Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 20 , ISSUE 3 ( 2016 ) > List of Articles

BRIEF COMMUNICATION

Outcome and predictors of cardiopulmonary resuscitation among patients admitted in Medical Intensive Care Unit in North India

Gautam Ahluwalia, Amit Bansal, Tirath Singh, Parminder Singh

Keywords : Cardiopulmonary resuscitation, Intensive Care Units, outcome study, survival rate, tertiary care

Citation Information : Ahluwalia G, Bansal A, Singh T, Singh P. Outcome and predictors of cardiopulmonary resuscitation among patients admitted in Medical Intensive Care Unit in North India. Indian J Crit Care Med 2016; 20 (3):159-163.

DOI: 10.4103/0972-5229.178179

License: CC BY-ND 3.0

Published Online: 01-03-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Outcome and predictors of survival after cardiopulmonary resuscitation (CPR) in Intensive Care Units (ICUs) have been extensively studied in western world, but data from developing countries is sparse. Objectives: To study the outcome and predictors of survival after CPR in a Medical ICU (MICU) of a tertiary level teaching hospital in North India. Materials and Methods: A 1-year prospective cohort study. Results: Of 105 in-MICU CPRs, forty patients (38.1%) achieved return of spontaneous circulation (ROSC). Only one patient (0.9%) survived up to hospital discharge. The predictors of ROSC were ventricular tachycardia/ventricular fibrillation as first monitored rhythm, intubation during CPR and CPR duration ≤ 10 min. CPR duration > 10 min was a significant factor for resuscitation failure. Conclusions: The rate of survival to hospital discharge after in-MICU CPRs is extremely poor. Our data may aid treating physicians, resuscitation teams, and families in understanding the likely outcome of patients after in-MICU CPRs.


PDF Share
  1. Tian J, Kaufman DA, Zarich S, Chan PS, Ong P, Amoateng-Adjepong Y, et al. Outcomes of critically ill patients who received cardiopulmonary resuscitation. Am J Respir Crit Care Med 2010;182:501-6.
  2. Gershengorn HB, Li G, Kramer A, Wunsch H. Survival and functional outcomes after cardiopulmonary resuscitation in the intensive care unit. J Crit Care 2012;27:421.e9-17.
  3. Dutta B, Garg R, Trikha A, Rewari V. A Prospective Audit on Outcome of Cardiac Arrests at a Tertiary Care Referral Institute. J Cardiol Curr Res 2014;1: 00027. DOI: 10.15406/jccr.2014.01.00027.
  4. Rajaram R, Rajagopalan RE, Pai M, Mahendran S. Survival after cardiopulmonary resuscitation in an urban Indian hospital. Natl Med J India 1999;12:51-5.
  5. Khan NU, Razzak JA, Ahmed H, Furqan M, Saleem AF, Alam H, et al. Cardiopulmonary resuscitation: Outcome and its predictors among hospitalized adult patients in Pakistan. Int J Emerg Med 2008;1:27-34.
  6. Suraseranivongse S, Chawaruechai T, Saengsung P, Komoltri C. Outcome of cardiopulmonary resuscitation in a 2300-bed hospital in a developing country. Resuscitation 2006;71:188-93.
  7. Ahluwalia G, Pande JN, Sharma SK. Prognostic scoring for critically ill hospitalized patients. Indian J Chest Dis Allied Sci 1999;41:201-6.
  8. Murthy S, Wunsch H. Clinical review: International comparisons in critical care - Lessons learned. Crit Care 2012;16:218.
  9. Jacobs I, Nandkarni V, Bahr J, Berg RA, Billi JE, Bossaert L, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: Update and simplification of Utstein templates for resuscitation registries: A statement for health care professionals from a task force of international liaison committee on resuscitation. Circulation 2004;110:3385-97.
  10. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: A severity of disease classification system. Crit Care Med 1985;13:818-29.
  11. Patel MJ, Khan NU, Furqan M, Awan S, Khan MS, Kashif W, et al. APACHE II scores as predictors of cardio pulmonary resuscitation outcome: Evidence from a tertiary care institute in a low-income country. Saudi J Anaesth 2012;6:31-5.
  12. Saghafinia M, Motamedi MH, Piryaie M, Rafati H, Saghafi A, Jalali A, et al. Survival after in-hospital cardiopulmonary resuscitation in a major referral center. Saudi J Anaesth 2010;4:68-71.
  13. Goldberger ZD, Chan PS, Berg RA, Kronick SL, Cooke CR, Lu M, et al. Duration of resuscitation efforts and survival after in-hospital cardiac arrest: An observational study. Lancet 2012;380:1473-81.
  14. Huang CH, Chen WJ, Ma MH, Chang WT, Lai CL, Lee YT. Factors influencing the outcomes after in-hospital resuscitation in Taiwan. Resuscitation 2002;53:265-70.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.