World Journal of Emergency Medicine ›› 2017, Vol. 8 ›› Issue (3): 200-205.doi: 10.5847/wjem.j.1920-8642.2017.03.007
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Chennappa Kalvatala Krishna1, Hakim Irfan Showkat2(), Meenakshi Taktani1, Vikram Khatri1
Received:
2016-11-16
Accepted:
2017-04-20
Online:
2017-09-15
Published:
2017-09-15
Contact:
Hakim Irfan Showkat
E-mail:docirfanshahi512@gmail.com
Chennappa Kalvatala Krishna, Hakim Irfan Showkat, Meenakshi Taktani, Vikram Khatri. Out of hospital cardiac arrest resuscitation outcome in North India — CARO study[J]. World Journal of Emergency Medicine, 2017, 8(3): 200-205.
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URL: http://wjem.com.cn//EN/10.5847/wjem.j.1920-8642.2017.03.007
Table 1
Patient's demographics and aspects of the OHCA events, n (%)
Variables | Experienced OHCA | Survived |
---|---|---|
Age group | ||
Mean age (years) | 63±14.6 | 56±9.4 |
Sex | ||
Male | 56 (70) | 6 (10.7) |
Female | 24 (30) | 1 (4.1) |
Location of OHCA event | ||
Residence | 74 (92.5) | 6 (8.1) |
Public place | 4 (5) | 1 (25) |
Others | 2 (2.5) | 0 (0) |
Witnessed OHCA | ||
Yes | 46 (56.5) | 7 (15.2) |
No | 34 (42.5) | 0 (0) |
Bystander CPR | ||
Yes | 1 (1.2) | 1 (100) |
No | 79 (98.8) | 6 (7.5) |
Presenting initial cardiac rhythm | ||
Shockable | 3 (3.8) | 2 (66.6) |
Non-shockable | 77 (96.3) | 5 (6.4) |
CPR duration | ||
≤30 minutes | 47 (59) | 7 (15) |
>30 minutes | 26 (32.5) | 0 (0) |
Presumed etiology of OHCA | ||
Cardiac | 74 (92.5) | 5 (6.7) |
Non-cardiac | 6 (7.5) | 2 (33.3) |
ROSC achieved | ||
Yes | 26 (32.5) | 7 (26.9) |
No | 54 (67.5) | 0 (0) |
Overall survival | ||
Overall survival to hospital admission | 26 (32.5) | |
Expired after hospital admission | 19 (23.7) | |
Survival rate to hospital discharge | 7 (8.8) | |
Neurological outcome | ||
CPC 1: Good cerebral performance | 3 (3.8) | |
CPC 2: Moderate cerebral disability | 0 (0) | |
CPC 3: Severe cerebral disability | 2 (2.5) | |
CPC 4: Vegetative state or coma | 2 (2.5) |
Table 2
Predictors of outcome after CPR (univariate & multivariate analysis)
Predictors | Survival to discharge risk ratio (95%CI) | P value |
---|---|---|
Univariate analysis | ||
Age <60 years | 2.86 (0.52-15.74) | 0.225 |
Male sex | 2.76 (0.31-24.26) | 0.360 |
Presenting rhythm shockable | 28.80 (2.21-374.75) | 0.010 |
CPR duration ≤30 minutes | 14.88 (2.68-82.66) | 0.002 |
Non-cardiac etiology | 6.90 (1.00-47.29) | 0.049 |
Multivariate analysis | ||
Age <60 years | 1.24 (0.16-9.72) | 0.832 |
Male sex | 2.38 (0.17-33.14) | 0.517 |
Presenting rhythm shockable | 48.61 (2.08-1 132.47) | 0.016 |
CPR duration ≤30 minutes | 11.38 (1.11-116.39) | 0.040 |
Non-cardiac etiology | 2.04 (0.15-27.90) | 0.591 |
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