Evaluation of the Results of Cardiopulmonary Resuscitation in Iraqi Patients

Abstract

Background: Despite significant progress, cardiac arrest with no warning (SCA) remains a primary cause of mortality in many regions of the world. SCA can occur due to a variety of causes (cardiac/non-cardiac), situations (witnessed/unwitnessed), and locations (out of hospital or in-hospital). Objective: This paper aims to evaluate of the results of cardiopulmonary resuscitation in Iraqi patients. Patients and methods: This paper was presented as a cross-sectional study of the evaluation of the results of cardiopulmonary resuscitation in Iraqi patients, where it covered cardiopulmonary patients in different hospitals in Iraq from 24th January 2021 to 15th August 2022. Cardiac arrest was characterized as an unresponsive adult patient who is either not breathing properly or is not breathing at all, with no carotid pulse or evidence of circulation. This study was including patients who have ages above 50 to 80 years for 62 cases patients. The methodology process of collected data were analysed and implemented by SPSS. Results and discussion: The purpose of this study was to see how several situations affected the success rate of CPR. As previously stated, CPR outcomes were notably ineffective in those with hypertension, diabetes, as well as heart and renal disorders. Survival following resuscitation can be influenced by factors such as the procedure's quality and urgency, the treatment team's expertise, the patient's age, underlying condition, and individual characteristics. The first identified cardiac rhythm failed to substantially correlate with the CPR success rate, as noted in the findings section. However, the greatest rate of success was found in VF as well as VT, PEA, as well as ASYSTOLE rhythms, respectively. According to 2018 research, CPR has a 29% 30-day survival rate. It went on to indicate that 45% of those with a favourable resuscitation result had VF and VT as their first cardiac rhythm; 40% exhibited a PEA rhythm, whereas 15% did not have a rhythm. Similarly, in the current study, the success rate for CPR was about 41% in participants who’s first identified cardiac rhythm following monitoring was VF and VT. Conclusions: The present study is a follow-up epidemiological inquiry into cardiac arrest in this hospital, and it has indicated that previous medical histories were an important factor in CPR results. Furthermore, persons who do not have the underlying condition have a far better probability of surviving. In conclusion, we found that a considerable majority of patients who suffered in-hospital cardiac arrest had poor outcomes. These are caused by the presence in comorbidities.