Document Detail


Analysis of the outcomes of cardiopulmonary resuscitation in an emergency department.
MedLine Citation:
PMID:  16385918     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this study is to analyse the factors affecting emergency department (ED) cardiopulmonary resuscitation (CPR) outcome. METHODS: A standard CPR protocol was performed in all patients and certain pre and postresuscitation parameters including age, sex, initial arrest rhythm, primary underlying disease, initiation time of advanced cardiac life support, duration of return of spontaneous circulation were recorded. Patients were followed up to determine rates of successful CPR, survival and one-year survival. RESULTS: From December 1999 to May 2001, 80 consecutive adult patients in whom a standard CPR was performed in the ED were prospectively included in the study. The overall rate for successful CPR, survival and one-year survival were found to be 58.8% (47/80), 15% (12/80) and 10% (8/80), respectively. Survival and one-year survival rates were better in patients with an initial arrest rhythm of ventricular fibrillation or pulseless ventricular tachycardia (VF/pVT) than both pulseless electrical activity (pEA) and asystole; survival and one-year survival rates were better in patients with a primary underlying disease of cardiac origin than non-cardiac origin. Acute myocardial infarction had the best prognosis among conditions causing arrest. Presence of sudden death was found to have a better survival and one-year survival rate. CONCLUSION: Initial cardiac rhythm of VF/pVT, cardiac origin as the primary disease causing cardiopulmonary arrest and presence of sudden death were found to be good prognostic factors in CPR.
Authors:
Vedat Ozcan; Celaleddin Demircan; Zulfi Engindenizi; Gulay Turanoglu; Fatma Ozdemir; Ozgur Ocak; Huseyin Cebicci; Semra Akgoz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  60     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-02     Completed Date:  2006-01-26     Revised Date:  2009-06-11    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  581-7     Citation Subset:  IM    
Affiliation:
Dept. of Emergency Medicine, Uludag University Medical Faculty Hospital, Bursa, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Analysis of Variance
Cardiopulmonary Resuscitation
Emergency Service, Hospital*
Female
Follow-Up Studies
Heart Arrest / diagnosis,  mortality*,  therapy*
Hospital Mortality*
Humans
Male
Middle Aged
Probability
Risk Assessment
Sex Factors
Survival Rate
Time Factors
Treatment Outcome
Ventricular Fibrillation / diagnosis,  mortality*,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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