The Science Journal of the American Association for Respiratory Care

2002 OPEN FORUM Abstracts

REVIEW OF CARDIOPULMONARY RESUSCITATION FREQUENCY AND OUTCOMES DURING A ONE-YEAR PERIOD AT A TEACHING MEDICAL CENTER

Robert Leshko, RRT; Kenneth Miller, RRT, MEd; Lawrence Mann, RRT; Steven Pyne, RRT,BS; Gail Brunst, CC Sec. Lehigh Valley Hospital Center, Allentown, PA 18105.

Introduction: Cardiopulmonary resuscitation (CPR) requires a large amount of both equipment and personnel resources. Often there is debate regarding the proper utilization of these resources and when CPR will most likely be needed. This information can prove useful for scheduling resources and predicting outcomes. It also allows for resolution of disagreements regarding which shift has more code blues and best outcomes.

Methods and patients: We performed a retrospective review of all code blues that occurred at our institution (550 bed teaching medical center) during a one-year time span. We examined total outcomes, outcomes for monitored and non-monitored patients, frequency per day of week, frequency per time of day, and patient gender.

Results: There was a total of 328 code blues reviewed for the one-year period.

Total codes Survival Monitored

Non-monitored

Males Females
328 147 (45%) 149 (47%) 179 (53%) 235 (72%) 93 (28%)
101 (69%) Survival 46 (31%) Survival 83 (35%) Survival 64 (69%) Survival

 

Day of week Frequency Survival Time of day Frequency Survival
Sunday 49 (15%) 16 (32%) 0001-0400 42 (15%) 15 (36%)
Monday 57 (17%) 28 (49%) 0401-0800 47 (14%) 22 (47%)
Tuesday 57 (17%) 32 (56%) 0801-1200 87 (25%) 42 (22%)
Wednesday 44 (13%) 18 (41%) 1201-1600 45 (13%) 22 (49%)
Thursday 36 (11%) 15 (41%) 1601-2000 59 (18%) 27 (46%)
Friday 46 (14%) 22 (48%) 2001-2400 48 (16%) 19 (40%)
Saturday 39 (12%) 16 (41%)

Conclusion: More males than females required CPR and a female?s chance of survival was greater. As expected, monitored patients had a higher survival rate than non-monitored patients. Monday and Tuesday had the highest number of codes with Tuesday having the highest survival rate. The time period between 0801-1200 had the highest volume of codes, but also the lowest survival percentage. Results regarding CPR frequency and outcomes can give valuable information regarding equipment and personnel allocation.

OF-02-023

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