Survival Outcomes and Factors Affecting Outcome after Cardiopulmonary Resuscitation in Sisaket Hospital
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Abstract
Background: Sisaket Hospital is a tertiary care center that provides advanced medical services. It has a dedicated Cardiopulmonary Resuscitation (CPR) team equipped with resuscitation equipment and conducts regular CPR training programs for its medical staff. The purpose of the study is to examine the outcomes of CPR performed at the hospital.
Objectives: The objective of the study is to gather information, analyse, and evaluate the survival outcomes of patients who underwent CPR at Sisaket Hospital.
Methods: The study design is a retrospective cohort study. Data for the study were collected from the medical records of patients who met the inclusion criteria. The inclusion criteria for the study were patients aged 15 years or older who experienced a cardiac arrest during their stay at Sisaket Hospital and received CPR between January 2020 and December 2021.
Result: The study included a total of 344 patients who experienced cardiac arrest. Among them, 228 were male and 116 were female. The most common cause of cardiac arrest was sepsis and septic shock, which occurred in 28% of cases. Pulseless electrical activity (PEA) was the most common initial cardiac rhythm observed during cardiac arrest, accounting for 52.0% of cases. After resuscitation efforts, 304 patients (88.6%) achieved return of spontaneous circulation (ROSC). The overall survival rate among patients who received CPR was 12.8%, and 7.2% of patients had a favorable cerebral performance result, indicating good neurological function. After adjustment by multivariable logistic regression, factors that influenced survival were the cardiac arrest rhythm, specifically ventricular fibrillation (adjusted ORs =3.6,1.08–11.94), and the duration of CPR performed (adjusted ORs = 0.9, 0.8–0.9).
Conclusion: The study results indicate that the survival rate of CPR in Sisaket Hospital is indeed low. To improve this outcome, it is crucial to develop resuscitation potential by effectively linking each step of the survival chain. The study findings highlight that the total time required for CPR is the most significant factor affecting survival. Therefore, it is essential to enhance the skills of healthcare personnel in providing accurate and prompt CPR interventions.
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