Cardiopulmonary Resuscitation in Cases of Sudden Cardiac Arrest

Study Overview
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Brief Summary
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Determination the success rate of CPR on adults in Emergency room and predicting the factors that makes CPR is successful.

Detailed Description
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Cardiac arrest is a medical emergency that requires immediate cardiopulmonary resuscitation (CPR). Return of spontaneous circulation (ROSC) is a core outcome element of cardiopulmonary resuscitation (CPR) both in out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest and has been considered a standard in the evaluation of successful resuscitation. ROSC was defined as a clinical assessment that shows signs of life comprising of a palpable pulse for at least 20 minutes or generating a blood pressure, the duration of ROSC is key element not only to the efficacy of the chain of survival but also to assess the success of resuscitation in emergency medical services (EMSs). Worldwide CPR outcomes vary due to differences in the circumstances of cardiac arrest, availability of equipment, and performance of the CPR team. The influencing factors of CPR outcome at the emergency room (ER) are patient characteristics, early detection, immediate CPR, initial shockable rhythm, duration of CPR of less than 10 minutes and advanced cardiac life support. In Egypt, There has been scarce studies regarding CPR and studies that measure the success rate of CPR and factors determining its success. This study aims to assess the success rate of CPR in Emergency room and factors predicting successful CPR on adults.

Official Title
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The Success Rate of Cardiopulmonary Resuscitation in Sudden Cardiac Arrest

Conditions
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Cardiac Arrest

Intervention / Treatment
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* Procedure: CPR


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Resuscitated at the ER in Al Hussein University Hospital. Patients Have experienced cardiac arrest. Exclusion Criteria: Patient arresting and receiving CPR inside hospital's other departments. Signs of sure death. Patient with Multiple Organ Failure Syndrome (M.O.F syndrome

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CPR asseement<br>determine the success rate of CPR in Emergency room and factors predicting successful CPR | Procedure: CPR<br>* CPR in cardiac arrest patients<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CPR Success Rate | The rate of CPR defined by the Return of spontaneous circulation(ROSC) rate, Survival to hospital admission rate and survival to hospital discharge rate. | From base line to 20 minutes. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| predictors of Return of spontaneous circulation(ROSC) | ROSC was defined as a clinical assessment that shows signs of life comprising of a palpable pulse for at least 20 minutes or generating a blood pressure, the duration of ROSC is key element not only to the efficacy of the chain of survival but also to assess the success of resuscitation in emergency medical services | from base line to 8 hoiurs | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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CPR, Success Rate, Emergency medicine, Critical care, ICU and Pain Management