Relationship between blood lactate level and acef score with in-hospital mortality after cardiopulmonary resusitation in patients diagnosed with non-traumatic cardiopulmonary

To obtain results that will contribute to the literature in determining mortality by combining the blood lactate level and ACEF score measured after the return of spontaneous circulation in Cardiac Arrest patients in the emergency department. Methods: Patients aged between 18 and 100 years who were diagnosed with non-traumatic cardiopulmonary arrest during emergency room admission and outside the hospital and whose spontaneous circulation returned with cardiopulmonary resuscitation were included in the case group. During admission to the emergency department, blood lactate levels and serum creatinine levels were measured in patients, and EF was measured with ECHO. Patients whose blood test was not taken within 0-2 hours after admission or whose EF was not measured within 24 hours were excluded from the study. The data of our study were obtained from examinations performed during emergency department follow-up. When the patient was admitted to the relevant clinic from the emergency department, the patient's exitus and discharge were monitored through the hospital information system during the hospital stay. The final phase of the study was completed with the parameters of whether the patient was discharged with recovery or exitus in the relevant clinic where the patient was followed. The duration and process of our research is the length of hospital stay of each patient in a 1-year period. Results: The average lactate value of the 32 patients we included in the study was 7.72, average age was 69.81, average ACEF value was 2.11, average length of stay was 11.31 days, and average CPR time was 20.41 minutes. 56.3% of the patients were male and 43.8% were female. 59.4% of the patients were admitted to the anesthesia department, 12.5% to the internal medicine department, and 28.1% to the cardiology department. 81.3% of the patients died. While the CPR duration was short (20 minutes or less) in 56.3%, it was long (over 20 minutes) in 43.8%. 68.8% of the patients were over 65 years of age, 34.4% had low ACEF (1.5 and below), 21.9% had moderate ACEF (1.5-1.99), and 43.8% had high ACEF (2 and above). While 56.3% of the patients presented with non-cardiac etiology, 43.8% presented with cardiac etiology. Conclusion: This study we conducted includes patients with spontaneous return after cardiac arrest. ACEF was found to be higher in these patients over the age of 65. Lactate values were found to be significantly higher in patients who were discharged than in patients who were discharged. In addition, the length of stay was higher in patients in the ex group and was different from those who were discharged. A statistically significant relationship was observed between CPR time interval and Ex result. CPR time is significantly higher in Ex patients. A statistically significant negative relationship was found between the "CPR duration" and the "Duration of Stay" of the patients who were discharged. ACEF score was not associated with mortality and etiology (cardiac-noncardiac). There was no relationship between age, gender, admission clinic and etiology and mortality. A relationship was found between lactate value and mortality.