Abstract
Objective
Cardiorespiratory arrest is rapidly fatal without resuscitation. The authors aimed to determine the outcome of cardiopulmonary resuscitation (CPR) for patient with respiratory disease presenting to the emergency setting with cardiorespiratory arrest.
Materials and methods
This prospective cohort study was carried out on 60 patients who presented to the emergency room with respiratory disorders and presented with or developed cardiorespiratory arrest. CPR was done guided by international guidelines for CPR. Patient demographic and clinical data, frequency of cardiopulmonary arrest, duration of resuscitation, length of hospital and ICU stay, and the outcome of resuscitation were recorded. Clinical and neurological examination and Glasgow coma scale were applied for all patients. Psychological assessment was done only for survivors (15 patients) using Beck depression inventory-II scale and Taylor manifest anxiety scale.
Results
Of 60 patients, 15 (25%) were discharged fully conscious, whereas 45 (75%) patients died. Age, sex, comorbidities, and cause of arrest did not show any statistically significant association with the outcome (P>0.05 for all). The duration of CPR was significantly lower in survivor group compared with nonsurvivor group (4.50 +/- 2.10 vs 12.87 +/- 8.52 min; P=0.001). There was a significant negative correlation between GSC and duration of CPR (r=-0.502, P<0.001). Beck depression inventory scale and Taylor manifest anxiety scale scores were significantly correlated with frequency of cardiopulmonary arrest (r=0.525, P=0.02 and r=0.407, P=0.031, respectively) and duration of CPR (r=0.491, P=0.032 and r=0.420, P=0.027, respectively).
Conclusion
Cardiorespiratory arrest had unfavorable outcome, and there was an inverse correlation between CPR duration and survival to hospital discharge, neurological outcome, and psychological outcome.