The Outcomes of In-hospital Cardiopulmonary Resuscitation: A Cross-sectional Study in Iran

Abstract

Background: Taking into account the lack of information in this field in Iran, the present study aimed at assessing the five-year epidemiology and outcomes of in-hospital cardiopulmonary resuscitation (CPR) in educational centers in Kermanshah. Methods: A cross-sectional study was conducted on 1000 cases of resuscitation. The subjects were selected through systematic random sampling. Data gathering tool included a standard form of in-hospital resuscitation cases based on Utstein style and the framework of and cerebral performance categories (CPC). Results: Out of 1000 cases of resuscitations, 220 cases (22%) had the return of spontaneous circulation and there was 5.2% survival to discharge (STD). Logistic regression test showed that age < 50 years (P = 0.022), primary rhythm (P = 0.012), resuscitation duration (P = 0.001), post resuscitation Glasgow Coma Scale (GCS) (P = 0.001), and cardiac arrest with witness or under monitoring (P = 0.031) had a significant relationship with patient discharge after resuscitation. Therefore, these indices can be used to predict hospital discharge range after resuscitation. According to Fisher’s exact test, only post-resuscitation GCS and resuscitation duration had a significant relationship with CPC level (P < 0.001). Conclusions: Despite the improvement of STD over the past few years, these indices are still not comparable with those in other countries. However, the high level of neurological condition of patients at discharge was an indicative of good care services after successful CPRs. This finding can be a motivation for the medical personnel in doing a better CPR operation.