ROSC rates and live discharge rates after cardiopulmonary resuscitation by different CPR teams - a retrospective cohort study
Abstract Background Previous studies have reported that the quality of cardiopulmonary resuscitation (CPR) is closely associated with patient outcomes. The aim of this study was to compare patient CPR outcomes across resident, emergency medicine, and rapid response teams. Methods The records of pati...
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | BMC Anesthesiology |
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| Online Access: | http://link.springer.com/article/10.1186/s12871-017-0457-5 |
| _version_ | 1818528746118840320 |
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| author | Tak Kyu Oh Young Mi Park Sang-Hwan Do Jung-Won Hwang In-Ae Song |
| author_facet | Tak Kyu Oh Young Mi Park Sang-Hwan Do Jung-Won Hwang In-Ae Song |
| author_sort | Tak Kyu Oh |
| collection | DOAJ |
| description | Abstract Background Previous studies have reported that the quality of cardiopulmonary resuscitation (CPR) is closely associated with patient outcomes. The aim of this study was to compare patient CPR outcomes across resident, emergency medicine, and rapid response teams. Methods The records of patients who underwent CPR at the Seoul National University Bundang Hospital from January 1, 2013 to December 31, 2016 were analyzed retrospectively. Return of spontaneous circulation, 10- and 30-day survival, and live discharge after return of spontaneous circulation were compared across patients treated by the three CPR teams. Results Of the 1145 CPR cases, 444 (39%) were conducted by the resident team, 431 (38%) by the rapid response team, and 270 (23%) by the emergency medicine team. The adjusted odds ratios for the return of spontaneous circulation and subsequent 10-day survival among patients who received CPR from the resident team compared to the rapid response team were 0.59 (P = 0.001) and 0.71 (P = 0.037), respectively. There were no significant differences in the 30-day survival and rate of live discharge between patients who received CPR from the rapid response and resident teams; likewise, no significant differences were observed between patients who received CPR from the emergency medicine and rapid response teams. Conclusions Patients receiving CPR from the rapid response team may have higher 10-day survival and return of spontaneous circulation rates than those who receive CPR from the resident team. However, our results are limited by the differences in approach, time of CPR, and room settings between teams. |
| first_indexed | 2024-12-11T06:54:00Z |
| format | Article |
| id | doaj.art-04e6a3fc6a6c461babf87fada4c3d5b1 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-11T06:54:00Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-04e6a3fc6a6c461babf87fada4c3d5b12022-12-22T01:16:48ZengBMCBMC Anesthesiology1471-22532017-12-011711910.1186/s12871-017-0457-5ROSC rates and live discharge rates after cardiopulmonary resuscitation by different CPR teams - a retrospective cohort studyTak Kyu Oh0Young Mi Park1Sang-Hwan Do2Jung-Won Hwang3In-Ae Song4Interdepartment of Critical Care Medicine, Seoul National University Bundang HospitalMedical Research Collaborating Center, Seoul National University Bundang HospitalInterdepartment of Critical Care Medicine, Seoul National University Bundang HospitalInterdepartment of Critical Care Medicine, Seoul National University Bundang HospitalInterdepartment of Critical Care Medicine, Seoul National University Bundang HospitalAbstract Background Previous studies have reported that the quality of cardiopulmonary resuscitation (CPR) is closely associated with patient outcomes. The aim of this study was to compare patient CPR outcomes across resident, emergency medicine, and rapid response teams. Methods The records of patients who underwent CPR at the Seoul National University Bundang Hospital from January 1, 2013 to December 31, 2016 were analyzed retrospectively. Return of spontaneous circulation, 10- and 30-day survival, and live discharge after return of spontaneous circulation were compared across patients treated by the three CPR teams. Results Of the 1145 CPR cases, 444 (39%) were conducted by the resident team, 431 (38%) by the rapid response team, and 270 (23%) by the emergency medicine team. The adjusted odds ratios for the return of spontaneous circulation and subsequent 10-day survival among patients who received CPR from the resident team compared to the rapid response team were 0.59 (P = 0.001) and 0.71 (P = 0.037), respectively. There were no significant differences in the 30-day survival and rate of live discharge between patients who received CPR from the rapid response and resident teams; likewise, no significant differences were observed between patients who received CPR from the emergency medicine and rapid response teams. Conclusions Patients receiving CPR from the rapid response team may have higher 10-day survival and return of spontaneous circulation rates than those who receive CPR from the resident team. However, our results are limited by the differences in approach, time of CPR, and room settings between teams.http://link.springer.com/article/10.1186/s12871-017-0457-5HospitalResuscitationIntensive care |
| spellingShingle | Tak Kyu Oh Young Mi Park Sang-Hwan Do Jung-Won Hwang In-Ae Song ROSC rates and live discharge rates after cardiopulmonary resuscitation by different CPR teams - a retrospective cohort study BMC Anesthesiology Hospital Resuscitation Intensive care |
| title | ROSC rates and live discharge rates after cardiopulmonary resuscitation by different CPR teams - a retrospective cohort study |
| title_full | ROSC rates and live discharge rates after cardiopulmonary resuscitation by different CPR teams - a retrospective cohort study |
| title_fullStr | ROSC rates and live discharge rates after cardiopulmonary resuscitation by different CPR teams - a retrospective cohort study |
| title_full_unstemmed | ROSC rates and live discharge rates after cardiopulmonary resuscitation by different CPR teams - a retrospective cohort study |
| title_short | ROSC rates and live discharge rates after cardiopulmonary resuscitation by different CPR teams - a retrospective cohort study |
| title_sort | rosc rates and live discharge rates after cardiopulmonary resuscitation by different cpr teams a retrospective cohort study |
| topic | Hospital Resuscitation Intensive care |
| url | http://link.springer.com/article/10.1186/s12871-017-0457-5 |
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