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Efficacy of in and out of hospital CPR

Introduction

The aim of the study was to examine the efficacy of in-hospital (wards, ICU), and out of hospital (Emergency Medical System, EMS) cardiopulmonary resuscitation (CPR) application.

Materials and methods

We enrolled 193 patients (134 males, 69.4%) mean age (59.1 ± 1.4) who developed cardiac arrest either out of hospital (24 pts, 12.4%) or in-hospital (wards: 45 pts, 23.3%, ICU: 116, 60.1%). We examined underlying disease, current diagnosis and place of arrest, application or not of CPR, and outcome.

Results

Patients characteristics are shown in the Table.

Table

CPR (basic and advanced cardiac life support) was performed in 137/193 patients (71%) by a CPR team. Cardiac function was restored in 106/137 (77.4%) of the patients within 5 min. Six, 12 and 24 hour survival was 29/106 (27.4%), 14 (13.2%) and 10/106 (9.4%) respectively.

Conclusions

CPR was performed in an accepted percentage (71%) of patients and was followed by higher percentage of automatic cardiac function (77.4%) compared to international data. However, 24 hour survival was lower than that expected.

Acknowledgement

Supported by the University of Athens.

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Myrianthefs, P., Kalafati, M., Minasidou, E. et al. Efficacy of in and out of hospital CPR. Crit Care 6, P164 (2002). https://doi.org/10.1186/cc1623

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Keywords

  • Public Health
  • Emergency Medicine
  • Cardiac Arrest
  • Medical System
  • Cardiac Function