Abstract 10301: Impact of the 2005 Resuscitation Guidelines on Patient Survival Following In-hospital Cardiac Arrest: Experience From a Prospective Registry in Qatar (2002-2010)
Background: The influence of implementing the 2005 Resuscitation Guidelines on the outcome of in-hospital cardiac arrest remains unknown. The aim of the current study was to determine if survival to hospital discharge has improved following implementation of the 2005 resuscitation guidelines, in patients resuscitated from in-hospital cardiac arrest in the state of Qatar which implements training and certification of healthcare providers in affiliation with the European Resuscitation Council since 1999. The new updated 2005 guidelines were incorporated in the training program in Qatar early in 2006.
Methods: Retrospective analysis of all patients hospitalized with acute cardiac events that developed in-hospital cardiac arrest in Qatar in the years 2002-2005 and 2007-2010 was made. Patients hospitalized in the year 2006 were excluded to allow for the training and implementation of the guidelines. Survival and rates of cardiac comorbidities were examined.
Results: During the study period, 783 patients developed in-hospital cardiac arrest; 463 patients during the period 2002-2005 (4 years before implementing the new guidelines) and 320 patients during the period 2007-2010 (4 years after implementing the new guidelines). Patients hospitalized in the period following the guidelines changes significantly had more associated acute coronary syndromes compared to the control period (55% versus 43.6%; P value =0.002) whereas other comorbidities were similar among the two periods. There was no significant difference in the mortality rate in the period after the guidelines changes compared with the period before (78.8% versus 83.8%; P value =0.07) [table].
Conclusions: Our study demonstrates that in patients resuscitated from in-hospital cardiac arrest there was no significant difference in survival after implementation of the 2005 resuscitation guideline in our country. Further research is warranted to improve the high mortality observed in such patients.
- © 2013 by American Heart Association, Inc.