Resuscitation

Success rates after in-hospital cardiopulmonary resuscitation have been reported to be worse in patients with renal failure. However, renal failure was not well characterized in these reports, and rarely incorporated estimates of glomerular filtration rates. We reviewed all on-site adult cardiac arrests at our institution during an 8-year period. Cardiopulmonary resuscitation success was defined as survival to discharge. Renal function was considered impaired if a pre-arrest estimate of glomerular filtration rate was less than 60 ml per min per 1.73 m2. Cardiopulmonary resuscitation was successful in 31 (7.7%) of 402 patients. Renal impairment predated cardiac arrest in 73.6% patients, was the most common of the examined pre-arrest morbidities, but did not associate with cardiopulmonary resuscitation success rates (OR=0.92, 95%CI 0.40-2.12). Pre-cardiac arrest renal impairment, defined using estimates of glomerular filtration rate of less than 60 ml per min per 1.73 m2, was surprisingly common but did not significantly influence cardiopulmonary resuscitation success rates. Tabo Sikaneta, Cardiopulmonary Resuscitation Success Rates in 402 Patients with and without Renal Impairment at Canada Largest Community Hospital

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Last date updated on September, 2024