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Korean J Anesthesiol > Volume 43(4); 2002 > Article
Korean Journal of Anesthesiology 2002;43(4):443-450.
DOI: https://doi.org/10.4097/kjae.2002.43.4.443   
In-hospital Cardiopulmonary Resuscitation: Incidence and Survival Rate according to the Utstein Template.
Ji Yeoun Kim, Teo Jeon Shin, Won Sik Ahn
Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea. aws@snu.ac.kr
Abstract
BACKGROUND
Cardiopulmonary resuscitation (CPR) is one of the most important medical procedures. However, we could not find any survival rates from in-hospital cardiopulmonary resuscitation in Korea. The objective of this study was to report outcomes according to a Utstein template for in-hospital CPR and to use this report as basic material to enhance our CPR skills and outcome.
METHODS
We reviewed all medical records of arrest cases in our hospital in 2001, which were coded as CPR, care for arrest, defibrillation/cardioversion, and Ambu. The data was summarized and analyzed in Utstein style. Most of the data was described in percentage, and the t-test was used to compare survival rate by sex. A P-value below 0.05 was considered significant.
RESULTS
In 2001, 218 patients was resuscitated in our hospital and 53 patients (24.3%) survived after CPR. Their mean survival was 10 days. Twenty-seven victims died within the first 24 hours after resuscitation. Nobody was discharged alive from our hospital. The time interval from collapse to CPR was 1.7 minutes, to intubation, 5.62 minutes, to epinephrine injection 7.4 minutes and to defibrillation, 23 minutes. Glascow coma scale and cerebral performance category were less than 8 and 4 for a majority of patients.
CONCLUSIONS
In our hospital, we had a low survival rate and quality of life. To improve outcome, we should prepare a better education program and more equipment and well-trained personnel for CPR.
Key Words: Cardiopulmonary resuscitaton; medical records; survival rate; statistics


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