: The internationally determined intervention period for the patient to not lose his vital functions to survive is 2 -5 minutes. As a result, code blue application in our hospital has been successfully implemented in accordance with the standards, with effective and rapid intervention.

Keywords

• code blue
• cardiopulmoner arrest
• survavial
• patient safety

References

1. Ministry of Health, Regulation on Ensuring Patient and Employee Safety, Official Gazette, 2011, R.G: 06/04/2011, number: 27897.
2. Möhnle P, Huge V, Polasek J, et al. Survival after cardiac arrest and changing task profile of the cardiac arrest team in a tertiary care center. Scientific World J 2012; 2012: 294512.
3. İncesu E. Return to life is “blue code” retrospective evaluation of notification reports of blue code section by Seydisehir State Hospital. Usaysad Derg 2018; 4: 26-39.
4. Petrie DA, De Maio V, Stiell IG, Dreyer J. Factors affecting survival after prehospital asystolic cardiac arrest in a basic life support - defibrillation system. CJEM 2001; 3:186-192.
5. Saghafinia M, Motamedi MH, Piryaie M, et al. Survival after in hospital cardiopulmonary resuscitation in a majör referral center. Saudi J Anaesth 2010; 4: 68-71.
6. Herlitz J, Rundqvist S, Bång A, et al. Is there a difference between women and men in characteristics and outcome after in hospital cardiac arrest. Resuscitation 2001; 49: 15-23.
7. Özmete, Ö. Bir üniversite hastanesinde mavi kod uygulamaları. Cukurova Med J 2017; 42: 446-50.
8. Çiçekci, F., Atıcı S. Mavi Kod çağrısına bağlı kardiyopulmoner resüsitasyon uygulamaları sonuçlarının değerlendirilmesi. Genel Tip Derg 2013; 23.

9. Oğuztürk H, Turtay MG, Tekin YK, Sarıhan E. Cardiac arrests in the emergency ward and our experiences on the cardiopulmonary resuscitation. Kafkas J Med Sci 2011; 1: 114-7.
10. Mendes A, Carvalho F, Dias C, Granja C. In-hospital cardiac arrest: factors in the decision not to resuscitate. the impact of an organized in-hospital emergency system. Rev Port Cardiol 2009; 28: 131-41.
11. Özütürk B, Muhammedoğlu N, Dal E, Çalışkan B. Evaluation of blue code interventions outcomes. Haseki Tıp Bülteni 2014; 2276: 204-8.
12. Villamaria JF, Pliego FJ, Wehbe-Janek H, et al. Using simulation to Orient Code Blue Teams to a new hospital facility. Simul Healthc 2008; 3: 209-16.
13. Gürmen ES, Demir B. Investigation of the suitability and outcome of the Blue Code Call System at an University Hospital. Van Tıp Derg 2019; 26: 353-7.
14. Esen O, Esen HK, Öncül S, Gaygusuz EA, Yılmaz M, Bayram E. Code Blue practices and evaluation of results in a training and research hospital. J Kartal TR 2016; 27: 57-61.
15. Sık G, Çıtak A. Evaluation of Code Blue Implementation and Its Outcomes in Pediatric Patients JARSS 2020; 28: 47-51.
16. Murat E, Toprak S, Doğan DB, Mordoğan F. Evaluation of code blue implementation outcomes. Med Sci 2014; 3: 1002-12.
17. Özgür Y, Albayrak MD, Results of the blue code application in chest diseases and chest surgery training and research hospital. J DEU Med 2020; 34: 35-42
18. Tosyalı C, Numanoğlu M. Mavi kod uygulaması algılaması. Sağlıkta Performans ve Kalite Dergisi 2015; 9: 66-77.