Abstract 17835: Effect of Cardiopulmonary Resuscitation Training on Favorable Neurological Outcome for In-Hospital Cardiac Arrest

Abstract

Background: Many training courses for CPR have been performed to medical personnel but few data have been reported those effect. Method: From 2008 to 2009, during 24 month, 491 patients were registered in the Japanese Registry of CPR for In-hospital Cardiac Arrest (J-RCPR). In this study, 445 patients treated by the first responder received the CPR training (Group T n=357) and non-trained first responder (group n-T n=88) were analyzed. We evaluated the ratio of return of spontaneous circulation (ROSC) and good neurological function at discharge (CPC1 or 2 in Glasgow-Pittsburgh cerebral performance category) in each groups. We also analyzed each indexes by initial rhythm was VF/VT arrest (n=122) and PEA/Asystole (n=316). Result: The ratio of ROSC, good neurological performance were 65.8%, 21.1% in group T, and 59.1,10.3% in group n-T (In good CPC p<0.05). In VF/VT, the ratio were 80.2%, 45.5% in group T, and 74.2%,15.4% in group n-T (In good CPC p<0.01). In PEA/Asystole, the ratio were 60.8%, 12.5% in group T, and 50.0%, 5.9% in group n-T. Conclusion: In-hospital cardiac arrest treated by the first responder with the CPR training is significantly associated with higher rate of favorable neurological outcome, especially in VF/VT