بررسي پيامد احياي قلبي-ريوي و مغزي انجام شده در دپارتمان اورژانس بيمارستان حضرت رسول اكرم (ص) از تيرماه 1382 لغايت پايان ارديبهشت ماه 1383

Evaluation of cardiopulmonary and cerebral resuscitation (cpcr) Outcome in Emergency

Background & Aim: CPR can prevent 25% of deaths especially in out-of-hospital cases. Cases with cardiopulmonary arrest are usually studied from epidemiological aspects. The outcome of this study would be helpful for emergency department and emergency medical services managements. Patients & Methods: In this observational cross-sectional study, 195 patients admitted to emergency department of Rasoul-e-Akram Hospital during 9 months were included. Age, sex, time, place, cause and witness of arrest, BLS/ALS, intubation, transportation vehicle, CPR outcome and final status of patients were gathered in a data registration form. Results: The mean (±SEM) age was 59.43±1.4, and there was a significant difference in mean age between males and females(P=0.003). 41.5% of cases arrested in ED, 14.9% had no witness, 59.4% were transported to hospital by ambulance, 53.3% received no life support before arrival and 13.3% had been intubated out of hospital. The first rhythm checked in ED was Asistol in 73.3%. Cardiovascular problems consisted 42.1% of causes. There was a significant difference in cause between age groups(P=0.000). 59.5% of CPRs were successful. There was no significant difference in sex(P=0.199) and age groups(P=0.746) and different cause categories. Age(P=0.07), sex, time, place, cause of arrest, being witnessed, Bl_S/Al_S, intubation(P=0.76), and transportation vehicle had no effects on patients7 final status. CPR outcome(P=0.000) and the cause of arrest(P=0.009) affected the final status of patients. Conclusion: CPRs were successful in the majority of cases. However, the overal prognosis was poor. The main determining factor of final status was the cause of arrest.