Are We Successful in Cardiopulmonary Resuscitation?

Purpose: In this study, we aimed to determine the success rate of cardiopulmonary resuscitation performed in the patients with diagnosis of cardiac arrest, and demographic characteristics of these patients. Material and Methods: The patients admitted to Adana Numune Education and Research Hospital,...

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Main Authors: Nalan Kozaci, Mehmet Oguzhan Ay, Ferhat Icme, Abdulkadir Akturk, Salim Satar
Format: Article
Language:English
Published: Cukurova University 2013-08-01
Series:Çukurova Üniversitesi Tıp Fakültesi Dergisi
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=32637
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author Nalan Kozaci
Mehmet Oguzhan Ay
Ferhat Icme
Abdulkadir Akturk
Salim Satar
author_facet Nalan Kozaci
Mehmet Oguzhan Ay
Ferhat Icme
Abdulkadir Akturk
Salim Satar
author_sort Nalan Kozaci
collection DOAJ
description Purpose: In this study, we aimed to determine the success rate of cardiopulmonary resuscitation performed in the patients with diagnosis of cardiac arrest, and demographic characteristics of these patients. Material and Methods: The patients admitted to Adana Numune Education and Research Hospital, Department of Emergency Medicine between 01.01.2011 and 31.12.2012, and who underwent cardiopulmonary resuscitation were included to this study planned as retrospectively. The age, gender, status of judicial cases, causes and time of cardiac arrest, first observed arrest rhythm, the diseases prior to the arrest, means of arrival to emergency department, duration of cardiopulmonary resuscitation, results of cardiopulmonary resuscitation, the name of the hospitalised clinic, the existence of the operation, and outcome of the patients who underwent cardiopulmonary resuscitation in accordance with current advanced life support protocols were recorded in standard data entry form. Results: A total of 290 patients with completely accessible data were included to the study. Most of these patients were men (65.2%). The mean ages were 61 ± 19 years for men, 67 ± 14 years for women (p = 0.018). The most common diagnosis were ischemic heart disease and heart failure according to the analysis of the patient's medical history. 92 patients (31.7%) were brought to the emergency department after death, and all of these patients were unsuccessful following to cardiopulmonary resuscitation. 198 patients (68.3%) had cardiac arrest in the emergency department, and we determined that cardiopulmonary resuscitation application of 102 patients were successful. The most common causes of cardiac arrest were myocardial infarction and heart failure. Mostly first observed rhythm in the monitor was asystole. The response rate of cardiopulmonary resuscitation in patients with ventricular fibrillation and ventricular tachycardia was higher. Most patients were hospitalised to the coronary intensive care unit, and 11 of the 21 patients who underwent percutaneous coronary intervention were discharged from hospital in good health. Total 15 (5%) of all patients included to the study were discharged in good health. Conclusion: The lower rate of success in cardiopulmonary resuscitation showed the presence of defects in all stages of the chain of life, and suggests that some actions should be performed to correct them. [Cukurova Med J 2013; 38(4.000): 601-609]
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spelling doaj.art-da79f60eefe044f4bb78af5ef4c211752023-02-15T16:20:45ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502013-08-01384601609Are We Successful in Cardiopulmonary Resuscitation?Nalan KozaciMehmet Oguzhan AyFerhat IcmeAbdulkadir AkturkSalim SatarPurpose: In this study, we aimed to determine the success rate of cardiopulmonary resuscitation performed in the patients with diagnosis of cardiac arrest, and demographic characteristics of these patients. Material and Methods: The patients admitted to Adana Numune Education and Research Hospital, Department of Emergency Medicine between 01.01.2011 and 31.12.2012, and who underwent cardiopulmonary resuscitation were included to this study planned as retrospectively. The age, gender, status of judicial cases, causes and time of cardiac arrest, first observed arrest rhythm, the diseases prior to the arrest, means of arrival to emergency department, duration of cardiopulmonary resuscitation, results of cardiopulmonary resuscitation, the name of the hospitalised clinic, the existence of the operation, and outcome of the patients who underwent cardiopulmonary resuscitation in accordance with current advanced life support protocols were recorded in standard data entry form. Results: A total of 290 patients with completely accessible data were included to the study. Most of these patients were men (65.2%). The mean ages were 61 ± 19 years for men, 67 ± 14 years for women (p = 0.018). The most common diagnosis were ischemic heart disease and heart failure according to the analysis of the patient's medical history. 92 patients (31.7%) were brought to the emergency department after death, and all of these patients were unsuccessful following to cardiopulmonary resuscitation. 198 patients (68.3%) had cardiac arrest in the emergency department, and we determined that cardiopulmonary resuscitation application of 102 patients were successful. The most common causes of cardiac arrest were myocardial infarction and heart failure. Mostly first observed rhythm in the monitor was asystole. The response rate of cardiopulmonary resuscitation in patients with ventricular fibrillation and ventricular tachycardia was higher. Most patients were hospitalised to the coronary intensive care unit, and 11 of the 21 patients who underwent percutaneous coronary intervention were discharged from hospital in good health. Total 15 (5%) of all patients included to the study were discharged in good health. Conclusion: The lower rate of success in cardiopulmonary resuscitation showed the presence of defects in all stages of the chain of life, and suggests that some actions should be performed to correct them. [Cukurova Med J 2013; 38(4.000): 601-609]http://www.scopemed.org/fulltextpdf.php?mno=32637Cardiac arrestresuscitationemergency
spellingShingle Nalan Kozaci
Mehmet Oguzhan Ay
Ferhat Icme
Abdulkadir Akturk
Salim Satar
Are We Successful in Cardiopulmonary Resuscitation?
Çukurova Üniversitesi Tıp Fakültesi Dergisi
Cardiac arrest
resuscitation
emergency
title Are We Successful in Cardiopulmonary Resuscitation?
title_full Are We Successful in Cardiopulmonary Resuscitation?
title_fullStr Are We Successful in Cardiopulmonary Resuscitation?
title_full_unstemmed Are We Successful in Cardiopulmonary Resuscitation?
title_short Are We Successful in Cardiopulmonary Resuscitation?
title_sort are we successful in cardiopulmonary resuscitation
topic Cardiac arrest
resuscitation
emergency
url http://www.scopemed.org/fulltextpdf.php?mno=32637
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