Image transcription text AACN Advanced Critical Care

Image transcription text AACN Advanced Critical Care Volume 31, Number 4. pp. 401-409 @ 2020 AACN Impact of CPR Quality and Adherence to Advanced Cardiac Life Support Guidelines on Patient Out- comes in In-Hospital Cardi… Show more Image transcription text Background: Sudden cardiac arrest is a major cause of death worldwide. Performance of prompt, high-quality cardiopulmonary resus— citation improves patient outcomes. Objectives: To evaluate the associ… Show more Image transcription text Results: OT 200 cases, 3/ %% Of compres- Key Words: cardiopulmonary resuscitation, sions were in the recommended range for CPR, patient outcomes n-hospital cardiac arrest (IHCA) is a major of the Re… Show more Image transcription text ICSun III CITES TISC and Compression actively at patients Tacking key data Components WCIC a rate of 100 to 120 per minute, with a depth also excluded. The study was approved by of 2 to 2.4 inches, and all… Show more Image transcription text and seventy of illness, as incllcated by the number of organ supportive therapies in use before cardiac arrest. It is the first study, to our knowledge, to assess participants at 4 points following resuscitation effort… Show more Image transcription text VOLUME 31 . NUMBER 4 . WINTER 2020 CPR QUALITY AND OUTCOMES All data were compiled and recorded on a Table 1: Characteristics of Study data collection form developed by the research Participants (N … Show more Image transcription text No. of organ systems Descriptive statistics were obtained for supported all demographic characteristics, code vari- Mean (SD) 1.3 (1.2) ables, chest compression adherence, and sur- Median 1 vival assessments. … Show more Image transcription text 55.8 (17.4) years (Table 1). Most partici- pants were male (56%) and in an ICU (61%). Basic Life Support Guideline The time of IHCA was close to an even split Adherence between day shift (49%) and night shift (51%). … Show more Image transcription text Compression compliance Overall compliance, median (IQR) 19.9 (8.9-38.7) 24.6 (2.8-45.2) 20.2 (8.6-39.2) Depth above target >0, n (%) 26 (34.7) 24 (19.2) 32 (30.2) Depth at target, median (IQR) 76.3 (42.5-92.1) 6… Show more Image transcription text was higher—than the median percentage—of vival end points. compressions with rates at target. The num- ber of codes that had 30% or more of their Outcome Data compressions at target for depth and rate was … Show more Image transcription text 58.2 (17.3) 59.0 (16.5) 58.0 (17.9) 59.0 (16.6) 58.0 (17.5) 49 (52.1) 87 (58.0) 25 (50.0) 87 (56.9) 25 (53.2) 53 (56.4) 73 (48.7) 25 (50.0) 76 (49.7) 22 (46.8) 50 (53.2)a 97 (64.7) 25 (50.0) 98 (64.1) 24 (51.1) 0 (0-1) 1 (0-2) 0 (0-… Show more Image transcription text difference was not statistically significant Not applicable 116 (58.0) (x’, =3.12, P=.08). Inappropriate 16 (8.0) Appropriate 68 (34.0) Three variables were significantly associ- ated with 24-hour survival. First was the nu… Show more Image transcription text Patients receiving more organ supportive thera- pies were less likely to be discharged from the ICU alive [Mann-Whitney Z: 2.26, P : .02). Patients who had 1 or fewer pauses greater than 10 seconds were more likel… Show more Image transcription text J. Investigations of IHCA indicate variability in survival rates. Overall survival rates ranging from 9.2% to 37.5% have been reportedf’ulg but interpretation of overall survival was not provided. Not all studies evaluate CP… Show more Image transcription text indicated higher survival among those who had IHCA between 7 AM and 11 PM than among those who had it between 11 PM and 7 AM.21 Likely factors involved in these findings include the reduced availability of res… Show more Image transcription text investigators reported improved survival over the preceding decade.” A more recent study examining 272 hospitals from 2007 to 2010 indicated a rate of survival to dis- charge of 21.1%.18 Higher survival may be due to… Show more Image transcription text KAPLOW ET AL WWW.AACNACCONLINE.ORG the number of pauses in compressions greater 6. Handley AJ, Handley SAJ. Improving CPR performance than 10 seconds with the length of the code. usin… Show more Image transcription text addition of continuous end-tidal carbon 12. US Department of Health and Human Services. Federal dioxide monitoring using capnography may policy for the protection of human subjects (‘Common be considered,… Show more Please summarize the article above.

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