Cardiopulmonary resuscitation: Outcome and its predictors among hospitalized elderly patients in Egypt. Issue 2 (10th June 2013)

• Record Type: Journal Article
• Authors: Amer, Moatasem Salah; Abdel Rahman, Tomader Taha; Aly, Walaa Wessam; Ahmad, Nesma Gamal
• Is Part Of: Geriatrics and gerontology international. Volume 14:Issue 2(2014)
• Page Start: 309
• Page End: 314
• Publication Date: 2013-06-10
• Subjects: Geriatrics -- Periodicals; Gerontology -- Periodicals; Geriatrics -- Japan -- Periodicals; Gerontology -- Japan -- Periodicals; 618.97
• DOI: 10.1111/ggi.12099
• Languages: English
• ISSNs: 1444-1586

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="ggi12099-sec-0001" sec-type="section"> <title>Aim</title> <p>Our aim was to study the outcome and the predictors of in‐hospital cardiopulmonary resuscitation (CPR) among elderly patients admitted to Ain Shams University Hospitals, Egypt.</p> </sec> <sec id="ggi12099-sec-0002" sec-type="section"> <title>Methods</title> <p>We carried out a cross‐sectional study for all elderly patients (age ≥60 years) who underwent CPR after cardiac arrest at Ain Shams University Hospitals, Egypt, during a 1.5‐year study period. We excluded patients who were declared dead on arrival.</p> </sec> <sec id="ggi12099-sec-0003" sec-type="section"> <title>Results</title> <p>We found 380 cases of elderly in‐hospital cardiac arrest that underwent CPR. Asystole was the most common arrhythmia detected at the time of arrest (85.1%), followed by ventricular tachycardia (8.7%) and ventricular fibrillation (6.2%). Return of spontaneous circulation was achieved in 32.6% of patients and 8.4% survived to discharge from hospital. Multivariate logistic regression analysis identified three independent predictors of better outcome (survival >24 h): response time ≤5 min (OR 5.1, 95% CI 1.9–13.4), location of CPR in emergency department (OR 3.2, 95% CI 1.6–6.4) and pre‐arrest morbidity (PAM) score ≤7 (OR 3.1, 95% CI 1.6–6.1).</p> </sec> <sec id="ggi12099-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Outcome of CPR after in‐hospital cardiac arrest in our setting was poor. The response time ≤5 min, CPR in the emergency department and PAM score ≤7 were independent predictors of good outcome. <bold>Geriatr Gerontol Int 2014; 14: 309–314.</bold></p> </sec> </abstract>