Abstract
Background: Cardiopulmonary Resuscitation (CPR) details of 1350 patients from an Intensive Care Unit, tertiary care hospital with 1500 bed capacity in Riyadh, Kingdom of Saudi Arabia was analysed. Objectives: (1) To determine the initial success rate of Cardiopulmonary Resuscitation in ICU and (2) To associate factors of Cardiopulmonary Resuscitation with initial success rate in ICU. Methods: A Retrospective descriptive study with the Data retrieved from Cardiopulmonary Resuscitation charts of adult patients who had cardiac arrest during their stay in ICU between Jan 1, 2013 till Dec 31, 2015. Results: The overall initial success rate of Cardiopulmonary Resuscitation in adult patients was 30.5%. For adult group (18-65 years) it was found to be 30.4% and for geriatrics (more than 65 years) it was found to be 30.6%. The factors: Age, Gender, weight, time of arrest, did not show any statistical significant association with the outcome. Initial monitored rhythm showed significant association in the survival status with χ2=34.9 (P=0.000) for adults & χ2=56.8 (P=0.000) for geriatrics and Total duration of Cardiopulmonary Resuscitation showed significant difference in the survival with t (778)=21.4 (P=0.000) for adults and t (568)=12.57 (P=0.000) for geriatrics. Conclusion: The overall initial success rate of Cardiopulmonary Resuscitation among adult patients in intensive care unit was 30.5% and there existed an insignificant difference in the total duration of Cardiopulmonary Resuscitation between males and females.
Highlights
In 2000 the American Heart Association (AHA) created the National Registry of Cardiopulmonary Resuscitation (NRCPR) as an evidence-based hospital safety program that provides data derived from a multi observational sites [1]
It was noticed that different instruments or indicators were used to study CPR outcome
Because of lack of a tracking system to follow up discharged cases out of Intensive Care Unit (ICU), the use of Cerebral Performance Category (CPC) score to measure the success rate for CPR in our institution was not possible
Summary
The overall initial success rate of Cardiopulmonary Resuscitation in adult patients was 30.5%. For adult group (18-65 years) it was found to be 30.4% and for geriatrics (more than 65 years) it was found to be 30.6%. The factors: Age, Gender, weight, time of arrest, did not show any statistical significant association with the outcome. Initial monitored rhythm showed significant association in the survival status with χ2=34.9 (P=0.000) for adults & χ2=56.8 (P=0.000) for geriatrics and Total duration of Cardiopulmonary Resuscitation showed significant difference in the survival with t (778)=21.4 (P=0.000) for adults and t (568)=12.57 (P=0.000) for geriatrics
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