Outcomes of Patients with Cardiac Arrest in the Emergency Department at Shar Teaching Hospital, Sulaimaniyah, Iraq

Mezhward Najmalddin  Karim; Dara Muhammad   Mhedin; Rezan Ahmad  Hardy

Article Details

Outcomes of Patients with Cardiac Arrest in the Emergency Department at Shar Teaching Hospital, Sulaimaniyah, Iraq

Authors:

Mezhward Najmalddin Karim | Dara Muhammad Mhedin | Rezan Ahmad Hardy

Publisher:

Kurdistan Higher Council of Medical Specialties

Journal:

Advanced medical journal Vol.10 Issue 3, pp.237-244

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001931203

pISSN:

2958-8979

Keywords:

Abstract:

 Background and objectives: Cardiac arrest is a major cause of mortality and morbidity worldwide. Thus, we aimed to investigate the outcomes of patients with cardiac arrest in the Emergency Department at Shar Teaching Hospital, Sulaimaniyah, Iraq. Methods: In this cross-sectional study, 200 patients with cardiac arrest were enrolled from January 1st, 2022, to January 1st, 2023 Shar Teaching Hospital, Emergency department, in Sulaimaniyah, Iraq. The patients’ sociodemographic and clinical data were collected, including the arrest location, type of arrhythmia, and result (return of spontaneous circulation or death). Results: The main cause of admission as a cardiac arrest was medical (88.5%), surgical (6.0%), and trauma (5.5%). Most patients (56.5%) were in-hospital cardiovascular arrest, the common type of rhythm was asystole (73%), and 7.5% of patients were returned to spontaneous circulation by cardiopulmonary resuscitation. The in-hospital cardiac arrest significantly (p=0.05) had a better outcome than out-hospital cardiovascular arrest, as 10.6% was the return of spontaneous circulation by cardiopulmonary resuscitation, and 89.4% was dead. The type of rhythm during cardiac arrest was highly significantly (p<0.001) associated with the outcome of cardiopulmonary resuscitation. Ventricular tachycardia (100%) and ventricular fibrillation (62.5%) had a good return of spontaneous circulation, while pulseless electrical activity and Asystole rhythm had a low return of spontaneous circulation (8.1% and 0.7%, respectively). Conclusions: In-hospital cardiac arrest had a preferable outcome than out-hospital as its survival rate is higher, and ventricular tachycardia/ventricular fibrillation had a high return of spontaneous circulation by cardiopulmonary resuscitation.

Article Details

Outcomes of Patients with Cardiac Arrest in the Emergency Department at Shar Teaching Hospital, Sulaimaniyah, Iraq

Authors:

Mezhward Najmalddin Karim | Dara Muhammad Mhedin | Rezan Ahmad Hardy

Publisher:

Kurdistan Higher Council of Medical Specialties

Journal:

Advanced medical journal Vol.10 Issue 3, pp.237-244

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001931203

pISSN:

2958-8979

Arrhythmia

Cardiac arrest

Cardiopulmonary resuscitation

Medical emergency

Patient outcome

Issues

Article Details

Outcomes of Patients with Cardiac Arrest in the Emergency Department at Shar Teaching Hospital, Sulaimaniyah, Iraq

Authors: Mezhward Najmalddin Karim | Dara Muhammad Mhedin | Rezan Ahmad Hardy

Publisher: Kurdistan Higher Council of Medical Specialties

Journal: Advanced medical journal Vol.10 Issue 3, pp.237-244

Document Type: Article

Publication Date: 9/2025

Document Language: English

Document ID (Org No.): 2001931203

pISSN: 2958-8979

Arrhythmia

Cardiac arrest

Cardiopulmonary resuscitation

Medical emergency

Patient outcome

Issues

Authors:

Mezhward Najmalddin Karim | Dara Muhammad Mhedin | Rezan Ahmad Hardy

Publisher:

Kurdistan Higher Council of Medical Specialties

Journal:

Advanced medical journal Vol.10 Issue 3, pp.237-244

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001931203

pISSN:

2958-8979