[Selected factors affecting long-term outcomes of in-hospital resuscitation].
BACKGROUND
Results of resuscitation attempts and subsequent survival rates can now be analysed, based on the Utstein templates. Few such reports have been published so far in Poland.


METHODS
We have retrospectively analysed the outcomes of in-hospital resuscitation attempts, performed during 30 months in a large university hospital.The buildings were spread over 5.72 hectares, with the longest distance between buildings being 500 m. The resuscitation team consisted of an anaesthesiologist and a specialized nurse equipped with a basic set containing airway equipment, intravenous cannulas and drugs. Resuscitation protocols were analysed according to the Utstein templates.


RESULTS
There were 198 resuscitation attempts registered. In 47% of the cases, the circulation returned, but 28% of the patients died within 24 hours. 11% were discharged home, however 9 patients died within the next 6 months. 6% of the resuscitated patients survived over 12 months and were rated grade 1 or 2 on the CPC (Cerebral Performance Category) scale.The 12-month survival rate correlated only with the time from cardiac arrest to the first adrenaline injection. The in-hospital survival rate (possibility of discharge) correlated with the duration of hospitalization before cardiac arrest, the first registered cardiac rhythm (defibrillation-susceptible), and the time to first defibrillation.


CONCLUSIONS
The most pronounced difference between the results of in-hospital and pre-hospital CPR was the primary cardiac rhythm associated with the cardiac arrest. Defibrillation-susceptible rhythm was observed in only 15% of cases, and was associated with immediate survival and hospital discharge, but not with 12-month survival. The time to administration of the first dose of adrenaline was a sole factor associated with 12 month survival.
Piankowski
Arkadiusz
A
Klinika Anestezjologii i Intensywnej Terapii AM w Gdańsku. apian@amg.gda.pl
Skowroński
Roman
R
Sidorowicz
Magdalena
M
Owczuk
Radosław
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004554:Electric Countershock / Q000706:statistics & numerical data; D004837:Epinephrine / Q000008:administration & dosage; D005260:Female; D006323:Heart Arrest / Q000401:mortality* / Q000628:therapy*; D017052:Hospital Mortality; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D011044:Poland; D012151:Resuscitation / Q000401:mortality / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome; D055815:Young Adult
D004837:Epinephrine