Factors Influencing the Success Rate of Cardiopulmonary Resuscitation
Abstract: Cardiopulmonary
resuscitation (CPR) is a series of actions performed on cardiac arrest
patients. Not all patients receiving CPR can survive. The outcome of CPR is
influenced by several factors. This study was conducted to determine the
success rate of CPR and the factors influencing it in Dr. Hasan Sadikin General
Hospital in 2013.
Methods: This study was conducted by using 168 patient medical records
who underwent CPR and met the inclusion criteria in the Resuscitation Room of
Dr. Hasan Sadikin General Hospital from January to December 2013. The collected
data consisted of age, gender, pre-arrest diagnosis, initial rhythm, response
time and clinical outcome of CPR. The results were expressed in frequencies and
percentage. The data were analyzed using the chi-square test.
Results: The Success rate of CPR was 15.5%. The success rate was higher
in patients with cardiac prearrest diagnoses (8.33%, p=0.024). The most common
initial rhythm was unshockable rhythms (83.92%), yet patients with shockable
heart rhythms had higher success rates (40.74%, p<0.001). All of the
surviving patients had response time within the first minute from cardiac
arrest.
Conclusions: Success rate of CPR in the resuscitation room of Dr. Hasan
Sadikin General Hospital during 2013 is still low. The factors influencing the
survival rate are the pre-arrest diagnosis and initial heart rhythm.
Author: Aisyah Amanda Hanif,
Iwan Abdul Rachman, Hendro Sudjono Yuwono
Journal Code: jpkedokterangg150323
