Title: Clinical profile and Outcome of patients who had Cardiopulmonary arrest in Non ICU settings – A Retrospective Analysis in a Tertiary care hospital

Authors: Dr Swarna Deepak Kuragayala, Dr Jithendra Chinnappa, Dr Hima Bala K, Dr Subba Reddy K

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.156

Abstract

Background: The study was undertaken in view of alarming morbidity and mortality in the patients who suffered cardiopulmonary arrest in Non ICU settings.

Aims and Objectives: The aim of the study was to analyze the clinical profile and outcome of the patients who suffered cardiopulmonary arrest in Non ICU settings like wards, dialysis units, endoscopy rooms etc.

Methodology: The study was done Apollo hospital, Hyderabad- a JCI accredited tertiary care centre which contained Code blue emergency response system. It’s a retrospective observational study, period being 1 year from Nov 2016 to Nov 2017. The patients age, sex, diagnosis, place of arrest, response time to resuscitation and code blue team arrival; percentage of survivors and non survivors.

Conclusions: Most of the cardiopulmonary arrest was during the 8AM to 2PM.  Patients who had Cardiac, renal disease and sepsis as a primary diagnosis had more mortality. Majority of the patients had non shockable peri arrest rhythm which has poor prognosis. Up to 48% of patients had successful initial resuscitation which shows the importance of code blue team and short response time. Out of 25(48%) patients who achieved successful ROSC, only 10(19.23%) could be discharged alive from ICU which shows the importance of good intensive care of post cardiac arrest patients.

Keywords: Cardiopulmonary arrest, Clinical profile, Out come, Survival rate.

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Corresponding Author

Dr Swarna Deepak Kuragayala

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