Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Outcomes of Cardiopulmonary Resuscitation in Intensive Care Units in Patients with Surgical and Non-surgical Diseases

Document Type : Original Article (s)

Authors
Mohammadamin Valizad-Hasanlui 1
Shahryar Sane 1
Aliakbar Nasiri 1
Elham Golsanamlo 2
Neda Kheyrollahi 1
1 Associate Professor, Department of Anesthesiology, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
2 General Practitioner, Urmia University of Medical Sciences, Urmia, Iran
10.22122/jims.v36i502.10500
Abstract
Background: Patients admitted to the intensive care unit (ICU) due to their critical conditions are at life-threatening situations, and cardiopulmonary resuscitation (CPR) is one of the most commonly used treatments in this area. Physicians and staff working in this section should be familiar with the basic and advanced life support. This study aimed to assess the outcomes of cardiopulmonary resuscitation in patients with surgical and non-surgical diseases in ICU of Imam Khomeini hospital in Urmia City, Iran.Methods: In this cross-sectional study, the medical record of patients admitted to the ICU and underwent CPR during a 7-year period (2010-2016) were analyzed. Demographic characteristics, medicines used in the course of CPR, time of cardiopulmonary arrest, duration of CPR, and its outcome were extracted and analyzed.Findings: Of 6365 patients admitted to the ICU of Imam hospital in Urmia City, 728 (11.43%) had cardiac arrest and received CPR. Of 728 CPRs performed in the ICU, 117 cases (16.1%) were successful and 611 (83.9%) were unsuccessful. Out of 433 patients with non-surgical diseases, 52 (12%) had successful CPR, and out of 295 patients with surgical diseases, 65 (22%) had successful CPR (P = 0.001). There was a statistically significant difference between patients with non-surgical and surgical diseases in visible dysrhythmia (P = 0.001). The mean duration of CPR was 32.72 ± 9.90 and 33.02 ± 8.90 minutes in patients with non-surgical and surgical diseases, respectively (P = 0.600).
Keywords
Cardiopulmonary resuscitation
Outcome studies
Intensive Care Unit
  1. Cook J, Thomas M. Cardiac arrest in ICU. J Intensive Care Soc 2017; 18(2): 173.
  2. Shimabukuro D, Liu LL. Cardiopulmonary resuscitation. In: Miller RD, Stoelting RK, editors. Basic of anesthesia. 5th ed. London, UK: Churchill Livingstone; 2006. p. 647-58.
  3. Marino PL. Cardiac arrest. In: Marino PL, editor. The ICU book. 4th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2014. p. 325-45.
  4. Callawany CM, Reynolds JC. Cardio cerebral resuscitation. In: Vincent JC, Abraham E, Moore FA, Kochanek PM, Fink MP, editors. Textbook of critical care. 7th ed. Philadelphia, PA: Saunders 2017. p. 252-62.
  5. Mc Glinch BP,White RD. Cardiopulmonary resuscitation: Basic and advanced life support. In: Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Cohn NH, Young WL, editors. Miller's anesthesia. 8th ed. Philadelphia, PA: Saunders; 2014. p. 3182-215.
  6. Moreno RP, Vassallo JC, Saenz SS, Blanco AC, Allende D, Araguas JL, et al. Cardiopulmonary resuscitation in nine pediatric intensive care units of the Argentine Republic. Arch Argent Pediatr 2010; 108(3): 216-25. [In Spanish].
  7. Chang SH, Huang CH, Shih CL, Lee CC, Chang WT, Chen YT, et al. Who survives cardiac arrest in the intensive care units? J Crit Care 2009; 24(3): 408-14.
  8. 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(4): 421-17.
  9. Lee HK, Lee H, No JM, Jeon YT, Hwang JW, Lim YJ, et al. Factors influencing outcome in patients with cardiac arrest in the ICU. Acta Anaesthesiol Scand 2013; 57(6): 784-92.
  10. Tobi KU, Amadasun FE. Cardio-pulmonary resuscitation in the intensive care unit: An experience from a tertiary hospital in Sub-Saharan Africa. Niger Med J 2015; 56(2): 132-7.
  11. Bansal A, Singh T, Ahluwalia G, 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): 159-63.
  12. Kutsogiannis DJ, Bagshaw SM, Laing B, Brindley PG. Predictors of survival after cardiac or respiratory arrest in critical care units. CMAJ 2011; 183(14): 1589-95.
  13. 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(4): 501-6.
  14. Scales DC. Goal-directed cardiopulmonary resuscitation for patients in intensive care units. Am J Respir Crit Care Med 2014; 190(11): 1205-6.
  15. Del Castillo J, Lopez-Herce J, Canadas S, Matamoros M, Rodriguez-Nunez A, Rodriguez-Calvo A, et al. Cardiac arrest and resuscitation in the pediatric intensive care unit: a prospective multicenter multinational study. Resuscitation 2014; 85(10): 1380-6.
  16. Rodriguez-Nunez A, Lopez-Herce J, Garcia C, Carrillo A, Dominguez P, Calvo C, et al. Effectiveness and long-term outcome of cardiopulmonary resuscitation in paediatric intensive care units in Spain. Resuscitation 2006; 71(3): 301-9.
  17. Sutton RM, Morgan RW, Kilbaugh TJ, Nadkarni VM, Berg RA. Cardiopulmonary resuscitation in pediatric and cardiac intensive care units. Pediatr Clin North Am 2017; 64(5): 961-72.
Journal of Isfahan Medical School
Volume 36, Issue 502 - Serial Number 502
September and October 2019
Pages 1336-1342

  • Receive Date 23 July 2018
  • Accept Date 06 April 2022