Retrospective evaluation of cases with cardiopulmonary resuscitation in the emergency department

Purpose: In this study, cases that were admitted to the emergency department with CPA and underwent CPR were examined, demographic and clinical characteristics, CPR success and rate, ROSC after CPR, medications used in the cases, comorbid diseases of the cases, arrest rhythm, admission time of the cases, CPR duration. It is aimed to contribute to the literature by determining factors affecting recovery outcomes, prognosis and survival, such as. Patients and Method: 162 patients who underwent CPR among CPA cases who applied to Tekirdağ Namık Kemal University Emergency Service between 01/01/2019 and 31/12/2022 were identified. Among these cases, 1 patient who was brought to the emergency department dead, who was under the age of 18 and for whom sufficient data could not be obtained for the study, was excluded from the study and 161 patients were included in the study. According to the data collected from the hospital system and patient file, the cases are; According to the CPR result, ROSC/exitus, age range (18-65 years and >65 years), gender, arrest location (inside/outside the hospital), arrest rhythm (asystole, NEA, VF, nVT), CPR duration (<45 min, >45 min), the cases were grouped according to the time of admission, reasons for arrest, comorbid diseases, use of defibrillators and the tools used. Data were analyzed with IBM SPSS V21. Results: In the study, 68.9% of the patients were male and 31.1% were female. The rate of CPA cases in-hospital was 14.9% and out-of-hospital was 85.1%. The most common arrest rhythm was seen in 67,7% and VF in 25.4%. Cardiac-related CPA cases were seen in 55.2%. The ROSC success rate for CPR was found to be 45.8% in-hospital and 7.2% out-of-hospital. Discussion and Conclusion: In the study, male gender was more common in CPA cases. The most common etiology of CPA was determined to be cardiac causes. The rate of ROSC was found to be higher in in-hospital CPA cases. Hypertension was the most common comorbidity in CPA patients. CPR duration of less than 45 minutes increases the success of CPR. The rate of ROSC was found to be higher in shockable rhythms. Considering the age distribution of CPA cases, cardiac causes, respiratory failure, CVA and oncological causes were more common in patients over 65 years of age. Trauma and intoxication were found to be among the most common causes of CPA in the age group between 18-65.