Effect of in-hospital Cardiopulmonary Cerebral Resuscitation Management on Resuscitation Outcomes

Introduction: Currently, a few percent of Cardiopulmona ry Cerebral Resuscitation (CPCR) has been successful which would lead to prolonged survival of the patients. Hence, this study aimed to review the effect of managing in-hospital cardiopulmonary cerebral resuscitation on the resuscitation outcomes. Methods: This was a pre and post quasi-experimental study. In the pre-intervention phase, eighty patients were studied in a selected educational hospital in Tehran who underwent CPR, in terms of short and long term resuscitation outcomes in 2009. The CPCR management process was conducted for five months. After stabilization of this new system, the resuscitation outcomes again were reviewed by another eighty patients. For recording short and long term resuscitation outcomes was used standard Utstein form. The statistical analysis was done by SPSS 16 software and descriptive-analytical statistical. Results: The short term outcomes increased after the intervention from 18.8% (pre) to 31.3% (post) and the long term outcomes also were boosted from zero percent (pre) to 2.5% (post). Generally, after the intervention, 66.3% of the resuscitation were unsuccessful, 31.3% were successful in short term and 2.5% brought about the long term survival; and the patients with moderate to good brain function discharged from the hospital. This result had a significant difference with the situation of pre intervention phase (p<0.05). Conclusion: Performing the CPR management process can be applied as a model for performance of the managers of health-treatment centers to increase survival rate of the patients after the CPR.