Journal article
Cardiopulmonary resuscitation: outcome and its predictors among hospitalized adult patients in Pakistan
International journal of emergency medicine, Vol.1(1), pp.27-34
04/2008
DOI: 10.1007/s12245-008-0016-4
PMCID: PMC2536179
PMID: 19384498
Abstract
Introduction: Our aim was to study the outcomes and predictors of in-hospital cardiopulmonary resuscitation (CPR) among adult patients at a tertiary care centre in Pakistan.
Methods: We conducted a retrospective chart review of all adult patients (age > or =14 years), who underwent CPR following cardiac arrest, in a tertiary care hospital during a 5-year study period (June 1998 to June 2003). We excluded patients aged 14 years or less, those who were declared dead on arrival and patients with a "do not resuscitate" order. The 1- and 6-month follow-ups of discharged patients were also recorded.
Results: We found 383 cases of adult in-hospital cardiac arrest that underwent CPR. Pulseless electrical activity was the most common initial rhythm (50%), followed by asystole (30%) and ventricular tachycardia/fibrillation (19%). Return of spontaneous circulation was achieved in 72% of patients with 42% surviving more than 24 h, and 19% survived to discharge from hospital. On follow-up, 14% and 12% were found to be alive at 1 and 6 months, respectively. Multivariable logistic regression identified three independent predictors of better outcome (survival >24 h): non-intubated status [adjusted odds ratio (aOR): 3.1, 95% confidence interval (CI): 1.6-6.0], location of cardiac arrest in emergency department (aOR: 18.9, 95% CI: 7.0-51.0) and shorter duration of CPR (aOR: 3.3, 95% CI: 1.9-5.5).
Conclusion: Outcome of CPR following in-hospital cardiac arrest in our setting is better than described in other series. Non-intubated status before arrest, cardiac arrest in the emergency department and shorter duration of CPR were independent predictors of good outcome.
Details
- Title: Subtitle
- Cardiopulmonary resuscitation: outcome and its predictors among hospitalized adult patients in Pakistan
- Creators
- Nadeem Ullah Khan - Section of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800 PakistanJunaid A Razzak - Section of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800 PakistanHumaid Ahmed - Section of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800 PakistanMuhammad Furqan - Section of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800 PakistanAli Faisal Saleem - Section of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800 PakistanHammad Alam - Section of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800 PakistanAnwar ul Huda - Section of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800 PakistanUzma Rahim Khan - Section of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800 PakistanRifat Rehmani - Section of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800 Pakistan
- Resource Type
- Journal article
- Publication Details
- International journal of emergency medicine, Vol.1(1), pp.27-34
- DOI
- 10.1007/s12245-008-0016-4
- PMID
- 19384498
- PMCID
- PMC2536179
- NLM abbreviation
- Int J Emerg Med
- ISSN
- 1865-1372
- eISSN
- 1865-1380
- Publisher
- Springer-Verlag
- Language
- English
- Date published
- 04/2008
- Academic Unit
- Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
- Record Identifier
- 9984094394802771
Metrics
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