Retrospective evaluation of patients who have undergone cardiopulmanary resusicition at emergency service

All applications conducted in cardiac arrest treatment are called cardiopulmonary resuscitation (KPR). 20 % of total death is a result of sudden cardiac arrest. The percentage of the patients discharged from hospital administered cardiopulmonary resuscitation (KPR) falls between 17 and 32. Today, beyond the survival, what it is expected from KPR is a life free of neurological deficits. In this study, the patients to who were administered cardiopulmonary resuscitation (KPR), were retrospectively examined independent from the etiology in all age groups that admitted to emergency services between the dates of 01.01.2013 & 31.05.201. The patients for which cardiopulmonary resuscitation code were entered in Emergency were found from the Hospital's Automation Operation System (Probel®). The patients in this group whose data could not be accessed completely or who were regarded as exitus when they were admitted to the hospital were excluded from our study. 285 patients who complied with our study's criteria included in this study. The patients who were administered KPR were divided into two as inter-hospital arrests and outer-hospital arrests. All cases were investigated related to socio-demographical and clinic specifications such as age, gender, admission time, comorbidity existence, biochemical parameters, administered drugs, patient outcome, intensive care unit requirement, length of hospital stay and mortality. In outer-hospital cardiac arrest cases also the way of admission of the patient in the hospital, if there is any witness to scene cardiac arrest (KA), time of starting KPR at the scene, scene airway, administered drugs, defibrillation existence and rhythm, if applied; KPR duration at the scene were examined. The results after KPR applied at Emergency Services were recorded as Survived and Exitus. Intensive Care Unit Hospitalization Length of the survived patients and whether they could be discharged from the hospital were examined. Conclusively, while HT existence was significant in all patients to the favor of survival, male gender and admission between the hours of 06:01-12:00 were found significant to the favor of admission mortality. Whereas, in outside-hospital KA cases the significance of the application performed in the scene could not be statistically determined with respect to survival or mortality. But a correlation between the rhythm of the patients after transfer being electrical activity with no pulse and asystole and increased mortality after KPR applied for 21 minutes or more. In inter-hospital KA cases, a correlation was found between increased mortality and the patients to whom KPR applied for 21 minutes or more. Our target during the planning stage of our study was to reveal both the survival and discharge indicators for the KA which were performed both within and outside of the hospital. However due to the low numbers of discharged case no statistical study could be performed. Therefore, survival indicators were tried to be revealed for the cardiac arrests both within and outside of hospital. Recording systems and their standardization is required to be established in order to increase the quality of cardiopulmonary resuscitation (KPR). Further studies are required for the effects of medical care given after the return of spontaneous circulation after cardiac arrest on survival and additional studies are required to be performed for standardization of hospital data.