Study of Survival Rate After Cardiopulmonary Resuscitation (CPR) in Hospitals of Kermanshah in 2013

Abstract

Background:After CPR, the follow-up of survival rate and caused complications are the most important practices of the medical group. This study was performed aimed at determining the follow-up results after CPR in patients of university hospitals in Kermanshah in 2014.Methods:In this prospective study, 320 samples were examined. A purposive sampling method was used, and data was collected using a researcher-made information form with content and face validity and reliability of r= 0.79. Data was analyzed with STATA9 software and statistical tests, including calculation of the success rate, relative risk (RR), chi-square and Fisher at significance level of P < 0.05.Results:The initial success rate of cardiopulmonary resuscitation was equal to 15.3%, while the ultimate success rate (discharged alive from the hospital) was as 10.6%. The six-month success rate after resuscitation was 8.78% than those who were discharged alive. There were no significant statistical differences between different age groups regarding the initial success rate of resuscitation (P = 0.14), and the initial resuscitation success rate was higher in patients in morning shift (P = 0.02).Conclusion:By the results of study, it is recommended to increase the medical - nursing knowledge and techniques for personnel in the evening and night shifts. Also, an appropriate dissemination of health care staff in working shifts should be done to increase the success rate of CPR procedure.

Study of Pre-Hospital Cardio Pulmonary Resuscitation (CPR) Outcomes and Relevant Factors in Ardabil City between 2012 and 2013

“…One study showed that in critical ward, the rate of successful CPR was 3.3% (Jaberi, Changizian, & Mazlomzadeh, 2011;Karetzky, Zubair, & Parikh, 1995) and in other ward, this rate vary from 13% to 33% (Abella et al, 2005;Brindley et al, 2002;Taffet, Teasdale, & Luchi, 1988), also the successful CPR reported from 8% to 16% in some other studies (Karetzky et al, 1995). In Goodarzis study which was conducted in hospital, The ultimate success rate of resuscitation was 10.6%, and at six-month follow-up survey data on patients after discharge, the long-term success rate of the resuscitation was as 8.87% (Goodarzi et al, 2015). As the successful CPR depends on several factors and because of this study carried out in the pre-hospital environment, thus the rate of success can be different in comparison with previous studies that assessed the CPR outcomes in hospital with enough personnel and equipment.…”

“…The successful CPR rate in other studies are as follow: 28.1% in Kermanshah (Saifi et al, 2010b), 29.3% in Shohadaye Haftom Tir, Tehran , 28.4% in selected educational centers of Tehran (Salari & Mohammadnejad, 2010), 19.9% in educational centers of Kashan (Ebell et al, 1998), 32% in Social Security emergency hospitals of Alborz Province (Nasiripour, Masoudi, & Fathi, 2012), 39.7% in Brazil (Moretti et al, 2007), 10.6% in Kermanshah (Goodarzi et al, 2015). One study showed that in critical ward, the rate of successful CPR was 3.3% (Jaberi, Changizian, & Mazlomzadeh, 2011;Karetzky, Zubair, & Parikh, 1995) and in other ward, this rate vary from 13% to 33% (Abella et al, 2005;Brindley et al, 2002;Taffet, Teasdale, & Luchi, 1988), also the successful CPR reported from 8% to 16% in some other studies (Karetzky et al, 1995).…”

“…The likelihood of successful CPR in the out-of-hospital depends on many factors. According to studies, the rate of success depends on the first recorded rhythm of patient, the duration of resuscitation, the interval between collapse and starting resuscitation and the interval between collapse and the first electric shock (Franek et al, 2010;Goodarzi et al, 2015). Furthermore, the studies showed that the success rate of CPR can vary according to underlying reasons, for instance patient age, underlying diseases, the interval time between cardiopulmonary arrest and starting the resuscitation (Goodarzi et al, 2015) and the preparation of resuscitation team are the factors associated with a successful resuscitation .…”

“…According to studies, the rate of success depends on the first recorded rhythm of patient, the duration of resuscitation, the interval between collapse and starting resuscitation and the interval between collapse and the first electric shock (Franek et al, 2010;Goodarzi et al, 2015). Furthermore, the studies showed that the success rate of CPR can vary according to underlying reasons, for instance patient age, underlying diseases, the interval time between cardiopulmonary arrest and starting the resuscitation (Goodarzi et al, 2015) and the preparation of resuscitation team are the factors associated with a successful resuscitation . Because of the CPR process had critical role to resuscitate patient life and the several factors could be associated with the successful CPR, and also with regarding to the absence of coherent studies in pre-hospital condition in Iran, this study was conducted with the aime of assessing outcomes of CPR in pre-hospital in Ardebil city between 2012 and 2013.…”

Outcomes of cardiopulmonary resuscitation in the emergency department

“…We believe that this may have a great effect on the final result. For example, Goodarzi et al (19) studied the survival rate of CPR for 6 months and found that the survival rate decreased from 15.3% to 8.78%. This study has some limitations.…”