Authors : Sanket M Patel, Ankita Kabi*, Aakash Verma, Kumaresh Pillur Tamilarasu, Reshma Asokan, Alok
DOI : 10.18231/j.pjms.2023.096
Volume : 13
Issue : 2
Year : 2023
Page No : 513-520
Introduction: The studies on In-Hospital Cardiac Arrest are limited by the fact that most of them are carried out for patient admitted in ICU. Particularly for ward patients, there lies a big void in literature and hence this research study was undertaken in order to study the clinical outcome of in-hospital cardiac arrest for the patients admitted in ward.
Materials and Methods: A hospital based observational study among 119 patients was undertaken to evaluate the clinical outcome of In-Hospital cardiac arrest in patients presented to Deenanath Mangeshkar Hospital & Research Centre, Pune over a period of 2 years.
Results: Male to female ratio of cardiac arrest patients was 1.8:1 with higher incidence in age group 61-70 years (28.6%). 44 patients that were admitted in ward in first place, 25% (11 patients) survived 24 hours post resuscitation and a total of 4 patients were discharged from the hospital. Rest 75 patients required ICU admission initially and were later sent to ward where they sustained a cardiac arrest. 24 patients (32%) from this group survived 24 hours post cardiopulmonary resuscitation and 12 patients (16%) were discharged from the hospital later.Out of 119 patients, 55.5% patients had revival immediately post resuscitation and 44.5% patients died post resuscitation.
Conclusion: Patient with shockable initial rhythm on monitor had better outcomes than non-shockable rhythm so early defibrillation is advised in shockable rhythm. Of all the patients who had a cardiac arrest, those with cardiac causes and electrolytes disturbance as a preceding cause of arrest had a better outcome.
Keywords: Institutional outcome, Emergency department CPR, Cardiac arrest outcome