TY - JOUR
TI - Efficacy of CPR in a general, adult ICU
AU - Myrianthefs, P.
AU - Kalafati, M.
AU - Lemonidou, C.
AU - Minasidou, E.
AU - Evagelopoulou, P.
AU - Karatzas, S.
AU - Baltopoulos, G.
JO - Resuscitation
PY - 2003
VL - 57
TODO - 1
SP - 43-48
PB - Elsevier Ireland Ltd
SN - 0300-9572
TODO - 10.1016/S0300-9572(02)00432-X
TODO - adult;  article;  clinical study;  female;  general hospital;  Greece;  heart arrest;  heart function;  heart ventricle fibrillation;  heart ventricle tachycardia;  human;  intensive care;  lung disease;  major clinical study;  male;  priority journal;  pupil reflex;  resuscitation;  survival rate
TODO - Aim: To investigate the initial cardiopulmonary resuscitation (CPR) success rate and long term survival in an Intensive care unit (ICU) population. Patients: All patients with cardiac arrest over a 2-year-period (1999-2000) in a general, adult ICU of a general hospital of Athens. Methods: Retrospective collection of clinical data concerning patients, CPR characteristics and survival rates. Results: We examined 111 ICU patients, aged 56.4±1.9 years (72 males). SAPS II score was 43.9±3.8. CPR was performed in 98.2% of the patients within 30 s. Initial restoration of cardiac function (RCF) and successful CPR rate was 100% while 24 h survival was 9.2%. Survivors at 24 h were younger, mainly males, with lower SAPS II score, mainly with pulmonary disease, ventricular fibrillation or ventricular tachycardia (8/10) and initial pupil reactivity (5/10). Four patients required more than one cycle of CPR. Survival to discharge was zero. Conclusion: Although the initial successful CPR rate in ICU patients may be high, long term survival and hospital discharge is disappointing. Although ICU patients are better monitored and treated in a timely fashion, they are disadvantaged by chronic underlying diseases, severe current medical illnesses and multi organ dysfunction syndrome (MODS) leads to worst outcome after CPR compared with in-ward patients. © 2003 Elsevier Science Ireland Ltd. All rights reserved.
ER -