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EFFECT OF TRAINED CARDIOPULMONARY RESUSCITATION TEAM ON THE OUTCOMES OF CARDIOPULMONARY RESUSCITATION
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L Borimnejad *   , M Rasouli, , AR Nikbakht Nasrabadi, , H Mohammadi, , L Kheirati |
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Abstract: (7797 Views) |
BACKGROUND AND OBJECTIVE: Several studies have shown that hospitals with trained and designated emergency personnel have improved survival performance and hospital discharge. The aim of this study was to determine the effect of trained team on improving the outcomes of cardiopulmonary resuscitation (CPR) in Imam Khomeini hospital, Tehran, Iran.
METHODS: This clinical trial study was performed on 87 patients as control group and 53 as intervention group. In control group, after announcing CPR code, routine team (a nurse, Intern and medical resident) performed CPR. In intervention group CPR team included two trained nurses and an emergency medicine resident that were present in emergency department. A checklist was used to evaluate the performance and quality of CPR team that was prepared based on American heart association. Physiologic variables and patient condition was obtained from the file. Data was analyzed by parametric and non-parametric statistical methods and p<0.05 was considered significant.
FINDINGS: The results showed that the mean age of resuscitated patients in control group was 58.1±19.6 that in comparison to second group (59.4±19.2), there was no significant difference. Also there was no significant difference in physiologic variables of patients before occurrence of cardiac arrest in two groups. However survival in males was more successful but this difference was not statistically significant. There was a significant difference in survival after CPR, between control and intervention group (18.4% versus 30%, p<0.01 and also the mean of hours’ survival 28 versus 88.44 hours, p<0.001).
CONCLUSION: According to the results of this study, trained and designated emergency personnel have improved event and survival. So CPR team training and continuing education for all nurses and residents should be considered. CPR team should be aware of up to date knowledge of CPR in order to decrease the mortality rate. |
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| Keywords: Cardiopulmonary resuscitation team, Cardiopulmonary resuscitation, Hospital |
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Full-Text [PDF 344 kb]
(2933 Downloads)
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Type of Study: Research |
Subject:
Biochemical
Accepted: 2014/06/3 | Published: 2014/06/3
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