Outcome of in-hospital resuscitation in a tertiary level teaching hospital in Nepal

Abstract

Introduction: Cardiopulmonary resuscitation (CPR) is being used extensively in the hospital settings for life saving purposes. Resuscitation guidelines are reviewed and published frequently for better outcome of the patient. The objective of this study was to identify predictors of outcome of CPR and compare the outcome of PR with other centers.

Method: This is a retrospective analytical study of one year duration carried out in tertiary level teaching hospital. Data were collected and then entered in Microsoft excel software with all the variables. Statistical analysis was done using Statistical Package for Social Sciences 17 software.

Results: There was no influence of gender, age, time of call and site of call on outcome of CPR. Strong correlation was observed with primary rhythm of the patient at the time of CPR, with better outcome for ventricular fibrillation (VF) & pulseless ventricular tachycardia(VT) (survival 65%), and worse for asystole (survival 25%) and pulseless electrical activity (survival 54%).

Conclusion: In this study it was found that primary rhythm at the time of CPR is strong predictor of survival. Outcome of CPR in this centre is comparable to other centres following standard protocols for CPR.