Cardiopulmonary Resuscitation Success Rates in 402 Patients with and without Renal Impairment at Canada Largest Community Hospital
Tabo Sikaneta1,2*, Babak Aliazardeh2, Nasim Khosrodad1, Umang Moody1, Sara Mahdavi2, Megan Christie1, Edwin Chu1, Julie Ting1, Robert Ting1,2, Jason Fung1,2, Gordon Nagai1,2, Paul Ng1,2, Denise Tam1,2, Simon Tsui1,2, Janet Roscoe2and Paul Tam1,2
- *Corresponding Author:
- Tabo Sikaneta
Nephrology Associates, Scarborough
E-mail: [email protected]
Received Date: July 03, 2013; Accepted Date: August 22, 2013; Published Date: August 25, 2013
Citation: Sikaneta T, Aliazardeh B, Khosrodad N, Moody U, Mahdavi S, et al. (2013) Cardiopulmonary Resuscitation Success Rates in 402 Patients with and without Renal Impairment at Canada’s Largest Community Hospital. J Nephrol Ther 3:136. doi:10.4172/2161-0959.1000136
Copyright: © 2013 Sikaneta T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: 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.
Objective: 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.
Results: 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).
Conclusions: 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.