Abstract

HERRERA, M. et al. Results of the first year of experience of the cardiopulmonary resuscitation program "Juan Ramón Jiménez" Hospital (Huelva). Med. Intensiva [online]. 2010, vol.34, n.3, pp.170-181. ISSN 0210-5691.

Objective: To present the results of the first year of the functioning of a Cardiopulmonary Resuscitation (CPR) Hospital Plan and to describe the characteristics of the patients with cardiopulmonary arrest (CPA) in hospital units with no monitoring facilities (HU). Design: An observational, prospective study in a cohort of patients who presented CPA during a one-year period. Setting: HU of a general hospital and as province reference. Patients and methods: Patients admitted to an HU from May 2007 to May 2008 with CPA and treated according to a specific hospital CPA Program, organized in order to: (a) decentralize the CPR through the training of the nurse as the first responder capable of performing immediate CPR and early defibrillation (DF) (less than 4min), (b) a specific phone number as hospital alarm of CPR and (c) maintenance of the CPR maneuvers by an early intervention Resuscitation Team (RT) (less than 8 min). Main variables of interest: Characteristics of patients, CPA episode and results according to the «Utstein style». Results: A total of 73 patients were included with activation of the CPA alarm, 8 of which were false alarms, with an average age of 70 years and 60% men. A total of 65% occurred in the medical area in patients with heart or respiratory failure, sepsis or septic shock. Initial heart rhythm of the patients attended was asystolic in 74% of the patients, ventricular fibrillation in 18% and electromechanical dissociation in 8%. The first attending person was the nurse in 79% of cases, CPR was always initiated in less than 1 min, DF in less than 2min (92%) and RT in less than 8min (96%). Fifty-five percent survived and 35% of the reanimated patients were discharged live from the hospital, 78% with good neurological outcomes. Conclusions: The CPR "Juan Ramón Jiménez" Hospital Program is an applicable and effective initiative in our setting.

Keywords : In-hospital cardiac arrest; Cardiopulmonary resuscitation; Cardiopulmonary resuscitation hospital plan; Utstein style.

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