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J Res Clin Med. 2024;12: 23.
doi: 10.34172/jrcm.33373
  Abstract View: 78
  PDF Download: 55

Short Communication

Evaluation of cardiopulmonary resuscitation for patient outcomes in Imam Reza General Hospital Tabriz, Iran

Masoud Faghieh Dinavari 1 ORCID logo, Seyed Pouya Paknezhad 2 ORCID logo, Zahra Sheikhalipour 3 ORCID logo, Fatemeh Yousefi 4 ORCID logo, Samad Beheshtirouy 5 ORCID logo, Bahram Jafarinodeh 6 ORCID logo, Hassan Soleimanpour 7* ORCID logo

1 Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Emergency and Trauma Care Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3 Medical and Surgical Department, Nursing and Midwifery School, Tabriz University of Medical Sciences, Tabriz, Iran
4 Students Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
5 Cardiothoracic Department, Tabriz University of Medical Sciences, Tabriz, Iran
6 Clinical Research Development Unit of Tabriz Valiasr Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
7 Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author: Hassan Soleimanpour, Email: soleimanpourh@tbzmed.ac.ir, Email: h.soleimanpour@gmail.com

Abstract

Introduction: Cardiopulmonary resuscitation (CPR) is a life-saving procedure for patients experiencing cardiac arrest. The success rate of in-hospital arrests varies from 2% to 27% according to different studies. Aim of our study was an investigation on in-hospital cardiac arrest in a tertiary hospital in north-west of Iran.

Methods: We included all in-hospital cardiac arrests over a three-month period of time. Data related to age and sex of patients, cause of hospitalization, length of stay, cause of cardiac arrest, and outcome of CPR has been studied.

Results: Sixty-six patients with cardiac arrest were recorded. Mean age was 62.59 (±20.7) years. Cardiovascular disease, neurological diseases, and lung diseases were the most common causes of hospitalization. The median length of hospitalization prior to arrest was seven days. CPR was initiated within 30 seconds of arrest detection in all cases. The initial cardiac arrest rhythm was asystole in majority of cases (80.3%) followed by ventricular tachycardia in 10.6 % and pulseless electrical activity (PEA) in 9.1% of cases. Five patients could survive to discharge in which two patients had a good neurologic outcome.

Conclusion: This study indicates that in-hospital cardiac arrest has a poor prognosis, with asystole being the most prevalent initial rhythm.

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Submitted: 17 Oct 2022
Accepted: 09 Jun 2024
ePublished: 10 Sep 2024
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