Evaluation of in-Hospital Cardiac Arrest According to the in-Hospital Utstein Style.
- Author:
Hahn Shick LEE
;
Sung Pil CHUNG
;
Uk Jin KIM
;
Soon Mee CHUNG
;
Hyung Goo KANG
;
Seung Ho KIM
- Publication Type:Original Article
- MeSH:
Cardiopulmonary Resuscitation;
Electrocardiography;
Heart Arrest*;
Humans;
Korea;
Medical Records;
Respiration;
Resuscitation;
Survivors;
Ventricular Fibrillation
- From:Journal of the Korean Society of Emergency Medicine
1999;10(1):70-77
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The in-hospital 'Utstein style' is international recommended guidelines for reporting outcome data from in-hospital resuscitation events. This study was designed to evaluate the current status of in-hospital cardiopulmonary resuscitation(CPR), and to provide basic data far the unified reporting guideline of resuscitation in Korea. METHODS: The patients who had received CPR in a university hospital were searched during one year period from March 1997. The variables according to the Utstein style were evaluated with review of the medical records. RESULTS: During the period, 428 patients had received CPR. Excluding the patients of out-of-hospital arrest and less than 8 years, 242 were enrolled. Their initial ECG rhythms were 55 of asystole, 148 of pulseless electrical activity, and 39 of ventricular fibrillation, The spontaneous circulation was returned in 118(49%, and 48(20% were maintained more than 24 hours. Twenty-two patients(9%) were discharged with spontaneous respiration. Among the survivors, 17 had the Cerebral Performance Category of 1. CONCLUSION: We recommend the Utstein style to report the outcome of in-hospital CPR.