Cardiopulmonary resuscitation after cardiac surgery: A two-year study

• Published in: Journal of cardiothoracic and vascular anesthesia Vol. 12; no. 4; pp. 390 - 392
• Main Authors: El-Banayosy, Aly, Brehm, Christoph, Kizner, Lukas, Hartmann, Dagmar, Körtke, Heinrich, Körner, Michael M., Minami, Kazutomo, Reichelt, Wolfgang, Körfer, Reiner
• Format: Journal Article
• Language: English
• Published: Philadelphia, PA Elsevier Inc 01.08.1998; Elsevier
• Subjects: Adult; Aged; Aged, 80 and over; Arrhythmias, Cardiac - complications; Biological and medical sciences; cardiac surgery; Cardiac Surgical Procedures - adverse effects; Cardiopulmonary Resuscitation; Coronary Artery Bypass - adverse effects; Creatine Kinase - blood; Critical Care; Female; Forecasting; Heart Valves - surgery; Humans; Incidence; Isoenzymes; Longitudinal Studies; Male; Medical sciences; Middle Aged; Patient Admission; Patient Discharge; Postoperative Hemorrhage - complications; Quality of Life; Retrospective Studies; Risk Factors; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Survival Rate; Time Factors; cardiac surgery; cardiopulmonary resuscitation; Heart; Human; Prognosis; Treatment; Surgery; Cardiopulmonary; Survival; Resuscitation
• ISSN: 1053-0770; 1532-8422
• DOI: 10.1016/S1053-0770(98)90189-6

Objective: The aim of this study was to investigate the incidence of cardiopulmonary resuscitation (CPR) after cardiac surgery and to find predictors of survival. Design: A retrospective study with data obtained by chart review. Setting: A university hospital 24-bed cardiac surgical intensive care unit (ICU). Participants: Between 1993 and 1994, 4,968 consecutive adult patients who underwent cardiac surgery at the authors' hospital were studied. Interventions: None. Main results: One hundred thirteen of these patients (2.3%) were resuscitated. Seventy-nine patients (70%) survived to be discharged from the hospital. Significant predictors of survival were the time between admission to the ICU and initiation of CPR, CPR time, and creatine kinase (CK) and CK-MB values. Conclusions: The incidence of CPR after cardiac surgery was 2.3% with no difference between valve surgery and CABG. Best results were achieved when arrhythmias or bleeding were the predisposing causes. Further studies have to be undertaken concerning long-term results and quality of life of the discharged patients.