Cardiopulmonary resuscitation of adults in the hospital: A report of 14 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation

Peberdy, Mary Ann; Kaye, William; Ornato, Joseph P.; Larkin, Gregory Luke; Nadkarni, Vinay; Mancini, Mary E.; Berg, Robert A.; Nichol, Graham; Lane-Trultt, Tanya

doi:10.1016/s0300-9572(03)00215-6

Cited by 1,096 publications

(787 citation statements)

References 59 publications

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“…When compared to previously published CPR survival rates (<20%), our E-CPR survival rate demonstrated reasonable recovery for arrested patients [2,4].…”

Section: Discussionsupporting

confidence: 52%

See 1 more Smart Citation

Saving life and brain with extracorporeal cardiopulmonary resuscitation: A single-center analysis of in-hospital cardiac arrests

Peigh

Cavarocchi

Hirose

2015

The Journal of Thoracic and Cardiovascular Surgery

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“…When compared to previously published CPR survival rates (<20%), our E-CPR survival rate demonstrated reasonable recovery for arrested patients [2,4].…”

Section: Discussionsupporting

confidence: 52%

“…Even when CPR takes place in hospital setting, the overall survival rates are not encouraging. It is reported that <50% of patients survive CPR [2][3][4], while < 20% of patients survive to discharge [2,4]. These results suggest that when traditional CPR is not effective, alternate means of resuscitation are necessary.…”

Section: Introductionmentioning

confidence: 99%

Saving life and brain with extracorporeal cardiopulmonary resuscitation: A single-center analysis of in-hospital cardiac arrests

Peigh

Cavarocchi

Hirose

2015

The Journal of Thoracic and Cardiovascular Surgery

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“…The data on survival rate to hospital discharge for patients with in-hospital cardiac arrest in the United States of America has been documented by the National Cardiopulmonary Resuscitation Registry as 17%. 14 The better incidence of discharge in our study may be due to the fact that it was a prerequisite for all the doctors and nurses in providing basic life support prior to their appointment. Nearly every patient received endotracheal intubation.…”

Section: Discussionmentioning

confidence: 69%

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Chakravarthy

Mitra

Nonis

2012

Indian Heart Journal

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Objective: Cardiac arrest in the hospital wards may not receive as much attention as it does in the operation theatre and intensive care unit (ICU). The experience and the qualifications of personnel in the ward may not be comparable to those in the other vital areas of the hospital. The outcome of cardiac arrest from the ward areas is a reasonable surrogate of training of the ward nurses and technicians in cardiopulmonary resuscitation. We conducted an audit to assess the issues surrounding the resuscitation of cardiac arrest in areas other than operation theatre and ICU in a tertiary referral hospital. Aims of the audit:To assess the outcomes of cardiac arrest in a tertiary referral hospital. Areas such as wards, dialysis room and emergency room were considered for the audit.Methods: This is a retrospective observational audit of the case records of all the adult patients who were resuscitated from 'code blue'. Data for 2 years from 2007 was analysed by a research fellow unconnected with the resuscitations.Results: Twenty-two thousand three hundred and forty-four patients were admitted as in-patients to the hospital during the 2 years, starting May 2007 through May 2009. One hundred code blue calls were received during this time. Twenty-two of the total calls received were false. Among the 78 confirmed cardiac arrests 69 occurred in the wards, 2 in emergency room, 1 in cardiac catheterisation laboratory and 3 in dialysis room. Twenty-eight patients were declared dead after unsuccessful cardiopulmonary resuscitation. Among the 50 who were resuscitated with a return of spontaneous rhythm 26 died. Twenty-four patients were discharged (survival rate of 30%). The survival decreased significantly as the age progressed beyond 60. The resuscitation rates were better in day shifts in contrast to the night. Higher survival was noted in patients who received resuscitation in less than a minute. Conclusion:A overall survival to discharge rate of 30% was noted in this audit. Higher survival rates might be attributable to high rate and degree of training at the time of their employment, which was repeated at yearly interval.

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“…Another review of 14,720 all-cause cardiac arrests revealed that the probability of survival decreases rapidly if CPR lasts longer than ten minutes. 7 It is important to accentuate that cases of perioperative cardiac arrest are underrepresented in this series. For CPR in critical care units, a more recent study reports a 26.7% survival to discharge, with mortality increasing with duration of CPR and only one-third of patients surviving CPR which lasted more than 45 min.…”

Section: Discussionmentioning

confidence: 99%

Cardiac arrest in the operating room requiring prolonged resuscitation

Charapov

Eipe

2012

Can J Anesth/J Can Anesth

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Cardiopulmonary resuscitation of adults in the hospital: A report of 14 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation

Cited by 1,096 publications

References 59 publications

Saving life and brain with extracorporeal cardiopulmonary resuscitation: A single-center analysis of in-hospital cardiac arrests

Saving life and brain with extracorporeal cardiopulmonary resuscitation: A single-center analysis of in-hospital cardiac arrests

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Cardiac arrest in the operating room requiring prolonged resuscitation

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