Evaluation of the quality of cardiopulmonary resuscitation provided by the emergency response team at a tertiary care hospital

• Published in: Indian journal of anaesthesia 2022-02, Vol.66 (2), p.126-132
• Main Authors: Maddani, Sagar, Chaudhuri, Souvik, Krishna, H, Rao, Shwethapriya, Unnithan, Narayanan, Ravindranath, Sunil
• Format: Article
• Language: English
• Subjects: Analysis; Cardiopulmonary resuscitation; CPR; CPR (First aid); Emergency response teams; Evaluation; Heart attacks; Hemodynamics; Lifesaving; Medical care; Medical research; Medicine, Experimental; Methods; Original; Patient outcomes; Practice; Quality management
• ISSN: 0019-5049; 0976-2817
• DOI: 10.4103/ija.ija_897_21

Background and Aims: Chest compression fraction is the proportion of time spent on chest compression during cardiopulmonary resuscitation (CPR). The aims of this study were to know the quality of CPR provided during in-hospital cardiac arrest (IHCA) by analysing the chest compression fraction and to see the correlation of chest compression fraction with return of spontaneous circulation (ROSC) in the hospital setting. Methods: This prospective observational study was conducted in patients aged >18 years who developed IHCA. An observer would assess the quality of CPR provided by noting the time spent on chest compression. The chest compression fraction was calculated and correlated in patients with ROSC and without ROSC. Patients who survived were followed until discharge, and their neurological score was determined using the cerebral performance category (CPC). Results: We included 126 patients in the study; the mean chest compression fraction achieved was 78% (standard deviation [SD] ± 5). A total of 73 (58%) patients achieved ROSC and among them, 11 patients (9%) survived to hospital discharge. We found that the patients with ROSC had a significantly higher chest compression fraction of 80% (SD ± 5), as compared to 75% (SD ± 5), in whom ROSC could not be achieved. A multivariate logistic regression test showed higher odds (1.125) of ROSC in patients with high chest compression fraction. The mean CPC among the survivors was 1.4 (SD ± 0.5). Conclusion: Our study shows that health-care providers in our hospital provide high-quality CPR, and chest compression fraction is independently associated with ROSC in IHCA.