Jundishapur Journal of Medical Sciences

Jundishapur Journal of Medical Sciences

Cardiopulmonary Resuscitation Success Rates and Demographic, Clinical and Diagnostic Characteristics of Patients Undergoing Cardiopulmonary Resuscitation

Document Type : Original Article

Authors
Anoosh Barzigar
Zahra Ahmadnia
Arsalan Salari
Jalal Kheirkhah
Seyed Mohammad Naghavi
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
10.32592/JSMJ.23.3.264
Abstract
Background and Objectives Cardiopulmonary arrest is still one of the common causes of sudden death in many countries. This study investigated cardiopulmonary resuscitation success rates and the clinical and diagnostic demographic characteristics of patients undergoing cardiopulmonary resuscitation.
Subjects and Methods A retrospective cross-sectional study was conducted to examine the records of all patients who experienced cardiac arrest and received cardiopulmonary resuscitation (CPR) at Dr. Heshmat Rasht Hospital between April 2013 and March 2013. Data on patient demographics, comorbidities, factors during cardiac arrest, and CPR outcomes were collected for analysis.
Results In this study, 77 cardiac patients undergoing CPR were included, of whom 61% were male. The average age of patients was 66.49 years with a standard deviation of 17.34 years. Hypertension and diabetes were prevalent among the patient population, affecting 35.8% and 32.1% of individuals, respectively. The majority of cardiac arrests occurred within the hospital setting between 6 AM and 12 AM. Cardiac infarction was identified as the primary cause of cardiac arrest in 41.6% of cases. Overall, the success rate of cardiopulmonary resuscitation was 14.3%.
Conclusion The results of this study showed that identifying demographic, clinical, and diagnostic risk factors associated with cardiopulmonary resuscitation (CPR) can facilitate the implementation of timely and appropriate interventions to improve patient outcomes.
Keywords
Cardiopulmonary resuscitation
Cardiac patients
Cardiac arrest
Subjects

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    • Cheskes S, Byers A, Zhan C, Verbeek PR, Ko D, Drennan IR, Buick JE, Brooks SC, Lin S, Taher A, Morrison LJ. CPR quality during out-of-hospital cardiac arrest transport. Resuscitation. 2017 May 1;114:34-9. [1016/j.resuscitation.2017.02.016] [PMID]
    • Faghihi A, Naderi Z, Keshtkar MM, Nikrouz L, Bijani M. A comparison between the effects of simulation of basic CPR training and workshops on firefighters’ knowledge and skills: experimental study. BMC Medical Education. 2024 Feb 23;24(1):178. [1186/s12909-024-05165-z ] [PMID]
    • Lott C, Truhlář A, Alfonzo A, Barelli A, González-Salvado V, Hinkelbein J, Nolan JP, Paal P, Perkins GD, Thies KC, Yeung J. European Resuscitation Council Guidelines 2021: cardiac arrest in special circumstances. Resuscitation. 2021 Apr 1;161:152-219.
    • Kauppila, J., Sudden cardiac arrest in nonischemic heart disease: role of medication, substance abuse and initial rhythm. 2023.
    • Matsuura TR, Bartos JA, Tsangaris A, Shekar KC, Olson MD, Riess ML, Bienengraeber M, Aufderheide TP, Neumar RW, Rees JN, McKnite SH. Early effects of prolonged cardiac arrest and ischemic postconditioning during cardiopulmonary resuscitation on cardiac and brain mitochondrial function in pigs. Resuscitation. 2017 Jul 1;116:8-15.[1016/j.
      resuscitation.2017.03.033      ] [PMID]
    • Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease in Iran in the last 40 years: prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Archives of Iranian medicine. 2019 Apr 1;22(4):204-10.[PMID]
    • Chen M, Wang Y, Li X, Hou L, Wang Y, Liu J, Han F. Public knowledge and attitudes towards bystander cardiopulmonary resuscitation in China. BioMed research international. 2017;2017(1):3250485.[1155/2017/3250485] [PMID]
    • Anto-Ocrah M, Maxwell N, Cushman J, Acheampong E, Kodam RS, Homan C, Li T. Public knowledge and attitudes towards bystander cardiopulmonary resuscitation (CPR) in Ghana, West Africa. International Journal of Emergency Medicine. 2020 Dec;13:1-2.[1186/s12245-020-00286-w] [PMID]
    • Gravesteijn BY, Schluep M, Disli M, Garkhail P, Dos Reis Miranda D, Stolker RJ, Endeman H, Hoeks SE. Neurological outcome after extracorporeal cardiopulmonary resuscitation for in-hospital cardiac arrest: a systematic review and meta-analysis. Critical Care. 2020 Dec;24:1-2.[1186/s13054-020-03201-0] [PMID]
    • Miraglia D, Miguel LA, Alonso W. Long-term neurologically intact survival after extracorporeal cardiopulmonary resuscitation for in-hospital or out-of-hospital cardiac arrest: a systematic review and meta-analysis. Resuscitation Plus. 2020 Dec 1;4:100045.[1016/j.resplu.2020.100045] [PMID]
    • Allen MB, Orkaby AR, Justice S, Hall DE, Hu FY, Cooper Z, Bernacki RE, Bader AM. Frailty and outcomes following cardiopulmonary resuscitation for perioperative cardiac arrest. JAMA Network Open. 2023 Jul 3;6(7):e2321465-.[
      1001/jamanetworkopen.2023.21465      ] [PMID]
    • Fielding-Singh V, Willingham MD, Fischer MA, Grogan T, Benharash P, Neelankavil JP. A population-based analysis of intraoperative cardiac arrest in the United States. Anesthesia & Analgesia. 2020 Mar 1;130(3):627-34.[1213/ANE.
      0000000000004477      ] [PMID]
    • Hu FY, Streiter S, O’Mara L, Sison SM, Theou O, Bernacki R, Orkaby A. Frailty and survival after in-hospital cardiopulmonary resuscitation. Journal of General Internal Medicine. 2022 Nov;37(14):3554-61.[1007/s11606-021-07199-1] [PMID]
    • Ko JS, Kim SR, Cho BJ. The effect of cardiopulmonary resuscitation (CPR) education on the CPR knowledge, attitudes, self-efficacy, and confidence in performing CPR among elementary school students in Korea. InHealthcare 2023 Jul 17 (Vol. 11, No. 14, p. 2047). MDPI. [3390/
      healthcare11142047       ] [PMID]
    • Atkins DL, Berger S, Duff JP, Gonzales JC, Hunt EA, Joyner BL, Meaney PA, Niles DE, Samson RA, Schexnayder SM. Part 11: pediatric basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015 Nov 3;132(18_suppl_2):S519-25.[1161/
      CIR.0000000000000265      ] [PMID]
    • Danış F, Kudu E. The evolution of cardiopulmonary resuscitation: global productivity and publication trends. The American Journal of Emergency Medicine. 2022 Apr 1;54:151-64. [
      1016/j.ajem.2022.01.071      ] [PMID]
    • Scquizzato T, Bonaccorso A, Swol J, Gamberini L, Scandroglio AM, Landoni G, Zangrillo A. Refractory out‐of‐hospital cardiac arrest and extracorporeal cardiopulmonary resuscitation: a meta‐analysis of randomized trials. Artificial Organs. 2023 May;47(5):806-16. [1111/aor.14516] [PMID]
    • Ebell MH. Prearrest predictors of survival following in-hospital cardiopulmonary resuscitation: a meta-analysis. J Fam Pract. 1992 May 1;34(5):551-8. [PMID]
    • Hollenberg J, Bång A, Lindqvist J, Herlitz J, Nordlander R, Svensson L, Rosenqvist M. Difference in survival after out‐of‐hospital cardiac arrest between the two largest cities in Sweden: a matter of time?. Journal of internal medicine. 2005 Mar;257(3):247-54.[1111/
      j.1365-2796.2004.01447.x      ] [PMID]
    • Gräsner JT, Wnent J, Herlitz J, Perkins GD, Lefering R, Tjelmeland I, Koster RW, Masterson S, Rossell-Ortiz F, Maurer H, Böttiger BW. Survival after out-of-hospital cardiac arrest in Europe-Results of the EuReCa TWO study. Resuscitation. 2020 Mar 1;148:218-26.[1016/j.resuscitation.2019.12.042] [PMID]
    • Odom E, Nakajima Y, Vellano K, Al-Araji R, King SC, Zhang Z, Merritt R, McNally B. Trends in EMS-attended out-of-hospital cardiac arrest survival, United States 2015–2019. Resuscitation. 2022 Oct 1;179:88-93. [1016/j.resuscitation.
      2022.08.003      ] [PMID]
Jundishapur Journal of Medical Sciences
Volume 23, Issue 3 - Serial Number 150
July and August 2024
Pages 264-272

  • Receive Date 06 April 2024
  • Revise Date 30 April 2024
  • Accept Date 05 May 2024