Improvement in the hospital organisation of CPR training and outcome after cardiac arrest in Sweden during a 10-year period

Aune, Solveig; Eldh, Marianne; Engdahl, Johan; Holmberg, Stig; Lindqvist, Jonny; Svensson, Leif; Oddby, Eva; Herlitz, Johan

doi:10.1016/j.resuscitation.2010.11.021

Cited by 29 publications

(30 citation statements)

References 23 publications

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“…It is reasonable to associate the relatively high survival rate in this study to the high proportions of observed IHCAs and immediately initiated CPR because an association has been well demonstrated between early CPR initiation and a high probability of ROSC. [20][21][22] We find it encouraging that the median delay from arrest to chest compressions was only 1 min, which is relatively fast compared to other studies, including a previous study from the same hospital. [23][24][25][26] Local ward nurses or physicians initiated CPR in >90% episodes.…”

Section: Discussionsupporting

confidence: 51%

Causes of in-hospital cardiac arrest – Incidences and rate of recognition

et al. 2015

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Section: Discussionsupporting

confidence: 51%

Causes of in-hospital cardiac arrest – Incidences and rate of recognition

et al. 2015

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“…Aune et al [4] reported a discharge rate of 29% in hospital cases that applied CPR over a four-year period in Sweden. Bal et al [5] reported that 137 cases were coded, 90 survived, 45 resulted in exitus, and 2 were transferred to Professor Dr. A. İlhan Özdemir State Hospital in Giresun.…”

Section: Discussionmentioning

confidence: 99%

Patient-Staff Safety Applications: The Evaluation of Blue Code Reports

Bayramoğlu¹,

Çakır²,

Aköz³

et al. 2013

EAJM

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Objective: Blue code systems (BCS) are communication systems that ensure the most rapid and effective resuscitation when a patient is in respiratory or cardiac arrest. A hospital employee faced with the situation of a cardiopulmonary arrest (CPA) starts the system by dialing 6666 from any phone in the hospital. We created a five-person team that includes a doctor, nurse, anesthesia technician, stretcher officer and security guard. The purpose of this study is to share our experiences in initiating the use of the BCS in our hospital. Materials and Methods:In our hospital, the records of calls that were made by Callvision BCS were analyzed retrospectively from May 2010 to the end of January 2011.Results: A total of 474 calls were made using the blue code system. Of those calls, 402 (84.5%) were determined to be inappropriate calls. The remaining 72 calls were responded to. Of the 72 patients who were treated, 21 were discharged after they were hospitalized in the service or intensive care unit, 45 cases resulted in exitus, and 5 cases were referred to the Ataturk University faculty of medicine. Conclusion:The BCS has achieved its goal. The discharge rate of 29.5% that we achieved is a successful result.

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“…Even if return of spontaneous circulation (ROSC) is achieved, a high mortality remains in these patients (2). Therefore, optimized post-resuscitation care including targeted temperature management (TTM) for mild hypothermia is crucial for survival as well as neurological outcome (3).…”

Section: Introductionmentioning

confidence: 99%

Therapeutic hypothermia impacts leukocyte kinetics after cardiac arrest

Dufner

André

Stiepak³

et al. 2016

Cardiovasc. Diagn. Ther.

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Background: Patients admitted to the hospital after primarily successful cardiopulmonary resuscitation (CPR) are at a very high risk for neurologic deficits and death. Targeted temperature management (TTM) for mild therapeutic hypothermia has been shown to improve survival compared to standard treatment.Acute cardiovascular events, such as myocardial infarction (MI), are a major cause for cardiac arrest (CA) in patients who undergo CPR. Recent findings have demonstrated the importance and impact of the leukocyte response following acute MI.Methods: In this retrospective, single center study we enrolled 169 patients with CA due to non-traumatic causes and primarily successful CPR. A total of 111 subjects (66%) underwent TTM aiming for a target temperature of 32-34 ℃.Results: Analysis of 30 day follow up showed a significantly improved survival of all patients who received TTM compared to patients without hypothermia (P=0.0001). Furthermore TTM was an independent variable of good neurological outcome after 6 months (P=0.0030). Therapeutic hypothermia was found to be beneficial independent of differences in age and sex between both groups. While a higher rate of pneumonia was observed with TTM, this diagnosis had no additional impact on survival or neurological outcome. The beneficial effect on mortality remained significant in patients with the diagnosis of an acute cardiac event (P=0.0145). Next, we evaluated the kinetics of leukocytes in this group over the course of 7 days after CA.At presentation, patients showed a mean level of 16.5±6.7 of leukocytes per microliter. While this level stayed stable in the group of patients without hypothermia, patients who received TTM showed a significant decline of leukocyte levels resulting in significantly lower numbers of leukocytes on days 3 and 5 after CPR. Interestingly, these differences in leukocyte counts remained beyond the time period of TTM while C-reactive protein (CRP) levels were suppressed only during ongoing cooling, but differences between the groups were diminished after TTM was terminated (from day 3 on, P>0.2). Finally, patients who received TTM and showed a leukocyte count of less than 12.7/μL on day 3 had an improved survival (P=0.0214) and neurological outcome (P=0.0049) compared to patients above that level.Conclusions: Our data underline the beneficial effects of TTM and demonstrate an impact of hypothermia on leukocyte counts after CA.

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Improvement in the hospital organisation of CPR training and outcome after cardiac arrest in Sweden during a 10-year period

Cited by 29 publications

References 23 publications

Causes of in-hospital cardiac arrest – Incidences and rate of recognition

Causes of in-hospital cardiac arrest – Incidences and rate of recognition

Patient-Staff Safety Applications: The Evaluation of Blue Code Reports

Therapeutic hypothermia impacts leukocyte kinetics after cardiac arrest

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