Abstract
Background: The cerebral performance category (CPC) score is widely used in research and quality assurance to assess neurologic outcome following cardiac arrest. However, little is known about the results of the CPC in Turkey. Objective: This study aimed to determine whether the CPC is associated with the initial rhythm and resuscitation time following resuscitation from in-hospital cardiac arrest. Methods: This study compared the CPCs (CPC 1-2 and CPC 3-4-5) of patients discharged from the hospital after surviving cardiopulmonary arrest (CPA) during a 2-year period between June 2013 and June 2015 (at discharge, and at 6th, 12th, 18th, and 24th months) based on the initial rhythm (asystole/pulseless electrical activity and ventricular fibrillation/pulseless ventricular tachycardia) and resuscitation time (0–14 min and 15–30 min) at the time of arrest. Results: No difference was found between CPC 1-2 and CPC 3-4-5 scores at discharge or at 6th, 12th, 18th, and 24th months in terms of the first rhythm and resuscitation time (P > 0.05). Conclusion: Patients discharged from the hospital following in-hospital cardiopulmonary resuscitation (CPR) were found to have no difference in 2-year CPC scores with respect to cardiac rhythms and resuscitation durations at the onset of resuscitation.
Highlights
The cerebral performance category (CPC) score is widely used in research and quality assurance to assess neurologic outcome following cardiac arrest
Several studies have demonstrated the effects of initial rhythms and resuscitation durations on CPC for short- or long-term survival and the rate of return of spontaneous circulation (ROSC) after cardiopulmonary resuscitation (CPR).[8,9,10,11,12]
This retrospective case-controlled study included 44 patients who were discharged and who survived 24 hours (n = 103) from ROSC (n = 135) from a total of 390 CPR patients between 2011 and 2013, and their neurological statuses were assessed between June 2013 and June 2015
Summary
The cerebral performance category (CPC) score is widely used in research and quality assurance to assess neurologic outcome following cardiac arrest. Conclusion: Patients discharged from the hospital following in-hospital cardiopulmonary resuscitation (CPR) were found to have no difference in 2-year CPC scores with respect to cardiac rhythms and resuscitation durations at the onset of resuscitation. The Utstein-style guidelines recommend the use of the cerebral performance category (CPC), a 5-point scale that tries to combine functional and cognitive domains to provide an assessment of brain healing.[2,6,7] Several studies have demonstrated the effects of initial rhythms and resuscitation durations on CPC for short- or long-term survival and the rate of return of spontaneous circulation (ROSC) after CPR.[8,9,10,11,12]
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