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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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SCIENCE
HEALTH SCIENCE
NURSING
NUR 2222
