J Korean Soc Emerg Med.  1999 Mar;10(1):70-77.

Evaluation of in-Hospital Cardiac Arrest According to the in-Hospital Utstein Style

Abstract

BACKGROUND: The in-hospital 'Utstein style' is international recommended guidelines for reporting outcome data from in-hospital resuscitation events. This study was designed to evaluate the current status of in-hospital cardiopulmonary resuscitation(CPR), and to provide basic data far the unified reporting guideline of resuscitation in Korea.
METHODS
The patients who had received CPR in a university hospital were searched during one year period from March 1997. The variables according to the Utstein style were evaluated with review of the medical records.
RESULTS
During the period, 428 patients had received CPR. Excluding the patients of out-of-hospital arrest and less than 8 years, 242 were enrolled. Their initial ECG rhythms were 55 of asystole, 148 of pulseless electrical activity, and 39 of ventricular fibrillation, The spontaneous circulation was returned in 118(49%, and 48(20% were maintained more than 24 hours. Twenty-two patients(9%) were discharged with spontaneous respiration. Among the survivors, 17 had the Cerebral Performance Category of 1.
CONCLUSION
We recommend the Utstein style to report the outcome of in-hospital CPR.


MeSH Terms

Cardiopulmonary Resuscitation
Electrocardiography
Heart Arrest*
Humans
Korea
Medical Records
Respiration
Resuscitation
Survivors
Ventricular Fibrillation
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