بررسي تأثير اجراي پروتكل مشترك و مدون احياء بر ميزان بقا و پيش آگهي موارد احياء در بيمارستان سينا

Assessment of the influences of common protocols administration in survival and outcomes of patients undergo Cardiopulmonary Resuscitation in Sina hospital

Background: Because of importance of resuscitation and rescuing the people, we planned this study to assess the influences of common protocols administration in survival and outcomes of patients undergoing Cardiopulmonary Resuscitation (CPR) in Sina Hospital, Tehran University of Medical Sciences. It was a before-after study. Before- group were the patients in first half of 1384. The second or After-group were patients undergoing CPR after interventions including organizing of educational classes, determination of groupʹs task work and common protocols (AHA 2005), administration of educational booklets. Outcomes were assessed in at least 3 days after CPR. Data collection was done using a questioner and analyzed by SPSS version 13 software. Materials and methods: In this study, we assessed 729 patients undergoing CPR in Sina Hospital in 2 groups. 117 patients (16%) were alive after 3 days, 38 people of them were in Before and 79 person in After groups. There were no differences in sex and age of patients between groups. Cardiovascular diseases were the most common in dead patients and cerebral diseases were the second. Results: Of 86 patients who died after rescuing of the first CPR, most of them had died on 4 6 hr after first CPR. Morbidity in first day was more than 2 and 3 days after CPR. The most mortality in first CPRs was happened in emergency room, then in ICU. There was no difference in mortality of patients in work hours. Time intervals between CPR code notification and starting the cardiac massage, also arrival of anesthesiology or cardiac (or internal medicine) residents were better in second group. Total CPR success rate was 16 %( 117 people) whicn was better in second group. Discussion and Conclusion: These results could show efficacy of our interventions in improving the outcome and survival in CPRs. Based on this study, we can suggest that using common protocols based on new and scientific methods for all medical practitioners, can improve outcome and CPR success rate.