Background: The study was undertaken in view of alarming morbidity and mortality in the patients who suffered cardiopulmonary arrest in Non ICU settings.

Aims and Objectives: The aim of the study was to analyze the clinical profile and outcome of the patients who suffered cardiopulmonary arrest in Non ICU settings like wards, dialysis units, endoscopy rooms etc.

Methodology: The study was done Apollo hospital, Hyderabad- a JCI accredited tertiary care centre which contained Code blue emergency response system. It’s a retrospective observational study, period being 1 year from Nov 2016 to Nov 2017. The patients age, sex, diagnosis, place of arrest, response time to resuscitation and code blue team arrival; percentage of survivors and non survivors.

Conclusions: Most of the cardiopulmonary arrest was during the 8AM to 2PM.  Patients who had Cardiac, renal disease and sepsis as a primary diagnosis had more mortality. Majority of the patients had non shockable peri arrest rhythm which has poor prognosis. Up to 48% of patients had successful initial resuscitation which shows the importance of code blue team and short response time. Out of 25(48%) patients who achieved successful ROSC, only 10(19.23%) could be discharged alive from ICU which shows the importance of good intensive care of post cardiac arrest patients.

Keywords: Cardiopulmonary arrest, Clinical profile, Out come, Survival rate.

1. Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage.  1960;173:1064–1067. 
2. Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, et al. (2002) Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. Br Med J 324(7334): 387-390.
3. Nolan JP, Soar J, Smith GB, Gwinnutt C, Parrott F, et al. (2014) Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation 85(8): 987-992.
4. Husband A, Mrcer I, Detering KM, Eastwood GM, Jones DA (2014) The epidemiology of respiratory arrest in a teaching hospital. Resuscitation 85(3): 364-368.
5. Harkness M, Wanklyn P (2006) Cardiopulmonary resuscitation: capacity, discussion and documentation. Q J M 99(10): 683-690.
6. Jacobs I, Nandkarni V, Bahr J, Berg RA, Billi JE, Bossaert L, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: Update and simplification of Utstein templates for resuscitation registries: A statement for health care professionals from a task force of international liaison committee on resuscitation.  2004;110:3385–97. 
7. Harrison DA, Pateal K, Nixon E, Soar J, Smith GB, et al. (2014) Development and validation of risk models to predict outcomes following in-hospital cardiac arrest attended by a hospital-based resuscitation team. Resuscitation 85(8): 993-1000.
8. Khan NU, Razzak JA, Ahmed H. Cardiopumonary resuscitation: outcome and its predictors among hospitalized adult patients in Pakistan. Int J Emerg Med. 2008;1:27–34. 
9. Jacobs I, Nadkarni V, Bahr J. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. 2004;63:233–249.
10. Idris AH, Berg RA, Bierens J. American Heart Association. Recommended guidelines for uniform reporting of data from drowning: the “Utstein style” 2003 108:2565–2574. 
11. Dutta B, Garg R, Trikha A, Rewari V (2014) A Prospective Audit on Outcome of Cardiac Arrests at a Tertiary Care Referral Institute. J Cardiol Curr Res 1(5): 00027. DOI: 10.15406/jccr.2014.01.00027.
12. Cohn AC, Wilson WM, Yan B. Analysis of clinical outcomes following in-hospital adult cardiac arrest. Intern Med J. 2004;34:398–402. 
13. Fennelly NK, McPhillips C, Gilligan P (2014) Arrest in hospital: a study of in-hospital cardiac arrest outcomes. Ir Med J 107(4): 105-107.
14. Goldberger ZD, Nichol G (2013) Registries to measure and improve outcomes after cardiac arrest. Curr Opin Crit Care 19(3): 208-213.
15. Nolan JP, Soar J, Smith GB, Gwinnutt C, Parrott F, et al. (2014) Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation 85(8): 987-992.
16. Ahmed A, Ali M, Khan EA, Khan MU. An audit of perioperative cardiac arrests in a Southeast Asian university teaching hospital over 15 years. Anaesth Intensive Care. 2008;36:710–716. 
17. Murali Chakravarthy, Sona Mitra, and Latha Nonis. Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital. Indian Heart J. 2012 Jan; 64(1): 7–11. doi: 1016/S0019-4832(12)60003-0
18. Peters R, Boyde M. Improving survival after in-hospital cardiac arrest: the Australian experience. Am J Crit Care. 2007;16:240–246. 
19. Snyder JE, Loschner AL, Kepley HO. The effect of patient age on perceived resuscitation outcomes by practitioners. N C Med J. 2010;71:199–205. 
20. Nolan JP, Laver SR, Welch CA, Harrison DA, Gupta V (2007) Outcome following admission to UK intensive care units after cardiac arrest: a secondary analysis of the ICNARC Case Mix Programme Database. Anaesthesia 62(12): 1207-1216.
21. Suraseranivongse S, Chawaruechai T, Saengsung P, Komoltri C (2006) Outcome of cardiopulmonary resuscitation in a 2300-bed hospital in a developing country. Resuscitation 71(2): 188-193.
22. Miller W, Levy P, Lamba S, Zalenski RJ, Compton S (2010) Descriptive analysis of the in-hospital course of patients who initially survive outof-hospital cardiac arrest but die in-hospital. J Palliat Med 13(1): 19- 22.

Dr Swarna Deepak Kuragayala

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mobile No: 81423 02268