24 Hour Survival Rate and its Determinants in Patients with Successful Cardiopulmonary Resuscitation in Ghaem Hospital of Mashhad

Authors
Ali Movahedi
Ali Kavosi
Hamidreza Behnam Vashani
Gholamreza Mohammadi
Hasan Mehrad Majd
Javad Malekzadeh
Abstract
Introduction and Aims

The main cause of death in the adult population in the industrialized world is sudden cardiac arrest. The first purpose of cardiopulmonary resuscitation is return of spontaneous circulation. Post cardiopulmonary resuscitation cares are fifth stage of American Heart Association cardiopulmonary resuscitation that less take into consideration. Therefore, the present study was conducted with the aim of “24 Hour Survival Rate and it’s determinants in patients with Successful Cardiopulmonary Resuscitation in Ghaem Hospital of Mashhad”.

Materials and Methods

In this descriptive and analytical study, 80 cases of CPR were selected by convenience sampling in Ghaem hospital of Mashhad. After confirming of cardiac arrest by a resident physician in the wards and declaration of code 99, were performed cardiopulmonary resuscitation by CPR team. Rate of 24 hour survival was determined in patients that had return of spontaneous circulation by form the researcher’s observations. Data were collected and analyzed using of descriptive statistics (frequency, mean, standard deviation) and inferential statistics (Fishers, Chi-square, logistic regression) and SPSS software version of 16.

Results

Mean and standard deviation of age patients was 67.3±1.5 year. In 45 patients (56.2%), was achieved return of spontaneous circulation. The rate of 24 hour survival was in 30 patients that cardiopulmonary resuscitation on them was successful. The chi-square test, showed that is significant differences between 24 hour survival with sex and diabetes in patients (P<0.05). The Fisher’s test, showed that there is significant differences between 24 hour survival and history of cardiopulmonary resuscitation (P<0.04).

Conclusion

The rate of 24 hour survival was 66.7% in patients with a successful cardiopulmonary resuscitation. This reflects that must be considered after cardiopulmonary resuscitation cares.



* Corresponding Author: Mashhad University of Medical Sciences, Faculty of Nursing & Midwifery.

Email: Malekzadehj@mums.ac.ir
Keywords
cardiopulmonary resuscitation
24 hour survival
return of spontaneous circulation
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