Investigation of the Effect of Initial Cardiac Rhythm on Survival in Patients Admitted with Cardiopulmonary Arrest to the Emergency Department

Authors : Taner ŞAHİN, Ahmet Furkan NALBANT

Pages : 312-317

Doi:10.16899/jcm.1252261

View : 13 | Download : 13

Publication Date : 2023-03-22

Article Type : Research Paper

Abstract :Objective: Cardiopulmonary arrest is the condition of insufficient oxygen delivery to tissues as a result of sudden cessation of circulatory and respiratory functions. This study aimed to investigate the causes of arrest in patients admitted with cardiopulmonary arrest and the effect of initial cardiac rhythm on patient survival. Material and Methods: Out of 1126 patients who had an in-hospital and out-of-hospital cardiac arrest and were admitted to our emergency department, 1009 patients were included in this retrospective study following the exclusion criteria. In addition to the demographic characteristics of patients, their initial rhythms and mortality states were assessed. Results: There was a significant relationship between patients’ clinical outcomes and initial cardiac rhythms insert ignore into journalissuearticles values(p<0.001);. The mortality rate insert ignore into journalissuearticles values(77.1%); was higher in patients whose initial cardiac rhythm was asystole. While the rate of acidosis was higher in inpatients the rate of trauma was higher in mortal patients insert ignore into journalissuearticles values(p<0.001);. ST elevation was higher in patients whose cardiac rhythm returned and right bundle branch block was higher in those who died, however, these were not statistically significant. Conclusion: The initial rhythm analysis in arrest patients is crucial specifically in the detection of ventricular fibrillation and pulseless ventricular tachycardia which are shockable rhythms and patient survival increases with early diagnosis and intervention.
Keywords : Kardiyopulmoner arrest, kardiyak ritim, mortalite