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Article
Cardiopulmonary resuscitation: outcome and its predictors among hospitalized adult patients in Pakistan.
International Journal of Emergency Medicine
  • Nadeem Ullah Khan, Aga Khan University
  • J. Razzak, Aga Khan University
  • Humaid Ahmed, Aga Khan University
  • Muhammad Furqan, Aga Khan University
  • Ali Faisal Saleem, Aga Khan University
  • Hammad Alam, Aga Khan University
  • Anwar ul Huda, Aga Khan University
  • Uzma R. Khan, Aga Khan University
  • Rifat Rehmani, Aga Khan University
Publication Date
4-1-2008
Document Type
Article
Disciplines
Abstract
Introduction:Our aim was to study the outcomes and predictors of in-hospital cardiopulmonary resuscitation (CPR) among adult Patients at a tertiary care centre in Pakistan. Methods: We conducted a retrospective chart review of all adult Patients (age > or =14 years), who underwent CPR following cardiac arrest, in a tertiary care hospital during a 5-year study period (June 1998 to June 2003). We excluded Patients aged 14 years or less, those who were declared dead on arrival and Patients with a "do not resuscitate" order. The 1- and 6-month follow-ups of discharged Patients were also recorded. Results: We found 383 cases of adult in-hospital cardiac arrest that underwent CPR. Pulseless electrical activity was the most common initial rhythm (50%), followed by asystole (30%) and ventricular tachycardia/fibrillation (19%). Return of spontaneous circulation was achieved in 72% of Patients with 42% surviving more than 24 h, and 19% survived to discharge from hospital. On follow-up, 14% and 12% were found to be alive at 1 and 6 months, respectively. Multivariable logistic regression identified three independent predictors of better outcome (survival >24 h): non-intubated status [adjusted odds ratio (aOR): 3.1, 95% confidence interval (CI): 1.6-6.0], location of cardiac arrest in emergency department (aOR: 18.9, 95% CI: 7.0-51.0) and shorter duration of CPR (aOR: 3.3, 95% CI: 1.9-5.5). Conclusion: Outcome of CPR following in-hospital cardiac arrest in our setting is better than described in other series. Non-intubated status before arrest, cardiac arrest in the emergency department and shorter duration of CPR were independent predictors of good outcome.
Citation Information
Nadeem Ullah Khan, J. Razzak, Humaid Ahmed, Muhammad Furqan, et al.. "Cardiopulmonary resuscitation: outcome and its predictors among hospitalized adult patients in Pakistan." International Journal of Emergency Medicine Vol. 1 Iss. 1 (2008) p. 27 - 34
Available at: http://works.bepress.com/nadeemullah_khan/16/