The Rate of Success of CPR in Patients Suffering from Cardiac Arrest in Patients Admitted in CCU in Cardiology Department Ayub Medical Teaching Institute
Rate of Success of CPR in Patients Suffering from Cardiac Arrest
DOI:
https://doi.org/10.54393/pjhs.v5i01.1259Keywords:
Cardiac Arrest, Cardiopulmonary Resuscitation, Cardiac EmergenciesAbstract
Cardiopulmonary resuscitation (CPR) is an essential procedure used to treat patients who are in cardiac arrest, particularly in the Critical Care Unit (CCU). Objective: To assess the success rate of CPR admitted to the CCU, revealing insight on the effectiveness of current resuscitation techniques. Methods: This retrospective study was conducted at Department of Cardiology Ayub Medical Teaching Institute, Abbottabad, between 13th April 2023 to 30th November 2023, 110 patients had cardiac arrest while in the intensive care unit. Data were gathered and examined on patient demographics, pre-existing comorbidities, time to start CPR, duration of CPR, and results. CPR success was defined as a sustained restoration of spontaneous circulation (ROSC) for at least 20 minutes. Results: This study included 110 cardiac patients. Most patients (68.18%) were male. Hypertension was the most common comorbidity at 72.7%. CPR started on average 4.8 minutes late, with a 1.2-minute standard deviation. The average CPR time was 18.2 minutes, with a 5.6-minute SD. After cardiac arrest, 60 (54.5%) patients began CPR within 5 minutes. Another subgroup found 96.0% CPR success in 25 (22.7%) ventricular fibrillation patients. Then occurred ventricular tachycardia (80.0%), pulseless electrical activity (76.0%), and asystole (68.9%). These data suggest that CPR works better in ventricular fibrillation patients. Conclusions: This research sheds light on cardiac arrest CCU patients' demographics, care, and outcomes. The data show that early CPR and ventricular fibrillation detection and treatment improve outcomes for these individuals.
References
Bracey A, Tichauer MB, Wu GP, Barnicle RN, Lu CJ, Tanzi MV et al. Blueprint for the development of resuscitation and emergency critical care fellowships. AEM Education and Training. 2023 Oct; 7(5): e10905. doi: 10.1002/aet2.10905. DOI: https://doi.org/10.1002/aet2.10905
Pettit NR, Wood T, Lieber M, O'mara MS. Intensive care unit design and mortality in trauma patients. Journal of Surgical Research. 2014 Aug; 190(2): 640-6. doi: 10.1016/j.jss.2014.04.007. DOI: https://doi.org/10.1016/j.jss.2014.04.007
Lott C, Truhlář A, Alfonzo A, Barelli A, González-Salvado V, Hinkelbein J et al. European Resuscitation Council Guidelines 2021: cardiac arrest in special circumstances. Resuscitation. 2021 Apr; 161: 152-219. doi: 10.1016/j.resuscitation.2021.02.011. DOI: https://doi.org/10.1016/j.resuscitation.2021.02.011
Obermaier M, Katzenschlager S, Kofler O, Weilbacher F, Popp E. Advanced and Invasive Cardiopulmonary Resuscitation (CPR) Techniques as an Adjunct to Advanced Cardiac Life Support. Journal of Clinical Medicine. 2022 Dec; 11(24): 7315. doi: 10.3390/jcm11247315. DOI: https://doi.org/10.3390/jcm11247315
Gürcü ME, Külahçıoğlu Ş, Baysal PK, Fidan S, Doğan C, Acar RD et al. Extracorporeal cardiopulmonary resuscitation in-hospital cardiac arrest due to acute coronary syndrome. Turkish Journal of Thoracic and Cardiovascular Surgery. 2021 Jul; 29(3): 311. doi: 10.5606/tgkdc.dergisi.2021.21238. DOI: https://doi.org/10.5606/tgkdc.dergisi.2021.21238
Truong HT, Low LS, Kern KB. Current approaches to cardiopulmonary resuscitation. Current Problems in Cardiology. 2015 Jul; 40(7): 275-313. doi: 10.1016/j.cpcardiol.2015.01.007. DOI: https://doi.org/10.1016/j.cpcardiol.2015.01.007
Fordyce CB, Katz JN, Alviar CL, Arslanian-Engoren C, Bohula EA, Geller BJ et al. Prevention of complications in the cardiac intensive care unit: a scientific statement from the American Heart Association. Circulation. 2020 Dec; 142(22): e379-406. doi: 10.1161/CIR.0000000000000909. DOI: https://doi.org/10.1161/CIR.0000000000000909
Pearson DA, Nelson RD, Monk L, Tyson C, Jollis JG, Granger CB et al. Comparison of team-focused CPR vs standard CPR in resuscitation from out-of-hospital cardiac arrest: results from a statewide quality improvement initiative. Resuscitation. 2016 Aug; 105: 165-72. doi: 10.1016/j.resuscitation.2016.04.008. DOI: https://doi.org/10.1016/j.resuscitation.2016.04.008
Meaney PA, Bobrow BJ, Mancini ME, Christenson J, De Caen AR, Bhanji F et al. Cardiopulmonary resuscitation quality: improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association. circulation. 2013 Jul 23; 128(4): 417-35. doi: 10.1161/CIR.0b013e31829d8654. DOI: https://doi.org/10.1161/CIR.0b013e31829d8654
Care FC. The Modern Cardiac Care Unit. Acute Coronary Syndromes: A Companion to Braunwald's Heart Disease E-Book. Elsevier. 2010.
Mahmud E, Dauerman HL, Welt FG, Messenger JC, Rao SV, Grines C et al. Management of acute myocardial infarction during the COVID-19 pandemic: a position statement from the Society for Cardiovascular Angiography and Interventions (SCAI), the American College of Cardiology (ACC), and the American College of Emergency Physicians (ACEP). Journal of the American College of Cardiology. 2020 Sep; 76(11): 1375-84. doi: 10.1016/j.jacc.2020.04.039. DOI: https://doi.org/10.1002/ccd.28946
Cowley LE, Farewell DM, Maguire S, Kemp AM. Methodological standards for the development and evaluation of clinical prediction rules: a review of the literature. Diagnostic and Prognostic Research. 2019 Dec; 3: 1-23. doi: 10.1186/s41512-019-0060-y. DOI: https://doi.org/10.1186/s41512-019-0060-y
Peberdy MA, Kaye W, Ornato JP, Larkin GL, Nadkarni V, Mancini ME et al. Cardiopulmonary resuscitation of adults in the hospital: a report of 14 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003 Sep; 58(3): 297-308. doi: 10.1016/S0300-9572(03)00215-6. DOI: https://doi.org/10.1016/S0300-9572(03)00215-6
Karam N, Bataille S, Marijon E, Tafflet M, Benamer H, Caussin C et al. Incidence, mortality, and outcome-predictors of sudden cardiac arrest complicating myocardial infarction prior to hospital admission. Circulation: Cardiovascular Interventions. 2019 Jan; 12(1): e007081. doi: 10.1161/CIRCINTERVENTIONS.118.007081. DOI: https://doi.org/10.1161/CIRCINTERVENTIONS.118.007081
Molano F, Rey Chaves CE, Conde D, Girón F, Núñez-Rocha RE, Ayala D et al. The Clinical Impact of Thoracic Endovascular Aortic Repair in the Management of Thoracic Aortic Diseases. Journal of Endovascular Therapy. 2023 Jan: 15266028221148381. doi: 10.1177/15266028221148381. DOI: https://doi.org/10.1177/15266028221148381
Ratcliffe JA, Wilson E, Islam S, Platsman Z, Leou K, Williams G et al. Mortality in the coronary care unit. Coronary Artery Disease. 2014 Jan; 25(1): 60-5. doi: 10.1097/MCA.0000000000000043. DOI: https://doi.org/10.1097/MCA.0000000000000043
Kim SY, Park SO, Kim JW, Sung J, Lee KR, Lee YH et al. How much experience do rescuers require to achieve successful tracheal intubation during cardiopulmonary resuscitation?. Resuscitation. 2018 Dec; 133: 187-92. doi: 10.1016/j.resuscitation.2018.08.032. DOI: https://doi.org/10.1016/j.resuscitation.2018.08.032
van de Glind EM, van Munster BC, van de Wetering FT, van Delden JJ, Scholten RJ, Hooft L. Pre-arrest predictors of survival after resuscitation from out-of-hospital cardiac arrest in the elderly a systematic review. BMC Geriatrics. 2013 Dec; 13: 1-0. doi: 10.1186/1471-2318-13-68. DOI: https://doi.org/10.1186/1471-2318-13-68
Skogvoll E and Nordseth T. The early minutes of in-hospital cardiac arrest: Shock or CPR? A population based prospective study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2008 Dec; 16(1): 1-9. doi: 10.1186/1757-7241-16-11. DOI: https://doi.org/10.1186/1757-7241-16-11
Holmberg M, Holmberg S, Herlitz J. Incidence, duration and survival of ventricular fibrillation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation. Et ak2000 Mar; 44(1): 7-17. doi: 10.1016/S0300-9572(99)00155-0. DOI: https://doi.org/10.1016/S0300-9572(99)00155-0
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