title: A comparison of the outcome of CPR according to AHA 2005 ACLS and AHA 2010 ACLS guidelines in cardiac arrest: multicenter study.
abstract: The aim of this study was to evaluate whether there is a difference in the return of spontaneous circulation (ROSC) and survival with sequel-free recovery rates between the patients who underwent cardiopulmonary resuscitation (CPR) according to 2005 and 2010 guidelines. This study was conducted in the Bakırköy Dr. Sadi Konuk and Kartal Lütfi Kırdar Training and Research Hospital between dates of October 2010 and 28 February 2011 after approval of Ethics Committee. In the first months of the study, CPR was performed according to AHA 2005 ACLS guidelines (Group-1), while CPR was performed according to AHA 2010 ACLS guidelines after November 2010 (Group-2). Patients were assessed for neurological deficit with Cerebral Performance Categories Scale. Mean age was found as 69.01±13.05 (minimum: 21, maximum: 92) in 86 patients included. Of the 33 patients underwent CPR in the Group 1, ROSC was achieved in 51.5%; and 6.1% of these patients were discharged. Of the 53 patients underwent CPR in the Group 2, ROSC was achieved in 37.7%; and 9.4% of these patients were discharged. Although the number of living patients in Group 2 was higher than Group 1, the difference was not found statistically significant (5 versus 2), (P>0.05). But, neurological outcomes were found better with 2010 compared to 2005 guidelines (3/7 versus 0/2 good cerebral performance). It was found that the 2005 CPR guidelines practices in ED were more successful than the 2010 CPR guidelines practices in ROSC, but less successful in the rate of discharge from hospital and neurological sequel-free discharge rate.
authors.affiliation: Department of Emergency, Kartal Lutfi Kirdar Training and Research Hospital Istanbul, Turkey.
authors.forename: Oktay
authors.initials: O
authors.lastname: Ocal
authors.affiliation: Department of Emergency, Istanbul University, Bakirköy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.
authors.forename: Dogac Niyazi
authors.initials: DN
authors.lastname: Ozucelik
authors.affiliation: Department of Emergency, Bakirköy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.
authors.forename: Akkan
authors.initials: A
authors.lastname: Avci
authors.affiliation: Department of Emergency, Bakirköy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yazicioglu
authors.affiliation: Department of Emergency, Bakirköy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.
authors.forename: Yilmaz
authors.initials: Y
authors.lastname: Aydin
authors.affiliation: Department of Emergency, Bakirköy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.
authors.forename: Baris Murat
authors.initials: BM
authors.lastname: Ayvaci
authors.affiliation: Department of Emergency, Bakirköy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.
authors.forename: Halil
authors.initials: H
authors.lastname: Dogan
authors.affiliation: Department of Emergency, Bakirköy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.
authors.forename: Kurtulus
authors.initials: K
authors.lastname: Aciksari
authors.affiliation: Department of Anesthesiology and Reanimation, Bakirköy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.
authors.forename: Zafer
authors.initials: Z
authors.lastname: Cukurova
keywords: 2005-2010 AHA guidelines; CPR; CPS; Cardiac arrest; cardiopulmonary resuscitation; cerebral performance scale