959-107 Outcome of In-hospital Cardiopulmonary Resuscitation

Abstract

Cerebral and overall performance after successful resuscitation is an important measure of its success. To evaluate resuscitation attempts in adults (age ≥18 years) by the 24-hrs resuscitation team in our hospital (1,032 beds; 27,500 admissions/years), we prospectively collected data from resuscitation forms and retrospectively from medical records. Performance was assessed retrospectively by means of the Cerebral and Overall Performance Categories (CPC/OPC). A total of 1205 calls were received from June 1988 up to January 1994 (the emergency room and general wards always call upon the team, CCU/ICU only when intubation is required). 717/1205 calls were confirmed arrests in 675 adults (mean age 58, 43% >70 years). Resuscitation was not attempted in 10 arrests. Return of spontaneous circulation occurred in 347/717 arrests (49%), followed by transfer to the ICU or CCU. Of the 347 initial survivors 93 (27%) died within 24 hrs. and another 138 (40%) died later during their hospital stay. 101 (15%) pts (38% > 70 years) were discharged from the hospital alive. VFNT as initial rhythm was present in 60 (60%) survivors and ischaemic heart disease (ICD41 0–414)was diagnosed in 40 (40%) survivors. Outcome performance was assessed at the time of discharge. Good outcome: CPC1, 90 pts (90%); OPC1, 78 (78%); Moderate disabilities: CPC2. 4 pts (4%); OPC2, 14 pts (14%); Severely disabled/vegetative state: CPC/OPC3-4, 7 pts (7%). A total of 36 pts (36%) died after discharge, of which 19 (53%) died within the first year. Survivors after of in-hospital circulatory arrest have a good prognosis in terms of cerebral and overall performance, but long term successes are limited.