Survival after cardiopulmonary resuscitation in the general wards--the results of a dedicated "code" team.
We describe our experience with a dedicated cardiopulmonary resuscitation team over 13 months for adults out-of-intensive care unit cardiopulmonary arrests. There were 137 recorded arrests with the majority (69%) happening "out-of-office-hours". The ages of patients ranged from 27 to 95 years, with 42% of patients > or = 70 years old. Spontaneous circulation was established in 38% with transfers to the intensive care unit. However, only 27% of these patients eventually survived to hospital discharge. Thus, there was an overall 10% hospital survival for all adult arrests in the general wards. Those that had return of spontaneous circulation were significantly younger than the nonsurvivors. Patients less than 70 years old had a higher hospital survival rate than those > or = 70 years old (16.5% vs 8.6%, chi 2 < 0.0001).
Department of Medicine, National University Hospital, Singapore. mdcleekh@nus.edu.sg
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D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation / Q000379:methods / Q000401:mortality* / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006757:Hospital Units / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration*; D012307:Risk Factors; D012846:Singapore; D015996:Survival Rate