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KMID : 1004620050110020177
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Clinical Nursing Research
2005 Volume.11 No. 2 p.177 ~ p.192
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Outcomes of In-hospital Cardiopulmonary Resuscitation According to the In-hospital Utstein Style in a General Hospital
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Kim Sung-Sook
Kim Bok-Ja
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Abstract
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Purpose: The purpose of this study was to compile basic data for comparative study among hospitals by analyzing CPR outcomes according to In-Hospital Utstein Style in order to enhance the effect of CPR by evaluating the problems that occurred during CPR.
Method: This study was carried out in a general hospital from January 2002 to December 2003. Statistical analysis was done with SPSS 11.0.
Result: Of 686 cases, recovery of systemic circulation over 20 minutes, 50.7% survivors more than 24 hours, 30.5% and survivors discharged, 18.5% survived more than 6 months, 6.8% survived more than 1 year, 4.1%. Factors affecting ROSC were time to confirmation of arrest and duration of CPR. Factors affecting discharge and 6 months survival were duration of CPR and PAM(pre-arrest morbidity) Index score. Problems in CPR were misinterpretation of initial ECG rhythm and delayed defibrillation in pulseless ventricular tachycardia and ventricular fibrillation.
Conclusion: It is necessary to educate and train nurses in the course of lethal rhythm and ACLS because considerable numbers of cases of cardiac arrest are witnessed by nurses in hospital.
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KEYWORD
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Cardiopulmonary Resuscitation(CPR), In-hospital Utstein Style, Outcome
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