title: Outcome and predictors of cardiopulmonary resuscitation among patients admitted in Medical Intensive Care Unit in North India.
abstract: BACKGROUND
  Outcome and predictors of survival after cardiopulmonary resuscitation (CPR) in Intensive Care Units (ICUs) have been extensively studied in western world, but data from developing countries is sparse.
  
  
  OBJECTIVE
  To study the outcome and predictors of survival after CPR in a Medical ICU (MICU) of a tertiary level teaching hospital in North India.
  
  
  METHODS
  A 1-year prospective cohort study.
  
  
  RESULTS
  Of 105 in-MICU CPRs, forty patients (38.1%) achieved return of spontaneous circulation (ROSC). Only one patient (0.9%) survived up to hospital discharge. The predictors of ROSC were ventricular tachycardia/ventricular fibrillation as first monitored rhythm, intubation during CPR and CPR duration ≤ 10 min. CPR duration > 10 min was a significant factor for resuscitation failure.
  
  
  CONCLUSIONS
  The rate of survival to hospital discharge after in-MICU CPRs is extremely poor. Our data may aid treating physicians, resuscitation teams, and families in understanding the likely outcome of patients after in-MICU CPRs.
authors.affiliation: Department of Emergency Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Bansal
authors.affiliation: Department of Emergency Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Tirath
authors.initials: T
authors.lastname: Singh
authors.affiliation: Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Gautam
authors.initials: G
authors.lastname: Ahluwalia
authors.affiliation: Department of Endocrinology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Parminder
authors.initials: P
authors.lastname: Singh
keywords: Cardiopulmonary resuscitation; Intensive Care Units; outcome study; survival rate; tertiary care