Determine the Arrest Factors in Survival Outcome of Patients with IHCA

Introduction: In-hospital cardiac arrest (IHCA) is a common health problem associated with high levels of mortality. Successful defibrillation is known to improve outcomes in ventricular fibrillation/ventricular tachycardia. However, it has been hypothesized that a period of cardiopulmonary resuscitation (CPR) before defibrillation, increasing the likelihood of successful defibrillation. The order of priority of CPR versus defibrillation therefore remains in contention. Objectives: (1) To determine the arrest factors in survival outcome of IHCA. (2) To associate the arrest factors in survival outcome of IHCA with their selected demographic variables. Materials and methods: A total of 125 samples were selected and nonprobability purposive sampling technique was used for this study. Arrest factor score was used to assess prognosis of IHCA. Statistical analysis used: Descriptive statistics to determine the frequency and distribution, multiple regression analysis to interpret the data, and Chi-square test for associating the variables. Results: Percentage distribution of arrest factors determines the cardiac cause 94.4% and noncardiac cause 89.6%, and cardiopulmonary resuscitation was carried for 2 to 4 minutes (2.4%) duration, 5 to 9 minutes (15.2%), 15 to 19 minutes (8.8%), 20 to 24 minutes (17.6%), 25 to 29 minutes (32%), and ≥30 minutes (24%) among patients with IHCA. Frequency and distribution of arrest factors were increased survival outcome 0 (0.0%), moderate survival outcome 33 (26.4%), and decreased survival outcome 92 (73.6%) in survival outcome among patients with IHCA. The P-values corresponding to “total cholesterol level and low-density lipoprotein cholesterol level” at 0.01 level and “triglycerides and smoking” at 0.05 level are highly impacting the “arrest factors scores.” Conclusion: Determining cardiac and noncardiac causes can determine the risk of IHCA. Identification and early management and duration of CPR initiate the reversal of IHCA and increase the rate of survival outcome.