Cardiopulmonary resuscitation after cardiac surgery: a two-year study.
OBJECTIVE
The aim of this study was to investigate the incidence of cardiopulmonary resuscitation (CPR) after cardiac surgery and to find predictors of survival.


METHODS
A retrospective study with data obtained by chart review.


METHODS
A university hospital 24-bed cardiac surgical intensive care unit (ICU).


METHODS
Between 1993 and 1994, 4,968 consecutive adult patients who underwent cardiac surgery at the authors' hospital were studied.


METHODS
None.


RESULTS
One hundred thirteen of these patients (2.3%) were resuscitated. Seventy-nine patients (70%) survived to be discharged from the hospital. Significant predictors of survival were the time between admission to the ICU and initiation of CPR, CPR time, and creatine kinase (CK) and CK-MB values.


CONCLUSIONS
The incidence of CPR after cardiac surgery was 2.3% with no difference between valve surgery and CABG. Best results were achieved when arrhythmias or bleeding were the predisposing causes. Further studies have to be undertaken concerning long-term results and quality of life of the discharged patients.
Department of Thoracic and Cardiovascular Surgery, Heart Center North Rhine-Westphalia, Ruhr University of Bochum, Bad Oeynhausen, Germany.
A
A
el-Banayosy
C
C
Brehm
L
L
Kizner
D
D
Hartmann
H
H
Körtke
M M
MM
Körner
K
K
Minami
W
W
Reichelt
R
R
Körfer
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001145:Arrhythmias, Cardiac / Q000150:complications; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D016887:Cardiopulmonary Resuscitation; D001026:Coronary Artery Bypass / Q000009:adverse effects; D003402:Creatine Kinase / Q000097:blood; D003422:Critical Care; D005260:Female; D005544:Forecasting; D006351:Heart Valves / Q000601:surgery; D006801:Humans; D015994:Incidence; D007527:Isoenzymes; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D010351:Patient Discharge; D019106:Postoperative Hemorrhage / Q000150:complications; D011788:Quality of Life; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate; D013997:Time Factors
D007527:Isoenzymes; D003402:Creatine Kinase