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A 6-year experience of CPR outcomes in an emergency department in Thailand

Yuwares Sittichanbuncha1, Thidathit Prachanukool, Kittisak Sawanyawisuth

  • 1Emergency Medicine Department, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Therapeutics and Clinical Risk Management
|October 22, 2013
PubMed

Insights

Sudden cardiac arrest survival rates improved with prompt cardiopulmonary resuscitation (CPR) and specific causes. In-hospital cardiac arrest and cardiopulmonary arrest causes were linked to better outcomes in Thailand.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Public Health

Background:

  • Sudden cardiac arrest (SCA) presents a critical emergency with low survival rates globally.
  • Survival outcomes depend on patient characteristics, pre-hospital factors, and resuscitation details.
  • Limited data exists on SCA survival in Thailand and other Asian countries.

Purpose of the Study:

  • To evaluate factors influencing survival and outcomes in cardiac arrest patients receiving cardiopulmonary resuscitation (CPR).
  • To determine the survival rate of cardiac arrest patients at Ramathibodi Emergency Medicine Department.
  • To address the data gap concerning cardiac arrest in Thailand.

Main Methods:

  • Retrospective study of patients over 15 years old with sudden cardiac arrest from January 2005 to December 2010.
  • Inclusion of patients resuscitated in the emergency room.
  • Analysis using descriptive statistics and logistic regressions for sustained return of spontaneous circulation (ROSC) and survival at discharge.

Main Results:

  • Overall sustained ROSC rate was 34.8%; survival at discharge was 11.1%.
  • Out-of-hospital cardiac arrest (145 patients): survival 52.4%, survival to discharge 7.6%.
  • In-hospital cardiac arrest (36 patients): survival 86.1%, survival to discharge 25.0%.
  • Factors for sustained ROSC included good/moderate cerebral performance, in-hospital arrest, CPR within 30 minutes, and cardiopulmonary cause.
  • Cardiopulmonary cause of arrest influenced survival to discharge.

Conclusions:

  • Sustained ROSC is associated with pre-arrest functional status, arrest location, CPR duration, and cause.
  • Survival to discharge is primarily related to the cause of cardiac arrest.
Abstract

Keywords:
CPRcardiac arrestemergency departmentpredictors

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