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Original research
Cardiac Arrests and Outcomes at Accident and Emergency (A&E) Department in A Tertiary Care Hospital of Sri Lanka.
Priyamali Jayasekera
General Sir John Kotelawala Defence University Faculty of Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6699-7937
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background : Witnessed cardiac arrest is a common occurrence in an A&E department. The reported incidence of witnessed cardiac arrest is variable around the world. The overall unadjusted survival to hospital discharge rate was18.4% at the time of performing this study [1].
Methods: This descriptive study was conducted between January 1, 2016 to December 31, 2016 ( one year) at the A&E department of Provincial General Hospital Kurunegala. The objective was to assess the aetiology, factors associated in outcomes of witnessed cardiac arrests, and the rate of occurrence of cardiac arrest at the A&E of Provincial General Hospital Kurunegala (PGHK). Survivors were followed up on for a one-year period following the study’s conclusion.
Results: There were 123 witnessed cardiac arrests (mean age 64 (+/- 15.9) years, 64% male), out of which 25 patients were successfully resuscitated and transferred to intensive care units for further care. However, only 6 (4.9%) patients were discharged from the hospital. The three-month and one-year survival numbers were 6 (4.9%) (males: 4, females: 2) and 4 (3.3%) (males: 3, female: 1) respectively. The age of the sole female survivor after one year was 43 years and the ages of the three male survivors were 46, 54, and 55 years respectively. The most common aetiology for cardiac arrest was myocardial infarction (43.1%) while the most common initial rhythm was non-shockable (82%). The initial rhythm was shockable in all 6 survivors.
Conclusion: The overall ratio of survival to discharge in this study was much lower in comparison to international figures. The poor survival rate in this study may be due a very high rate of cardiac arrests with initial non-shockable rhythms in this study’s population.
Keywords
Accident and Emergency, Witnessed Cardiac Arrest, Resuscitation, Survival
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This is a preprint. It has not completed peer review.
Original research
Cardiac Arrests and Outcomes at Accident and Emergency (A&E) Department in A Tertiary Care Hospital of Sri Lanka.
Priyamali Jayasekera
General Sir John Kotelawala Defence University Faculty of Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6699-7937
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 22 Sep, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Critical Care & Emergency Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background : Witnessed cardiac arrest is a common occurrence in an A&E department. The reported incidence of witnessed cardiac arrest is variable around the world. The overall unadjusted survival to hospital discharge rate was18.4% at the time of performing this study [1].
Methods: This descriptive study was conducted between January 1, 2016 to December 31, 2016 ( one year) at the A&E department of Provincial General Hospital Kurunegala. The objective was to assess the aetiology, factors associated in outcomes of witnessed cardiac arrests, and the rate of occurrence of cardiac arrest at the A&E of Provincial General Hospital Kurunegala (PGHK). Survivors were followed up on for a one-year period following the study’s conclusion.
Results: There were 123 witnessed cardiac arrests (mean age 64 (+/- 15.9) years, 64% male), out of which 25 patients were successfully resuscitated and transferred to intensive care units for further care. However, only 6 (4.9%) patients were discharged from the hospital. The three-month and one-year survival numbers were 6 (4.9%) (males: 4, females: 2) and 4 (3.3%) (males: 3, female: 1) respectively. The age of the sole female survivor after one year was 43 years and the ages of the three male survivors were 46, 54, and 55 years respectively. The most common aetiology for cardiac arrest was myocardial infarction (43.1%) while the most common initial rhythm was non-shockable (82%). The initial rhythm was shockable in all 6 survivors.
Conclusion: The overall ratio of survival to discharge in this study was much lower in comparison to international figures. The poor survival rate in this study may be due a very high rate of cardiac arrests with initial non-shockable rhythms in this study’s population.
Due to technical limitations, full-text HTML conversion of this manuscript could not be completed. However, the manuscript can be downloaded and accessed as a PDF.