Study of the Impact of Training of Registered Nurses in Cardiopulmonary Resuscitation in a Tertiary Care Centre on Patient Mortality

Overview

Journal Indian J Anaesth

Specialty Anesthesiology

Date 2018 Jun 19

PMID 29910497

Citations 9

Authors

Mayureshkumar Pareek

Vandana Parmar

Jigisha Badheka

Nirmalyo Lodh

Affiliations

Soon will be listed here.

Abstract

Background And Aims: Nurses should have cardiopulmonary resuscitation (CPR) knowledge and skills to be able to implement effective interventions during in-hospital cardiac arrest. The aim of this descriptive study was to assess mortality impact after nurses' CPR training with pre-CPR training data at our institute.

Methods: Training regarding CPR was given to nurses, and CPR mortality 1-year before basic life support (BLS) and advanced cardiac life support (ACLS) training were collected and compared with post-training 1-year CPR mortality.

Results: A total of 632 adult patients suffering in-hospital cardiac arrest over the study period. CPR was attempted in 294 patients during the pre-BLS/ACLS training period and in 338 patients in the post-BLS/ACLS training period. In the pre-BLS/ACLS training period, 58 patients (19.7%) had return of spontaneous circulation (ROSC), while during the post-BLS/ACLS training period, 102 patients (30.1%) had ROSC ( = 0.003). Sixteen of the 58 patients (27.5%) who achieved ROSC during the pre-BLS/ACLS training period survived to hospital discharge, compared 54 out of 102 patients (52.9%) in the post-BLS/ACLS training period ( < 0.0001). There was no significant association between either the age or sex with the outcomes in the study.

Conclusion: Training nurses in cardiopulmonary resuscitation resulted in a significant improvement in survival to hospital discharge after in-hospital cardiac arrest.

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