Hastane Dışı Kardiyak Arrest Olguları: İkinci Basamak Acil Servis Deneyimi

Objectives: The aim of this study was to investigate the characteristics of the patients who received cardiopulmonary resuscitation (CPR) in the emergency department (ED). Study Design: This retrospective study was carried out in a secondary care emergency department of a state hospital between January and December 2017. Patients with out-of-hospital cardiac arrest (OHCA) aged 18 years and older were included in the study. Patients with rhythm at admission after successful resuscitation, and patients with trauma or pregnancy were excluded. Results: During the study period, 100 cases of OHCA that met the acceptance criteria were evaluated. Among all cases, the male gender was 59% (n=59) and the median age was 69 (IQR 58–78). Successful resuscitation was achieved in 27% (n=27) of the cases and these patients were hospitalized. Of all patients, 22 died within the first month of the presentation. In our study, only 5 patients lived more than one month. PH values were lower in the non-resuscitated patients than those of resuscitated patients (p<0.008) (6.95 IQR [6.85–7.07] and 7.05 [6.95–7.17] respectively). Conclusion: Survival rates are quite different in studies conducted in Turkey. It was seen that these rates were lower in secondary care hospitals. For this purpose, in order to increase survival in OHCA cases, both national and institutional CPR interventions need to be improved.