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Retracted : Cardiopulmonary resuscitation: Outcome and its predictors among hospitalized elderly patients in E gypt
Author(s) -
Amer Moatasem Salah,
Abdel Rahman Tomader Taha,
Aly Walaa Wessam,
Ahmad Nesma Gamal
Publication year - 2014
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12099
Subject(s) - medicine , asystole , cardiopulmonary resuscitation , ventricular fibrillation , return of spontaneous circulation , emergency department , logistic regression , resuscitation , ventricular tachycardia , multivariate analysis , emergency medicine , psychiatry
Aim Our aim was to study the outcome and the predictors of in‐hospital cardiopulmonary resuscitation ( CPR ) among elderly patients admitted to A in S hams U niversity Hospitals, E gypt. Methods We carried out a cross‐sectional study for all elderly patients (age ≥60 years) who underwent CPR after cardiac arrest at Ain Shams University Hospitals, E gypt, during a 1.5‐year study period. We excluded patients who were declared dead on arrival. Results We found 380 cases of elderly in‐hospital cardiac arrest that underwent CPR . Asystole was the most common arrhythmia detected at the time of arrest (85.1%), followed by ventricular tachycardia (8.7%) and ventricular fibrillation (6.2%). Return of spontaneous circulation was achieved in 32.6% of patients and 8.4% survived to discharge from hospital. Multivariate logistic regression analysis identified three independent predictors of better outcome (survival >24 h): response time ≤5 min ( OR 5.1, 95% CI 1.9–13.4), location of CPR in emergency department ( OR 3.2, 95% CI 1.6–6.4) and pre‐arrest morbidity ( PAM ) score ≤7 ( OR 3.1, 95% CI 1.6–6.1). Conclusion Outcome of CPR after in‐hospital cardiac arrest in our setting was poor. The response time ≤5 min, CPR in the emergency department and PAM score ≤7 were independent predictors of good outcome. Geriatr Gerontol Int 2014; 14: 309–314.