Effectiveness of a Cardiopulmonary Resuscitation Team with an Emergency Physician for In-Hospital Cardiac Arrest.
- Author:
Hang A PARK
1
;
Mun Ju KANG
;
Won Chul CHA
;
Tae Gun SHIN
;
Ik Joon JO
;
Keun Jeong SONG
;
Yeon Kwon JEONG
;
Min Seob SIM
Author Information
1. Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. minsub01.sim@samsung.com
- Publication Type:Original Article
- Keywords:
Cardiopulmonary resuscitation;
In-hospital arrest;
Emergency physician
- MeSH:
Cardiopulmonary Resuscitation;
Emergencies;
Heart Arrest;
Humans;
Korea;
Multivariate Analysis;
Patients' Rooms;
Retrospective Studies;
Survival Rate;
Tertiary Healthcare
- From:Journal of the Korean Society of Emergency Medicine
2012;23(5):603-610
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Emergency physicians are usually more experienced in emergency situations; therefore, a cardiopulmonary resuscitation team with an emergency physician as a leader would be operated effectively. The aim of this study is to evaluate the effectiveness of a cardiopulmonary resuscitation that includes an emergency physician. METHODS: A retrospective analysis for in-hospital arrests that occurred in the general ward was conducted based on the in-hospital cardiopulmonary resuscitation registry of a tertiary care university hospital in Korea from January 1, 2005 through December 31, 2010. We compared outcomes of cardiopulmonary resuscitation performed by a team that included an emergency physician with those by a cardiopulmonary resuscitation team that included a non-emergency physician. RESULTS: Survival rates at discharge were 29.6% for the emergency physician team and 17.7% for the non-emergency physician team. The good neurologic outcome rates at discharge were 20.6% and 10.6%, respectively. In multivariate analysis with adjustment for pre-arrest patient condition and arrest variables, survival rate did not differ significantly between the two groups. However, the good neurologic outcomes showed an association with the emergency physician team. CONCLUSION: For in-hospital cardiac arrest, outcomes for patients who were rescued by the emergency physician-directing CPR team might be comparable or better, compared with those by the non-emergency physician team.
