Akademik Veri Yönetim Sistemi
Goztepe Tip Dergisi, cilt.20, sa.2, ss.101-103, 2005 (Scopus, TRDizin)
To evaluate the quality of cardiopulmonary resuscitation (CPR) in our hospital, problems encountered and to point out the necessity of CPR tutorial we examined retrospectively the files of patients who received CPR. Retrospective analysis of 365 patients who received CPR from October 1999 to June 2002 was performed. Patient number per department, call time of the CPR team and arriving time to the department, if any intervention to the patient was done before the arrival of the CPR team and the quality of CPR were analysed by chi- square and Annova tests. The mean call time of the CPR team was 7.04±3.66 min., the arrival time of the CPR team was 4.06 ±2.50 min. Departments proximity to our clinic was a statistically significant parameter for the arrival time (% 95 CI:3.79-4.32, F:1.331). The diagnosis were cardiopulmonary arrest in 52.8% of patients, in 29.5% there was only a pulmonary arrest, in 17.7% there were various respiratory problems. In the CPR performed patients 30.7% had no intervention performed before our arrival. 73.2% of the patients who received died, 17.6% were taken to our ICU and 9.2% were observed in the ward. The rate of survival is lower in our hospital than the literature. Our explanations for this situation are the delay in calling the CPR team, inadequate monitoring in the wards and untrained ward doctors and nurses. Thus in all clinics in hospitals especially in emergency services basic and advanced life-support tutorial should have been constituted to all physicians and nurses.