A Retrospective Analysis of Factors Affecting the Success of Cardiopulmonary Resuscitation

Nuh Kumru; Selcan Yerebakan Akesen; Suna Gören

Article Details

A Retrospective Analysis of Factors Affecting the Success of Cardiopulmonary Resuscitation

Authors:

Nuh Kumru | Selcan Yerebakan Akesen | Suna Gören

Publisher:

Bursa Uludağ University

Main Topics:

Anesteziyoloji

Journal:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.51 Issue 1, pp.29-35

Document Type:

Article

Publication Date:

5/2025

Document Language:

Turkish

Document ID (Org No.):

2001348985

pISSN:

1300-414X

Keywords:

Abstract:

 In our study conducted to determine the factors affecting survival in patients undergoing cardiopulmonary resuscitation CPR, 1995 CPR record forms belonging to 1576 patients who underwent CPR in our hospital within one year were examined. Patients under the age of 18 were excluded from the study, as were resuscitation data of patients who underwent more than one CPR, except for their first resuscitation. Patient characteristics, characteristics related to CPR implementation, and laboratory parameters were recorded from the files and CPR registration forms of the remaining 1,228 patients. The effects of all these data on return of spontaneous circulation ROSC and survival in the first 24 and 48 hours after CPR were investigated. Univariate and multivariate logistic regression analyses were used for statistical evaluation. It was determined that 37.9 of the patients were female and 62.1 were male, with a mean age of 64.014.1 years. The ROSC rate was found to be 32.41, while survival rates at the first 24 and 48 hours were 8.15 and 7.46, respectively. In determining the ROSC rate, length of stay, arrest in the intensive care unit ICU and emergency room, sepsis, metastasis, liver failure, presence of respiratory depression, ventricular fibrillationpulseless ventricular tachycardia in the first rhythm were determined as independent risk factors. Mortality rates in the first 24 and 48 hours were associated with arrest in the ICU OR3.01 and 4.57, high Simplified Acute Physiology Score II SAPS II score, high Good Outcome Following Attempted Resuscitation GOFAR and Prognosis After Resuscitation PAR scores. In conclusion, it was determined that SAPS II, GOFAR and PAR scores could be used to predict survival in in-hospital CPR, and that, the occurrence of arrest in the intensive care unit has an adverse effect on survival.

 In our study conducted to determine the factors affecting survival in patients undergoing cardiopulmonary resuscitation CPR, 1995 CPR record forms belonging to 1576 patients who underwent CPR in our hospital within one year were examined. Patients under the age of 18 were excluded from the study, as were resuscitation data of patients who underwent more than one CPR, except for their first resuscitation. Patient characteristics, characteristics related to CPR implementation, and laboratory parameters were recorded from the files and CPR registration forms of the remaining 1,228 patients. The effects of all these data on return of spontaneous circulation ROSC and survival in the first 24 and 48 hours after CPR were investigated. Univariate and multivariate logistic regression analyses were used for statistical evaluation. It was determined that 37.9 of the patients were female and 62.1 were male, with a mean age of 64.014.1 years. The ROSC rate was found to be 32.41, while survival rates at the first 24 and 48 hours were 8.15 and 7.46, respectively. In determining the ROSC rate, length of stay, arrest in the intensive care unit ICU and emergency room, sepsis, metastasis, liver failure, presence of respiratory depression, ventricular fibrillationpulseless ventricular tachycardia in the first rhythm were determined as independent risk factors. Mortality rates in the first 24 and 48 hours were associated with arrest in the ICU OR3.01 and 4.57, high Simplified Acute Physiology Score II SAPS II score, high Good Outcome Following Attempted Resuscitation GOFAR and Prognosis After Resuscitation PAR scores. In conclusion, it was determined that SAPS II, GOFAR and PAR scores could be used to predict survival in in-hospital CPR, and that, the occurrence of arrest in the intensive care unit has an adverse effect on survival.

 In our study conducted to determine the factors affecting survival in patients undergoing cardiopulmonary resuscitation CPR, 1995 CPR record forms belonging to 1576 patients who underwent CPR in our hospital within one year were examined. Patients under the age of 18 were excluded from the study, as were resuscitation data of patients who underwent more than one CPR, except for their first resuscitation. Patient characteristics, characteristics related to CPR implementation, and laboratory parameters were recorded from the files and CPR registration forms of the remaining 1,228 patients. The effects of all these data on return of spontaneous circulation ROSC and survival in the first 24 and 48 hours after CPR were investigated. Univariate and multivariate logistic regression analyses were used for statistical evaluation. It was determined that 37.9 of the patients were female and 62.1 were male, with a mean age of 64.014.1 years. The ROSC rate was found to be 32.41, while survival rates at the first 24 and 48 hours were 8.15 and 7.46, respectively. In determining the ROSC rate, length of stay, arrest in the intensive care unit ICU and emergency room, sepsis, metastasis, liver failure, presence of respiratory depression, ventricular fibrillationpulseless ventricular tachycardia in the first rhythm were determined as independent risk factors. Mortality rates in the first 24 and 48 hours were associated with arrest in the ICU OR3.01 and 4.57, high Simplified Acute Physiology Score II SAPS II score, high Good Outcome Following Attempted Resuscitation GOFAR and Prognosis After Resuscitation PAR scores. In conclusion, it was determined that SAPS II, GOFAR and PAR scores could be used to predict survival in in-hospital CPR, and that, the occurrence of arrest in the intensive care unit has an adverse effect on survival.

 Kardiyopulmoner resusitasyon KPR uygulanan hastalarda sağkalımı etkileyen faktörleri belirlemek amacıyla yapılan çalışmamızda, bir yıl içinde hastanemizde KPR uygulanan 1576 hastaya ait 1995 KPR kayıt formu incelendi. Çalışmaya 18 yaş altı hastalar ve birden fazla KPR uygulananların ilk resusitasyonları dışındaki veriler alınmadı. Geriye kalan 1228 hastanın dosya ve KPR formlarındaki hasta özellikleri, KPR ile ilgili bilgiler ve laboratuvar parametreleri kaydedildi. Spontan dolaşımın geri dönuşu SDGD, ilk 24 ve 48 saatlik sağkalım uzerine etkileri araştırıldı. İstatistiksel analizde tek ve çok değişkenli lojistik regresyon analizi kullanıldı. Hastaların 37,9u kadın, 62,1i erkek olup, yaş ortalaması 64,014,1 yıl idi. SDGD oranı 32,41, ilk 24 ve 48. saat sağkalım oranları sırasıyla 8,15 ve 7,46 olarak bulundu. SDGDyi etkileyen bağımsız risk faktörleri arasında yatış suresi, yoğun bakım ve acil serviste arrest, sepsis, metastaz, karaciğer yetmezliği, solunum depresyonu ve ventrikuler fibrilasyonnabızsız ventrikuler taşikardi ilk ritmi yer aldı. İlk 24 ve 48 saatte mortalite oranları yoğun bakımda arrest OR3,01 ve 4,57, yuksek SAPS II Simplified Acute Physiology Score II skoru, yuksek GOFAR Good Outcome Following Attempted Resuscitation ve PAR Prognosis After Resuscitation skorlarıyla ilişkilendirildi. Sonuç olarak, hastane içi KPRde sağkalım tahmininde SAPS II, GOFAR ve PAR skorlarının kullanılabileceği, yoğun bakımda arrestin sağkalımı olumsuz etkilediği saptandı.

Article Details

A Retrospective Analysis of Factors Affecting the Success of Cardiopulmonary Resuscitation

Authors:

Nuh Kumru | Selcan Yerebakan Akesen | Suna Gören

Publisher:

Bursa Uludağ University

Main Topics:

Anesteziyoloji

Journal:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.51 Issue 1, pp.29-35

Document Type:

Article

Publication Date:

5/2025

Document Language:

Turkish

Document ID (Org No.):

2001348985

pISSN:

1300-414X

Cardiac arrest

Cardiopulmonary resuscitation

Prognostic factors

Scoring systems

SurvivalKardiyak arrest

Kardiyopulmoner resüsitasyon

Prognostik faktörler

Skorlama sistemleri

Sağkalım

Issues

Article Details

Authors: Nuh Kumru | Selcan Yerebakan Akesen | Suna Gören

Publisher: Bursa Uludağ University

Main Topics: Anesteziyoloji

Journal: Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.51 Issue 1, pp.29-35

Document Type: Article

Publication Date: 5/2025

Document Language: Turkish

Document ID (Org No.): 2001348985

pISSN: 1300-414X

Issues

Authors:

Nuh Kumru | Selcan Yerebakan Akesen | Suna Gören

Publisher:

Bursa Uludağ University

Main Topics:

Anesteziyoloji

Journal:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.51 Issue 1, pp.29-35

Document Type:

Article

Publication Date:

5/2025

Document Language:

Turkish

Document ID (Org No.):

2001348985

pISSN:

1300-414X