Abstract
Introduction: Diabetes mellitus is a risk factor for cardiovascular disease. Some recent studies have shown an association between diabetes and out-of-hospital cardiac arrest incidence and survival. We aimed to investigate whether there is an association between the presence of diabetes mellitus and survival after cardiopulmonary resuscitation (CPR) in patients with an in-hospital cardiac arrest. Methods: A cross-sectional study was conducted during the period of January to February 2014, among 80 cases of cardiopulmonary arrest in patients at Qaem hospital of Mashhad, Iran. A code 99 was announced after a cardiac arrest was identified, and CPR was performed by the cardiac arrest team. Twenty four hour survival was compared in diabetic and non-diabetic patients who had a return to spontaneous circulation after CPR. We used SPSS statistics for Windows version 16 for data analysis. Results: The return to spontaneous circulation in the diabetic group was not significantly lower than for the non-diabetic group (42.9% versus 61.0% [P = 0.15]). However, the 24-hour survival in the diabetic group was significantly lower than for the non-diabetic group (19.0% versus 44.1% [P = 0.04]). Conclusion: The presence of diabetes mellitus is associated with a significantly lower rate of survival after CPR.
Highlights
Diabetes mellitus is a risk factor for cardiovascular disease
We aimed to investigate whether there is an association between the presence of diabetes mellitus and survival after cardiopulmonary resuscitation (CPR) in hospital cardiac arrests
There was no significant difference in duration of CPR process between two groups (P = 0.20)
Summary
Diabetes mellitus is a risk factor for cardiovascular disease. Some recent studies have shown an association between diabetes and out-of-hospital cardiac arrest incidence and survival. We aimed to investigate whether there is an association between the presence of diabetes mellitus and survival after cardiopulmonary resuscitation (CPR) in patients with an in-hospital cardiac arrest. The prevalence of diabetes mellitus is increasing, with an estimated 8% of people suffering from diabetes in the United States.[1] It is expected that 366 million people will have diabetes mellitus globally by 2030.2 Cardiovascular disease is the most important cause of mortality in patients with diabetes.[3] Some studies have shown a significant association between diabetes and the prevalence of primary cardiopulmonary arrest.[4,5,6] Cardiopulmonary resuscitation (CPR) is an emergency procedure for patients who have suffered a cardiac arrest.[7] Annually more than 400 000 cardiac arrests happened in the United States alone.[8] The survival rate following CPR is low.[9] Less than 20% of patients with a cardiac arrest are discharged from hospital.[10] The effect of diabetes mellitus on incidence and survival of sudden cardiac arrest in out-of-hospital cardiac arrest patients has been examined in some recent studies.[4,5,6,11,12] We aimed to investigate whether there is an association between the presence of diabetes mellitus and survival after CPR in hospital cardiac arrests
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