Cardiopulmonary resuscitation: outcome and its predictors among hospitalized elderly patients in Egypt
Our aim was to study the outcome and the predictors of in-hospital cardiopulmonary resuscitation (CPR) among elderly patients admitted to Ain Shams University Hospitals, Egypt. We carried out a cross-sectional study for all elderly patients (age ≥60 years) who underwent CPR after cardiac arrest at A...
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| Veröffentlicht in: | Geriatrics & gerontology international 2014-04, Vol.14 (2), p.309-314 |
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| creator | Amer, Moatasem Salah Abdel Rahman, Tomader Taha Aly, Walaa Wessam Ahmad, Nesma Gamal |
| description | Our aim was to study the outcome and the predictors of in-hospital cardiopulmonary resuscitation (CPR) among elderly patients admitted to Ain Shams University Hospitals, Egypt.
We carried out a cross-sectional study for all elderly patients (age ≥60 years) who underwent CPR after cardiac arrest at Ain Shams University Hospitals, Egypt, during a 1.5-year study period. We excluded patients who were declared dead on arrival.
We found 380 cases of elderly in-hospital cardiac arrest that underwent CPR. Asystole was the most common arrhythmia detected at the time of arrest (85.1%), followed by ventricular tachycardia (8.7%) and ventricular fibrillation (6.2%). Return of spontaneous circulation was achieved in 32.6% of patients and 8.4% survived to discharge from hospital. Multivariate logistic regression analysis identified three independent predictors of better outcome (survival >24 h): response time ≤5 min (OR 5.1, 95% CI 1.9-13.4), location of CPR in emergency department (OR 3.2, 95% CI 1.6-6.4) and pre-arrest morbidity (PAM) score ≤7 (OR 3.1, 95% CI 1.6-6.1).
Outcome of CPR after in-hospital cardiac arrest in our setting was poor. The response time ≤5 min, CPR in the emergency department and PAM score ≤7 were independent predictors of good outcome. |
| doi_str_mv | 10.1111/ggi.12099 |
| format | Article |
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We carried out a cross-sectional study for all elderly patients (age ≥60 years) who underwent CPR after cardiac arrest at Ain Shams University Hospitals, Egypt, during a 1.5-year study period. We excluded patients who were declared dead on arrival.
We found 380 cases of elderly in-hospital cardiac arrest that underwent CPR. Asystole was the most common arrhythmia detected at the time of arrest (85.1%), followed by ventricular tachycardia (8.7%) and ventricular fibrillation (6.2%). Return of spontaneous circulation was achieved in 32.6% of patients and 8.4% survived to discharge from hospital. Multivariate logistic regression analysis identified three independent predictors of better outcome (survival >24 h): response time ≤5 min (OR 5.1, 95% CI 1.9-13.4), location of CPR in emergency department (OR 3.2, 95% CI 1.6-6.4) and pre-arrest morbidity (PAM) score ≤7 (OR 3.1, 95% CI 1.6-6.1).
Outcome of CPR after in-hospital cardiac arrest in our setting was poor. The response time ≤5 min, CPR in the emergency department and PAM score ≤7 were independent predictors of good outcome.</description><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.12099</identifier><identifier>PMID: 23750740</identifier><language>eng</language><publisher>Japan</publisher><subject>Aged ; Aged, 80 and over ; Cardiopulmonary Resuscitation ; Cross-Sectional Studies ; Egypt ; Female ; Heart Arrest - therapy ; Hospitalization ; Humans ; Male ; Middle Aged ; Prognosis ; Treatment Outcome</subject><ispartof>Geriatrics & gerontology international, 2014-04, Vol.14 (2), p.309-314</ispartof><rights>2013 Japan Geriatrics Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23750740$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amer, Moatasem Salah</creatorcontrib><creatorcontrib>Abdel Rahman, Tomader Taha</creatorcontrib><creatorcontrib>Aly, Walaa Wessam</creatorcontrib><creatorcontrib>Ahmad, Nesma Gamal</creatorcontrib><title>Cardiopulmonary resuscitation: outcome and its predictors among hospitalized elderly patients in Egypt</title><title>Geriatrics & gerontology international</title><addtitle>Geriatr Gerontol Int</addtitle><description>Our aim was to study the outcome and the predictors of in-hospital cardiopulmonary resuscitation (CPR) among elderly patients admitted to Ain Shams University Hospitals, Egypt.
We carried out a cross-sectional study for all elderly patients (age ≥60 years) who underwent CPR after cardiac arrest at Ain Shams University Hospitals, Egypt, during a 1.5-year study period. We excluded patients who were declared dead on arrival.
We found 380 cases of elderly in-hospital cardiac arrest that underwent CPR. Asystole was the most common arrhythmia detected at the time of arrest (85.1%), followed by ventricular tachycardia (8.7%) and ventricular fibrillation (6.2%). Return of spontaneous circulation was achieved in 32.6% of patients and 8.4% survived to discharge from hospital. Multivariate logistic regression analysis identified three independent predictors of better outcome (survival >24 h): response time ≤5 min (OR 5.1, 95% CI 1.9-13.4), location of CPR in emergency department (OR 3.2, 95% CI 1.6-6.4) and pre-arrest morbidity (PAM) score ≤7 (OR 3.1, 95% CI 1.6-6.1).
Outcome of CPR after in-hospital cardiac arrest in our setting was poor. The response time ≤5 min, CPR in the emergency department and PAM score ≤7 were independent predictors of good outcome.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiopulmonary Resuscitation</subject><subject>Cross-Sectional Studies</subject><subject>Egypt</subject><subject>Female</subject><subject>Heart Arrest - therapy</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Treatment Outcome</subject><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kDtPwzAYRS0kREth4A8gjywBPxObDVXlIVVigTly7C_BVRIH2xnKrycS5S53OecOF6EbSu7pkoeu8_eUEa3P0JoKURVEarFClykdCKGVpvQCrRivJKkEWaN2a6LzYZr7IYwmHnGENCfrs8k-jI84zNmGAbAZHfY54SmC8zaHmLBZjA5_hTQtdO9_wGHoHcT-iKfFhnHB_Yh33XHKV-i8NX2C61Nv0Ofz7mP7WuzfX962T_viwLjMBXOUNwxAqFIRbaUpnZIWAAjVUivbWnBGldBAW1asZawRuuWlIUw0VlHFN-jub3eK4XuGlOvBJwt9b0YIc6qppJxITrRY0NsTOjcDuHqKflgOqP-_4b-G7WYG</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Amer, Moatasem Salah</creator><creator>Abdel Rahman, Tomader Taha</creator><creator>Aly, Walaa Wessam</creator><creator>Ahmad, Nesma Gamal</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Cardiopulmonary resuscitation: outcome and its predictors among hospitalized elderly patients in Egypt</title><author>Amer, Moatasem Salah ; Abdel Rahman, Tomader Taha ; Aly, Walaa Wessam ; Ahmad, Nesma Gamal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j235t-2d13b2ee486809c5a6d85ceee019598cfceda86ebef672f22b49f36a024bc8183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiopulmonary Resuscitation</topic><topic>Cross-Sectional Studies</topic><topic>Egypt</topic><topic>Female</topic><topic>Heart Arrest - therapy</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amer, Moatasem Salah</creatorcontrib><creatorcontrib>Abdel Rahman, Tomader Taha</creatorcontrib><creatorcontrib>Aly, Walaa Wessam</creatorcontrib><creatorcontrib>Ahmad, Nesma Gamal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics & gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amer, Moatasem Salah</au><au>Abdel Rahman, Tomader Taha</au><au>Aly, Walaa Wessam</au><au>Ahmad, Nesma Gamal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiopulmonary resuscitation: outcome and its predictors among hospitalized elderly patients in Egypt</atitle><jtitle>Geriatrics & gerontology international</jtitle><addtitle>Geriatr Gerontol Int</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>14</volume><issue>2</issue><spage>309</spage><epage>314</epage><pages>309-314</pages><eissn>1447-0594</eissn><abstract>Our aim was to study the outcome and the predictors of in-hospital cardiopulmonary resuscitation (CPR) among elderly patients admitted to Ain Shams University Hospitals, Egypt.
We carried out a cross-sectional study for all elderly patients (age ≥60 years) who underwent CPR after cardiac arrest at Ain Shams University Hospitals, Egypt, during a 1.5-year study period. We excluded patients who were declared dead on arrival.
We found 380 cases of elderly in-hospital cardiac arrest that underwent CPR. Asystole was the most common arrhythmia detected at the time of arrest (85.1%), followed by ventricular tachycardia (8.7%) and ventricular fibrillation (6.2%). Return of spontaneous circulation was achieved in 32.6% of patients and 8.4% survived to discharge from hospital. Multivariate logistic regression analysis identified three independent predictors of better outcome (survival >24 h): response time ≤5 min (OR 5.1, 95% CI 1.9-13.4), location of CPR in emergency department (OR 3.2, 95% CI 1.6-6.4) and pre-arrest morbidity (PAM) score ≤7 (OR 3.1, 95% CI 1.6-6.1).
Outcome of CPR after in-hospital cardiac arrest in our setting was poor. The response time ≤5 min, CPR in the emergency department and PAM score ≤7 were independent predictors of good outcome.</abstract><cop>Japan</cop><pmid>23750740</pmid><doi>10.1111/ggi.12099</doi><tpages>6</tpages></addata></record> |
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| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Aged Aged, 80 and over Cardiopulmonary Resuscitation Cross-Sectional Studies Egypt Female Heart Arrest - therapy Hospitalization Humans Male Middle Aged Prognosis Treatment Outcome |
| title | Cardiopulmonary resuscitation: outcome and its predictors among hospitalized elderly patients in Egypt |
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