SURVIVAL AFTER CARDIOPULMONARY RESUSCITATION AND FACTORS INFLUENCING IT IN THE EMERGENCY DEPARTMENT OF A TERTIARY CARE HOSPITAL IN BANGALORE, INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 3
Abstract
PURPOSE Sudden Cardiac Arrest (SCA) is a major cause of mortality and morbidity in the emergency department. Cardiopulmonary resuscitation by trained providers in a case of cardiac arrest has been proven to have survival benefit across the world. Many studies have been done regarding predictors of survival outcomes in SCA yet little data exists from India The objective of this study was to evaluate the related factors, outcome, and survival rate in patients with cardiac arrest who received Cardiopulmonary Resuscitation (CPR) at the Emergency Medicine Department of a tertiary care centre in India. METHODS This retrospective cohort study included all patients who were older than 15 years with sudden cardiac arrest and who were resuscitated in the emergency room between January 2014 and June 2014. STATA 11 analytical software was used to analyse factors that related to the sustained Return of Spontaneous Circulation (ROSC) and survival at discharge. RESULTS There were 41 patients enrolled. The overall sustained ROSC rate was 56.1% and the survival rate at discharge was 14.63%. Statistically significant factor related to sustained ROSC was younger age of the patient. Those requiring a lesser duration of CPR were found to be more likely to survive. In out-of-hospital cardiac arrests, bystander initiated CPR was not documented in a single case. CONCLUSION Factors associated with sustained ROSC were age of the patient and the duration of CPR. Recruitment of a larger sample size should continue so that more accurate findings are obtained. Basic Life Support training so that more bystanders initiate CPR at the site of an SCA is a pressing need in India
Authors and Affiliations
Alan de Pereira, Girish , Shakuntala
Keywords
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- EP ID EP112520
- DOI 10.14260/jemds/2016/40
- Views 99
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