Functional Outcome and Independence Among In-Hospital Cardiac Arrest Patients in South India: A Prospective...

Area of Science:

• Cardiology
• Emergency Medicine
• Critical Care

Background:

• Cardiopulmonary resuscitation (CPR) duration is critical for patient prognosis following cardiac arrest.
• Lack of standardized Core Outcome Sets for In-Hospital Cardiac Arrest complicates outcome assessment.

Purpose of the Study:

• To evaluate the effect of CPR duration on functional outcomes, survival rates, and independence levels in cardiac arrest patients.
• To identify predictors of survival and functional recovery post-CPR.

Main Methods:

• Observational study involving 121 patients from two tertiary hospitals in South India.
• Data collected on CPR duration, survival, neurological status (Cerebral Performance Category), and independence (Katz Index) at immediate post-CPR, Day 30, and Day 90.

Main Results:

• Mean CPR duration was 18.97 ± 14.7 min; 55.3% achieved Return of Spontaneous Circulation (ROSC).
• 90-day survival was 41.3%. Neurological state improved from 95% unfavorable immediately post-CPR to 37.19% at Day 30.
• Patient independence improved significantly by Day 30. ROSC, life-saving drugs, and CPR duration were key predictors.

Conclusions:

• Integration of the Utstein reporting system is recommended for cardiac arrest patients.
• CPR policies and guidelines should prioritize neurological integrity and quality of life post-resuscitation.