DOI: 10.5176/2382-5669_CCMR13.32
Authors: Jerelyn Adviento MD, Helen Mendoza MD, Jasmin Ortiz MD, Maria Luz Soria MD
Abstract:
This single-center retrospective study aims aims to describe the characteristics and outcomes of Adult In-hospital cardiopulmonary arrests in Manila Doctors Hospital (MDH) from January, 2006 to October, 2010 in terms of clinical, event, and outcome variables, to determine the variables associated with survival, and to recommend improvements in the resuscitation protocol. All adult Cardiac arrests patients as identified through the central–paging, and attended by the Code Team were included. Clinical, event and outcome variables were summarized using the Utstein template. 350 adult in-hospital cardiac arrests were included. Mean age was 64 years, 55{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} males, 90{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} occurred at the wards. Mean code duration was 30.7 minutes. Survival after initial arrests was 22{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}, only 3.7{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} were discharged alive. Survival was significantly associated with early code team arrival (P=0.007), faster rhythm recognition (P=0.035), early response time from collapse to CPR in minutes(P=0.003), and collapse to intubation in minutes (P=0.006). This study emphasized the need for reorientation of the hospital’s code team, and maintenance of sufficient ACLS drugs and equipments. We recommend better post-arrest care to improve survival from initial resuscitation success.
Keywords: cardiac arrest, advanced cardiac life support, resuscitation outcomes
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