A web-based Utstein style registry system of in-hospital cardiopulmonary resuscitation in Taiwan

Shih, Chung-Liang; Lu, Tsung-Chien; Jerng, Jih-Shuin; Lin, Chung-Chin; Liu, Yueh-Ping; Chen, Wen‐Jone; Lin, Fang‐Yue

doi:10.1016/j.resuscitation.2006.07.020

Cited by 62 publications

(44 citation statements)

References 21 publications

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“…Outcomes from cardiac arrests are better when the first documented rhythm is shockable compared to nonshockable. [17][18][19][20][21][22] Shorter duration of arrest has also been found to increase 24 hour survival and survival to discharge 17,18,20 while patients who are located in a critical care area when they arrest have an improved survival to hospital discharge rate. 17 Although our study identified age as a significant variable for survival to discharge it is considered a controversial prognostic factor.…”

Section: After Implementation Of the Arc 2006 Guidelines Our Results mentioning

confidence: 99%

In-hospital cardiac arrests: effect of amended Australian Resuscitation Council 2006 guidelines

Boyde¹,

Padget²,

Burmeister³

et al. 2013

Aust. Health Review

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link What is known about this topic?The evaluation of outcomes from in-hospital cardiac arrests focuses on immediate survival expressed as ROSC and survival to hospital discharge. These clinical outcomes have not improved substantially over the last two decades. What does this paper add?This paper identifies the factors that are related to ROSC and survival to discharge following the implementation of the ARC 2006 guidelines which included a refocus on providing quality CPR with minimal interruptions. What are the implications for practitioners?Given that multiple factors can influence clinical outcomes following an in-hospital cardiac arrest, focusing on maximising a range of factors surrounding CPR is essential to improve outcomes.

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Section: After Implementation Of the Arc 2006 Guidelines Our Results mentioning

confidence: 99%

In-hospital cardiac arrests: effect of amended Australian Resuscitation Council 2006 guidelines

Boyde¹,

Padget²,

Burmeister³

et al. 2013

Aust. Health Review

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“…Schultz et al 20 described CPR efforts beyond 10 min as one of the poor prognostic factors after IHCA. A more recent study 21 found that the rate of achieving ROSC was >90% among patients resuscitated <10 min compared to approximately 50% for those resuscitated P30 min and the cumulated discharge survival rate was 90% in patients with CPR duration <30 min. They suggested that a shorter CPR duration is a significant predictor of ROSC and STD.…”

Section: Discussionmentioning

confidence: 97%

Quality of cardiopulmonary resuscitation of in-hospital cardiac arrest and its relation to clinical outcome: An Egyptian University Hospital Experience

Taha

Bakhoum

Kasem

et al. 2015

The Egyptian Heart Journal

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Introduction: High quality cardiopulmonary resuscitation (CPR) performed according to international guidelines has a vital impact on survival of cardiac arrest. Objective: To investigate different variables affecting return of spontaneous circulation (ROSC) and survival to discharge (STD) after in-hospital cardiac arrest (IHCA) and evaluate adherence to CPR guidelines using a modified Utstein-style template. Methods: A prospective observational study of 126 IHCA out of 5479 admissions to cardiology units of 3 Cairo University hospitals. Results: CPR was not attempted in 7 futile cases. ROSC was achieved in 50.4%, while STD was achieved in only 7.6% of 119 attempted resuscitations. CPR was started by a physician in 114 cases (95.8%) and by the on duty nurse in only 5 cases. The initial rhythm was shockable rhythm (SR) in 19 cases; 13 (68.4%) of whom achieved ROSC and 6 (31.6%) STD and non SR (pulseless electric This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). activity/asystole) in 100 cases; 47 (47%) of whom achieved ROSC and 3 (3%) STD. Chest compressions were observed appropriate P100/min, P2 inches deep and interrupted <10 s in 99.2%, 92.4% and 48.7% of cases respectively. Initial SR and duration of CPR were independently associated with ROSC (both P = 0.01) and STD (P = 0.008 and 0.02 respectively). A cut-off value for CPR duration of 22.5 min had a sensitivity of 86.7% and a specificity of 81.4% in predicting ROSC by receiver-operator characteristics analysis. Conclusion: The poor STD despite a relatively good ROSC calls for improvement of CPR education and training for hospital personnel and better post CA care.

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“…125 More recently, an analysis from a single-hospital registry in Taiwan suggested that the rate of achieving ROSC was higher than 90% among patients resuscitated for less than 10 minutes but approximately 50% for those resuscitated for 30 minutes or more. 126 Two observational cohort studies of patients with in-hospital arrests from the Get With The Guidelines ® -Resuscitation…”

Section: Duration Of Resuscitationmentioning

confidence: 99%

Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality

Kleinman¹,

Brennan²,

Goldberger³

et al. 2015

Circulation

781

311

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A web-based Utstein style registry system of in-hospital cardiopulmonary resuscitation in Taiwan

Cited by 62 publications

References 21 publications

In-hospital cardiac arrests: effect of amended Australian Resuscitation Council 2006 guidelines

In-hospital cardiac arrests: effect of amended Australian Resuscitation Council 2006 guidelines

Quality of cardiopulmonary resuscitation of in-hospital cardiac arrest and its relation to clinical outcome: An Egyptian University Hospital Experience

Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality

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