Impact of cardiopulmonary resuscitation duration on functional outcome, level of independence, and survival among patients with in-hospital cardiac arrests: A pilot study

Impact of cardiopulmonary resuscitation duration on functional outcome, level of independence, and survival among patients with in-hospital cardiac arrests: A pilot study

BACKGROUND: Cardiovascular diseases (CVDs) are the leading cause of cardiac arrest (CA), which are presented as sudden cardiac arrest (SCA) and sudden cardiac death (SCD). To assess the impact of CPR duration on the functional outcome, level of independence, and survival among patients with in-hospi...

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Bibliographic Details
Published in:Journal of education and health promotion Vol. 13; no. 1; p. 310
Main Authors: Amirtharaj, Anandhi D., Suresh, Malarvizhi, Murugesan, Navaneetha, Kurien, Mony, Karnam, Ali H. F.
Format: Journal Article
Language:English
Published: Mumbai Medknow Publications & Media Pvt. Ltd 01-08-2024
Wolters Kluwer Medknow Publications
Subjects:
Attrition (Research Studies)
Cardiac arrest
Cardiopulmonary resuscitation
CPR
critical care outcomes
First Aid
Heart Disorders
Hospitals
Lifesaving
Mortality
Patients
Pilot projects
pilot study
return of spontaneous circulation
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Summary:BACKGROUND: Cardiovascular diseases (CVDs) are the leading cause of cardiac arrest (CA), which are presented as sudden cardiac arrest (SCA) and sudden cardiac death (SCD). To assess the impact of CPR duration on the functional outcome, level of independence, and survival among patients with in-hospital cardiac arrest (IHCA). MATERIAL AND METHODS: This prospective longitudinal pilot study was conducted at a tertiary care hospital in South India. Data were collected using consecutive sampling techniques from nine patients with IHCA, and outcomes were measured using the cerebral performance category (CPC) and Katz level of independence (LOI) during the immediate post-CPR, 30 th day, and 90 th day. Based on the principles of pilot study design, descriptive statistics was used to analyze the results. Inferential statistics analysis was not applicable based on the sample size of the pilot study. RESULTS: Nine patients were included in this pilot study. The mean and median age of the patients were 48.11 ± 8.66 (46, IQR, 32-67 years) and 77.8% were male patients. The primary medical diagnosis was cardiology and neurology conditions among 44.4% and 22.2% of patients. The mean and median CPR duration was 12.11 ± 4.59 minutes (IQR, 8-15.50) and 44.4% achieved a return of spontaneous circulation (ROSC) with a mean ROSC time of 5.56 ± 7.418. The mean CPC score in the immediate post-CPR period and 30 th day was 4 ± 1.732 and 4.56 ± 1.33, with mortality of 66.7% and 33.3% survivors in the immediate post-CPR period. While the mean LOI score among the survivors during the immediate post-CPR and 30 th day was zero and four. which highlights the complete dependency of patients during the immediate post-CPR with significant improvement by the 30 th day and unchanged until the 90 th day. CONCLUSIONS: The overall mortality and survival were 88.8% and 11.1%, respectively, by the 90 th day. The pilot study is feasible at the end of the study. However, due to the difficulty in obtaining CA, an additional tertiary hospital was included in the larger study.
ISSN:2277-9531
2319-6440
DOI:10.4103/jehp.jehp_1711_23