Retrospective evaluation of cases with cardiopulmonary resuscitation in the emergency department

Abstract

In this study, the cases which underwent cardiopulmonary resuscitation (CPR) in the emergency department of our hospital were examined. We aimed to obtain the initial data on this subject and contribute to the literature by determining the demographic and clinical characteristics, neurological recovery, factors affecting prognosis and survival of the cases that underwent CPR. A total of 371 patients were included in this study (between 01.01.2017 and 31.12.2018). Patient data were obtained retrospectively from patient files in the hospital archives and through the hospital automation system. Patients that underwent CPR were grouped according to age, gender, location of arrest, arrest rhythm, duration and result of CPR. In our study, return of spontaneous circulation (ROSC) rate after CPR was 36.9% in hospital cardiac arrest (IHCA) cases and was 33.7% in out of-hospital cardiac arrest (OHCA) cases. In cases with ROSC, 0-24 hour survival rate was 59.7%, 1-30 day survival rate was 32.1%, 1-12 month survival rate was 8.2%. It was determined that 6 (5.7%) of the cases with ROSC in IHCAs and 4 (13.8%) of cases with ROSC in OHCAs were discharged. Neurological recovery according to cerebral performance category (CPC) scale in 10 patients discharged from the hospital was; CPC-1 in 7 patients, CPC-3 in 3 patients, while brain death (CPC-5) occurred in 6 patients with ROSC after CPR. The rate of ROSC after CPR is higher in IHCA cases. CPR is more successful in patients with coronary artery disease and hypertension as comorbid diseases, contrary to the lower success rate in patients with malignancy. Survival rate and neurological recovery are better in patients with cardiac-induced CPA.

Keywords

• Cardiac arrest
• cardiopulmonary resuscitation
• emergency department

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