Journal of Isfahan Medical School

Journal of Isfahan Medical School

Evaluation of the Performance of Cardiopulmonary Resuscitation (CPR) Team, Shahid Chamran Hospital, Isfahan, Iran, in 2015

Document Type : Original Article (s)

Authors
Mojtaba Mansouri 1
Gholamreza Masoumi 2
Sayed Ali Emami 3
Farhad Mahmoudi 3
Amirreza Shokrani 3
1 Assistant Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: One of the most important issues in order to save life in patients with cardiac arrest is cardiopulmonary resuscitation (CPR). This study evaluated the performance of resuscitation team in Chamran hospital, Isfahan, Iran, in 2015.Methods: This cross-sectional study included 211 patients undergone CPR, in or out of the Chamran hospital. The CPR process data were collected from patients' files and the CPR heads filled out the checklists.Findings: The patients were 140 men (66.35%) and 71 women (33.65%). The age, sex, and location of CPR had not significant effect on the outcome of CPR (P > 0.050 for all). Use of advanced life support, the time between cardiac arrest and start of advanced life support, the time between cardiac arrest and applying first shock, use of electroshock, CPR due to basic life support (BLS), CPR due to advanced life support (ALS), and duration of CPR had significant effect in primary survey of CPR (P < 0.050 for all). Unless time between cardiac arrest and apply of first shock, there was no significant relationship between other criteria and 1-month survival after primary successful CPR (P = 0.010).Conclusion: In our study, demographic indices did not have significant effect on primary CPR outcome but need to basic and advanced life supports, applying shock to shockable rhythm and also the time between cardiac arrest and applying first shock had significant effect on primary successful CPR. Incompatibility in the percentage of CPR cases with American Heart Association (AHA) guideline notes the necessity of regular and continuous retraining.
Keywords
Advanced cardiac life support
Basic cardiac life support
Cardiopulmonary resuscitation (CPR)
  1. Evequoz D, Zuber M, Erne P. Sudden cardiac death: definition, mechanisms and risk factors. Praxis (Bern 1994) 1996; 85(7): 188-96. [In French].
  2. Bonow RO, Mann DL, Zipes DP, Libby P. Braunwald's heart disease: A textbook of cardiovascular medicine. 8th ed. Philadelphia, PA: Saunders; 2007.
  3. Walker WM. Witnessed resuscitation: a concept analysis. Int J Nurs Stud 2006; 43(3): 377-87.
  4. Sofi U, Kokroo T, Velasquez E, Kline MR. Predictive indices of survival in patients undergoing cardiopulmonary resuscitation. Chest 1999; 116(4): 245S.
  5. Parhizgari N. Survey of cardiopulmonary resuscitation therapeutic process in Shariati Hospital emergency ward [Thesis]. Tehran, Iran: Tehran University of Medical Sciences; 2009. [In Persian].
  6. Rea TD, Eisenberg MS, Becker LJ, Murray JA, Hearne T. Temporal trends in sudden cardiac arrest: a 25-year emergency medical services perspective. Circulation 2003; 107(22): 2780-5.
  7. Nasiripour AA, Masoudi Asl I, Fathi E. The relationship of CPR success and time of patients' referring to emergency department. J Mil Med 2012; 14(1): 21-5. [In Persian].
  8. Setayesh A, Arhami Dolatabadi A, Farsi D, Hossein Nejad A, Zare M. Evaluation of cardiopulmonary and cerebral resuscitation(CPCR) outcome in emergency department of Hazrat Rasoul-e-Akram Hospital from June 2003 to April 2004 . Razi J Med Sci 2006; 13(52): 135-44. [In Persian].
  9. Montazar S H, Amooei M, Sheyoei M, Bahari M. Results of CPR and contributing factor in emergency department of Sari Imam Khomeini Hospital, 2011-2013. J Mazandaran Univ Med Sci 2014; 24 111): 53-8. [In Persian].
  10. Saklayen M, Liss H, Markert R. In-hospital cardiopulmonary resuscitation. Survival in 1 hospital and literature review. Medicine (Baltimore) 1995; 74(4): 163-75.
  11. Jaberi Y, Changizian L, Mazlomzadeh S. Predictors of outcome in in-hospital cardio-pulmonary resuscitation. J Zanjan Univ Med Sci 2011; 19(75): 48-57. [In Persian].
  12. Silva RM, Silva BA, Silva FJ, Amaral CF. Cardiopulmonary resuscitation of adults with in-hospital cardiac arrest using the Utstein style. Rev Bras Ter Intensiva 2016; 28(4): 427-35.
  13. Goodarzi A, Jalali A, Almasi A, Naderipour A, Kalhorii RP, Khodadadi A. Study of survival rate after cardiopulmonary resuscitation (CPR) in hospitals of Kermanshah in 2013. Glob J Health Sci 2014; 7(1): 52-8.
  14. Kamkar N, Karimi F, Teimouri S. The success rate of resuscitation team (CPR) at the Hospital of Hazrat Vali-Asr in 2015. Proceedings of the Congress of Promotion of Crisis Management in Disasters; 2006 Aug 20-21; Zanhan, Iran. [In Persian].
  15. Seifi F, Sharifi F, Astanaki S. Evaluation the success rate of cardiopulmonary resuscitation in educational institutions of Kermanshah University of Medical Sciences. J Kerman Univ Med Sci 2010; 14(3): 273. [In Persian].
Journal of Isfahan Medical School
Volume 35, Issue 426 - Serial Number 426
March and April 2017
Pages 406-411

  • Receive Date 01 February 2017
  • Accept Date 06 April 2022