A retrospective study of physiological observation-reporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income country
<h4>Background and Aims</h4> <p>In Sri Lanka, as in most low‑to‑middle‑income countries (LMICs), early warning systems (EWSs) are not in use. Understanding observation‑reporting practices and response to deterioration is a necessary step in evaluating the feasibility of EWS implem...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
MedKnow Publications
2017
|
| _version_ | 1826264863153848320 |
|---|---|
| author | De Silva, A Sujeewa, J De Silva, N Rathnayake, R Vithanage, L Sigera, P Munasinghe, S Beane, A Stephens, T Athapattu, P Jayasinghe, K Dondorp, A Haniffa, M |
| author_facet | De Silva, A Sujeewa, J De Silva, N Rathnayake, R Vithanage, L Sigera, P Munasinghe, S Beane, A Stephens, T Athapattu, P Jayasinghe, K Dondorp, A Haniffa, M |
| author_sort | De Silva, A |
| collection | OXFORD |
| description | <h4>Background and Aims</h4> <p>In Sri Lanka, as in most low‑to‑middle‑income countries (LMICs), early warning systems (EWSs) are not in use. Understanding observation‑reporting practices and response to deterioration is a necessary step in evaluating the feasibility of EWS implementation in a LMIC setting. This study describes the practices of observation reporting and the recognition and response to presumed cardiopulmonary arrest in a LMIC.</p> <h4>Patients and Methods</h4> <p>This retrospective study was carried out at District General Hospital Monaragala, Sri Lanka. One hundred and fifty adult patients who had cardiac arrests and were reported to a nurse responder were included in the study.</p> <h4>Results</h4> <p>Availability of six parameters (excluding mentation) was significantly higher at admission (P < 0.05) than at 24 and 48 h prior to cardiac arrest. Patients had a 49.3% immediate return of spontaneous circulation (ROSC) and 35.3% survival to hospital discharge. Nearly 48.6% of patients who had ROSC did not receive postarrest intensive care. Intubation was performed in 46 (62.2%) patients who went on to have ROSC compared with 28 (36.8%) with no ROSC (P < 0.05). Defibrillation, performed in eight (10.8%) patients who had ROSC and eight (10.5%) in whom did not, was statistically insignificant (P = 0.995).</p> <h4>Conclusions</h4> <p>Observations commonly used to detect deterioration are poorly reported, and reporting practices would need to be improved prior to EWS implementation. These findings reinforce the need for training in acute care and resuscitation skills for health‑care teams in LMIC settings as part of a program of improving recognition and response to acute deterioration.</p> |
| first_indexed | 2024-03-06T20:14:40Z |
| format | Journal article |
| id | oxford-uuid:2bbd965b-40f1-41a8-81a4-8ab993443689 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T20:14:40Z |
| publishDate | 2017 |
| publisher | MedKnow Publications |
| record_format | dspace |
| spelling | oxford-uuid:2bbd965b-40f1-41a8-81a4-8ab9934436892022-03-26T12:32:51ZA retrospective study of physiological observation-reporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income countryJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2bbd965b-40f1-41a8-81a4-8ab993443689EnglishSymplectic Elements at OxfordMedKnow Publications2017De Silva, ASujeewa, JDe Silva, NRathnayake, RVithanage, LSigera, PMunasinghe, SBeane, AStephens, TAthapattu, PJayasinghe, KDondorp, AHaniffa, M <h4>Background and Aims</h4> <p>In Sri Lanka, as in most low‑to‑middle‑income countries (LMICs), early warning systems (EWSs) are not in use. Understanding observation‑reporting practices and response to deterioration is a necessary step in evaluating the feasibility of EWS implementation in a LMIC setting. This study describes the practices of observation reporting and the recognition and response to presumed cardiopulmonary arrest in a LMIC.</p> <h4>Patients and Methods</h4> <p>This retrospective study was carried out at District General Hospital Monaragala, Sri Lanka. One hundred and fifty adult patients who had cardiac arrests and were reported to a nurse responder were included in the study.</p> <h4>Results</h4> <p>Availability of six parameters (excluding mentation) was significantly higher at admission (P < 0.05) than at 24 and 48 h prior to cardiac arrest. Patients had a 49.3% immediate return of spontaneous circulation (ROSC) and 35.3% survival to hospital discharge. Nearly 48.6% of patients who had ROSC did not receive postarrest intensive care. Intubation was performed in 46 (62.2%) patients who went on to have ROSC compared with 28 (36.8%) with no ROSC (P < 0.05). Defibrillation, performed in eight (10.8%) patients who had ROSC and eight (10.5%) in whom did not, was statistically insignificant (P = 0.995).</p> <h4>Conclusions</h4> <p>Observations commonly used to detect deterioration are poorly reported, and reporting practices would need to be improved prior to EWS implementation. These findings reinforce the need for training in acute care and resuscitation skills for health‑care teams in LMIC settings as part of a program of improving recognition and response to acute deterioration.</p> |
| spellingShingle | De Silva, A Sujeewa, J De Silva, N Rathnayake, R Vithanage, L Sigera, P Munasinghe, S Beane, A Stephens, T Athapattu, P Jayasinghe, K Dondorp, A Haniffa, M A retrospective study of physiological observation-reporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income country |
| title | A retrospective study of physiological observation-reporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income country |
| title_full | A retrospective study of physiological observation-reporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income country |
| title_fullStr | A retrospective study of physiological observation-reporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income country |
| title_full_unstemmed | A retrospective study of physiological observation-reporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income country |
| title_short | A retrospective study of physiological observation-reporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income country |
| title_sort | retrospective study of physiological observation reporting practices and the recognition response and outcomes following cardiopulmonary arrest in a low to middle income country |
| work_keys_str_mv | AT desilvaa aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT sujeewaj aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT desilvan aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT rathnayaker aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT vithanagel aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT sigerap aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT munasinghes aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT beanea aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT stephenst aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT athapattup aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT jayasinghek aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT dondorpa aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT haniffam aretrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT desilvaa retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT sujeewaj retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT desilvan retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT rathnayaker retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT vithanagel retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT sigerap retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT munasinghes retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT beanea retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT stephenst retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT athapattup retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT jayasinghek retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT dondorpa retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry AT haniffam retrospectivestudyofphysiologicalobservationreportingpracticesandtherecognitionresponseandoutcomesfollowingcardiopulmonaryarrestinalowtomiddleincomecountry |