Duration of in-hospital cardiopulmonary resuscitation and its effect on survival
Objective: This study aims to determine the correlation between the duration of cardiopulmonary resuscitation (CPR) and the return of spontaneous circulation (ROSC) in an in-hospital cardiac arrest cohort. Methods: All patients (age ≥ 17 years) who underwent CPR at our institution from 2015 to 2017...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2019-07-01
|
Series: | Indian Heart Journal |
Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483219304080 |
id |
doaj-611551e01db24ae9a7ce9fc05ff21ab4 |
---|---|
record_format |
Article |
spelling |
doaj-611551e01db24ae9a7ce9fc05ff21ab42020-11-25T02:26:19ZengElsevierIndian Heart Journal0019-48322019-07-01714314319Duration of in-hospital cardiopulmonary resuscitation and its effect on survivalMuhammad Arslan Cheema0Waqas Ullah1Hafez Mohammad Ammar Abdullah2Shujaul Haq3Asrar Ahmad4Asoka Balaratna5Internal Medicine, Abington - Jefferson Health, 1200 Old York Road, Abington, PA, 19001, USAInternal Medicine, Abington - Jefferson Health, 1200 Old York Road, Abington, PA, 19001, USA; Corresponding author.Internal Medicine, Abington - Jefferson Health, 1200 Old York Road, Abington, PA, 19001, USAInternal Medicine, Abington - Jefferson Health, 1200 Old York Road, Abington, PA, 19001, USAInternal Medicine, Abington - Jefferson Health, 1200 Old York Road, Abington, PA, 19001, USACardiology, Abington - Jefferson Health, 1200 Old York Road, Abington, PA, 19001, USAObjective: This study aims to determine the correlation between the duration of cardiopulmonary resuscitation (CPR) and the return of spontaneous circulation (ROSC) in an in-hospital cardiac arrest cohort. Methods: All patients (age ≥ 17 years) who underwent CPR at our institution from 2015 to 2017 were included. The primary endpoint was ROSC or death. A total of 88 patients were included in the study. The Pearson correlation of CPR duration with the establishment of ROSC was calculated using the IBM SPSS, version 25. Results: In all, 88 patients who received CPR, 55% (n = 48) experienced ROSC and survived. The remaining 45% (n = 40) of the total and 56% (n = 27) of those with ROSC died during the same hospitalization (Fig. 1). Among the 48 patients with ROSC, the documented duration of their CPR was about 10 min on average in comparison with 27.5 min CPR for patients who did not achieve ROSC (Fig. 2). Among all the patients, there was a negative correlation between the duration of the CPR and the establishment of ROSC. This is shown in Fig. 3. Conclusion: Our study shows that CPR duration is inversely associated with the establishment rates of ROSC. Most of the benefits of CPR can be achieved in the first 15 min, and a further increase in the duration of CPR provides a minimal gain. Still, survival was achievable till 38 min in some cases, and the ideal duration of resuscitation should remain a bedside decision taking into consideration the whole clinical picture. Keywords: Cardiopulmonary resuscitation, Cardiology, Blood circulationhttp://www.sciencedirect.com/science/article/pii/S0019483219304080 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Muhammad Arslan Cheema Waqas Ullah Hafez Mohammad Ammar Abdullah Shujaul Haq Asrar Ahmad Asoka Balaratna |
spellingShingle |
Muhammad Arslan Cheema Waqas Ullah Hafez Mohammad Ammar Abdullah Shujaul Haq Asrar Ahmad Asoka Balaratna Duration of in-hospital cardiopulmonary resuscitation and its effect on survival Indian Heart Journal |
author_facet |
Muhammad Arslan Cheema Waqas Ullah Hafez Mohammad Ammar Abdullah Shujaul Haq Asrar Ahmad Asoka Balaratna |
author_sort |
Muhammad Arslan Cheema |
title |
Duration of in-hospital cardiopulmonary resuscitation and its effect on survival |
title_short |
Duration of in-hospital cardiopulmonary resuscitation and its effect on survival |
title_full |
Duration of in-hospital cardiopulmonary resuscitation and its effect on survival |
title_fullStr |
Duration of in-hospital cardiopulmonary resuscitation and its effect on survival |
title_full_unstemmed |
Duration of in-hospital cardiopulmonary resuscitation and its effect on survival |
title_sort |
duration of in-hospital cardiopulmonary resuscitation and its effect on survival |
publisher |
Elsevier |
series |
Indian Heart Journal |
issn |
0019-4832 |
publishDate |
2019-07-01 |
description |
Objective: This study aims to determine the correlation between the duration of cardiopulmonary resuscitation (CPR) and the return of spontaneous circulation (ROSC) in an in-hospital cardiac arrest cohort. Methods: All patients (age ≥ 17 years) who underwent CPR at our institution from 2015 to 2017 were included. The primary endpoint was ROSC or death. A total of 88 patients were included in the study. The Pearson correlation of CPR duration with the establishment of ROSC was calculated using the IBM SPSS, version 25. Results: In all, 88 patients who received CPR, 55% (n = 48) experienced ROSC and survived. The remaining 45% (n = 40) of the total and 56% (n = 27) of those with ROSC died during the same hospitalization (Fig. 1). Among the 48 patients with ROSC, the documented duration of their CPR was about 10 min on average in comparison with 27.5 min CPR for patients who did not achieve ROSC (Fig. 2). Among all the patients, there was a negative correlation between the duration of the CPR and the establishment of ROSC. This is shown in Fig. 3. Conclusion: Our study shows that CPR duration is inversely associated with the establishment rates of ROSC. Most of the benefits of CPR can be achieved in the first 15 min, and a further increase in the duration of CPR provides a minimal gain. Still, survival was achievable till 38 min in some cases, and the ideal duration of resuscitation should remain a bedside decision taking into consideration the whole clinical picture. Keywords: Cardiopulmonary resuscitation, Cardiology, Blood circulation |
url |
http://www.sciencedirect.com/science/article/pii/S0019483219304080 |
work_keys_str_mv |
AT muhammadarslancheema durationofinhospitalcardiopulmonaryresuscitationanditseffectonsurvival AT waqasullah durationofinhospitalcardiopulmonaryresuscitationanditseffectonsurvival AT hafezmohammadammarabdullah durationofinhospitalcardiopulmonaryresuscitationanditseffectonsurvival AT shujaulhaq durationofinhospitalcardiopulmonaryresuscitationanditseffectonsurvival AT asrarahmad durationofinhospitalcardiopulmonaryresuscitationanditseffectonsurvival AT asokabalaratna durationofinhospitalcardiopulmonaryresuscitationanditseffectonsurvival |
_version_ |
1724847899821473792 |