Assessing the effect of arrival time of physician and cardiopulmonary resuscitation (CPR) team on the outcome of CPR

Ebrahim Ezzati; Saeed Mohammadi; Hassanali Karimpour; Javad Amini Saman; Afshin Goodarzi; Amir Jalali; Afshin Almasi; Kamran Vafaei; Rasool Kawyannejad

doi:10.1556/1646.10.2018.33

Assessing the effect of arrival time of physician and cardiopulmonary resuscitation (CPR) team on the outcome of CPR

Interv Med Appl Sci. 2020 Sep 16;11(3):139-145. doi: 10.1556/1646.10.2018.33. eCollection 2020 Sep.

Authors

Ebrahim Ezzati¹, Saeed Mohammadi², Hassanali Karimpour², Javad Amini Saman², Afshin Goodarzi^{3

4}, Amir Jalali⁵, Afshin Almasi⁶, Kamran Vafaei⁷, Rasool Kawyannejad¹

Affiliations

¹ Department of Anesthesiology, School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran.
² Department of Anesthesiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
³ Department of Medical Emergency, School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran.
⁴ Department of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran.
⁵ Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
⁶ Department of Biostatistics and Epidemiology, School of Health Public, Kermanshah University of Medical Sciences, Kermanshah, Iran.
⁷ Critical Care Nursing, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Abstract

Introduction: Negligence of proper time and poor performance of resuscitation team can lead to more mortality and negative consequences of cardiac arrest, as well as less survival. This study was conducted with objective of determining the arrival time of physician and resuscitation team to survive the victims of cardiopulmonary arrest.

Materials and methods: In this prospective and descriptive-analytic study, the resuscitation performance and the arrival time of resuscitation team in 143 inpatients who had been diagnosed with witnessed cardiopulmonary arrest were examined using a researcher-made checklist. Data analysis was performed using parametric and non-parametric statistical tests and SPSS.

Results: Initial survival rate was 26.6%. In general, the mean time of physician's presence after the code announcement in minutes and seconds was 02:31 ± 01:22. It was also 02:24 ± 01:15 in successful cases and 02:34 ± 01:25 in unsuccessful cases. Independent t-test did not show a significant difference between the physician's presence time and the rate of initial successful resuscitation (p = 0.504). The time of first shock after observing ventricular fibrillation/tachycardia (in minutes and seconds) was 01:30 ± 00:47. According to independent t-test, the aforementioned time was less than the mean time (02:31 ± 01:22) of physician's presence (p < 0.001).

Conclusions: In this study, the initial survival rate in comparison to other regions in the country was almost more favorable and it was similar to global norms. In this study, the starting time of resuscitation was within the acceptable range. There was no relationship between the presence of physician and the initial survival rate of patients, as well as the use of defibrillator (by physician compared to other team members) and intubation with the initial survival rate. This could indicate the adequate performance of resuscitation team in the absence of physician on the condition of having sufficient knowledge and skill.

Keywords: cardiopulmonary resuscitation; medical staff; physician; survival rate; time.

Grants and funding

Funding sources: All credits of this project (project number: 95648) were funded by Research and Technology Deputy of Kermanshah University of Medical Sciences in Iran.