The Outcome and Hospital Discharge Rate after Pediatric in Hospital CPR During Nights and Weekends

Mustafa Ali Mohamed  Ahmed; Sara  Memarian; Iran  Malekzadeh; Masoud  Ghahvechi-Akbari; Behdad  Gharib

doi:10.18502/jimc.v8i1.17071

Mustafa Ali Mohamed Ahmed Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
Sara Memarian Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
Iran Malekzadeh Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
Masoud Ghahvechi-Akbari Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
Behdad Gharib Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jimc.v8i1.17071

Keywords: Cardiopulmonary resuscitation, Cross-sectional studies, Delivery of health care, Medical records, Patient discharge, Physicians

Abstract

Background: Cardiopulmonary Resuscitation (CPR) is considered as the most important skill for physicians. The practice of effective CPR depends on the quality of the CPR training, team work skills and hospital management. Because of complexity and several variables involved, the outcome of CPR may vary in the different times of day and different days of the week.

Methods: This study is a cross sectional and the data were provided from the medical records. All the patients who underwent CPR from July 2021 to Feb 2022 in the Children’s Medical Center Hospital were included. The ward, disease, gender and age, the time of the day and the day of the week in which CPR event happened and the Survival to Discharge from Hospital (SDH), had been registered. We compared The SDH rate of CPRs between different days of the week (working days and weekends) and also different working shifts (morning, afternoon and night) were compared.

Results: The rate of SDH of the patients who underwent CPR was to 21.2%. There wasn’t a significant difference between SDH during working days and weekends and during the morning, afternoon and night shifts.

Conclusion: The SDH rate was lower in the night shifts and during the weekends but the difference wasn’t significant. It is recommended to improve the medical team CPR skills in all shifts specially in the evening and night shifts. Also, an appropriate dissemination of health care staff in working shifts should be done to increase the success rate of CPR procedure.