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Area of Science:

  • Cardiology
  • Emergency Medicine
  • Clinical Research

Background:

  • In-hospital sudden cardiac arrest (SCA) is associated with significant mortality.
  • Analyzing SCA events and cardiopulmonary resuscitation (CPR) procedures is crucial for improving patient outcomes.
  • Understanding the dynamics of in-hospital SCA management is vital for healthcare providers.

Purpose of the Study:

  • To analyze cases of sudden cardiac arrest (SCA) within a hospital setting.
  • To evaluate the procedures and interventions performed by medical staff during in-hospital cardiopulmonary resuscitation (CPR).
  • To identify areas for improvement in the management of SCA events.

Main Methods:

  • Retrospective analysis of 104 SCA protocols from May 2014 to December 2015.
  • Examination of actions taken by medical staff before and after the arrival of the resuscitation team (RT).
  • Data presentation using median and mean ± standard deviation for key metrics.

Main Results:

  • The study included 52.88% women, with a mean age of 70.82 ± 13.32 years.
  • Basic and advanced life support were performed before RT arrival in 48.08% and 42.31% of cases, respectively; 5.77% had no action.
  • Cardiac arrest most frequently occurred in the afternoon in the Emergency Room (41.35%), with an average RT waiting time of 4.47 ± 5.85 minutes. Non-defibrillation rhythms were observed in 79.80%, with a 40% resuscitation efficacy.

Conclusions:

  • Resuscitation protocols are essential for medical records and staff training.
  • The lack of pre-arrival rescue activities necessitates identifying and addressing the root causes.
  • Improving timely interventions before the resuscitation team's arrival is critical for enhancing SCA survival rates.