The Initial Success Rate of Cardiopulmonary Resuscitation and Its Associated Factors among Intensive Care Unit Patients in a Tertiary Hospital in Saudi Arabia

Background: Cardiopulmonary Resuscitation (CPR) details of 1350 patients from an Intensive Care Unit, tertiary care hospital with 1500 bed capacity in Riyadh, Kingdom of Saudi Arabia was analysed. Objectives: (1) To determine the initial success rate of Cardiopulmonary Resuscitation in ICU and (2) To associate factors of Cardiopulmonary Resuscitation with initial success rate in ICU.

Methods: A Retrospective descriptive study with the Data retrieved from Cardiopulmonary Resuscitation charts of adult patients who had cardiac arrest during their stay in ICU between Jan 1, 2013 till Dec 31, 2015.

Results: The overall initial success rate of Cardiopulmonary Resuscitation in adult patients was 30.5%. For adult group (18-65 years) it was found to be 30.4% and for geriatrics (more than 65 years) it was found to be 30.6%.

The factors: Age, Gender, weight, time of arrest, did not show any statistical significant association with the outcome. Initial monitored rhythm showed significant association in the survival status with χ2=34.9 (P=0.000) for adults & χ2=56.8 (P=0.000) for geriatrics and Total duration of Cardiopulmonary Resuscitation showed significant difference in the survival with t (778)=21.4 (P=0.000) for adults and t (568)=12.57 (P=0.000) for geriatrics.

Conclusion: The overall initial success rate of Cardiopulmonary Resuscitation among adult patients in intensive care unit was 30.5% and there existed an insignificant difference in the total duration of Cardiopulmonary Resuscitation between males and females.

Author(s):

Akram Mohammad Rasheed, Mohammad Faisal Amera, PJ Parameaswari, Owais Sabri Nu'man, Ahmed Moh'd Elhaj and Muteb A Muteb

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