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“Code blue” (CB) is common emergency code, used by hospitals to alert trained emergency response team of any cardiac arrest. The factors affecting the outcome of resuscitative services are inherent to the patient and also to the functioning of the Code Blue System (CBS). The primary objective was to assess the success of ‘Code Blue’ in terms of survival. The other objective was to identify the patient and system variables associated with a favorable outcome. Material and methods: This was a cross sectional retrospective study done in a multispecialty teaching hospital in Bihar during the period from April 2018 to March 2019. The study was conducted after approval from the Institutional Ethics Committee. Data was gathered from the Code Blue Report Form and further details of individual patients were tracked from their medical records. Data was entered in an Excel Spreadsheet and analyzed using descriptive statistics, Chi-square test and logistic regression analysis using SPSS Version 21 software. Results: A total of 111 CB calls were initiated during the period. Code Blue activated for cardiac arrest situations only were considered in the study. Emergency response calls for physiologically acute changes in the patients were excluded. Immediate success of resuscitation services for Code Blue calls was 63.06%, beyond 24 hours this was 27.03% and at discharge this was just 9.01%. Factors such as age, time of Code Blue during or outside routine hospital working hours, associated comorbidities, procedures like dialysis, operation or chemotherapy done in the last 24 hours preceding the Code Blue and duration of CPR were found to have a significant effect on the success rate. Conclusion: We conclude, that formal training of all the healthcare providers on BLS is of paramount importance. Further in depth analysis is required to find out the root cause of the problems that are associated with the ‘Code Blue’ process which is affecting the success rates beyond routine hospital working hours.

A Study on the Success and Other Correlates of Code Blue Cases in a Multi-specialty Teaching Hospital in Bihar