Evaluate Cerebral Performance Score in Survival Outcome of Patients with In-Hospital Cardiac Arrest

Introduction: Cardiac arrest remains one of the primary causes of death in the United States, affecting about 350,000 patients every year. Many previous studies have recommended that nearly two-thirds of the patients with out-of-hospital cardiac arrest and a quarter of the patients with in-hospital cardiac arrest (IHCA) died out of neurologic damage. Objectives: (1) To evaluate the cerebral performance score in the survival outcome among patients with IHCA. (2) To associate the cerebral performance score in survival outcome among patients with IHCA with their demographic variables. Materials and methods: Nonexperimental descriptive research design was used. Study was conducted in all the intensive care units of General Hospital and Research Center, Chennai, India. A total of 125 samples were selected with nonprobability purposive sampling technique. Results: The number of patients with poor neurologic outcome was 93 (74.4%) and number of patients with good neurologic outcome was 32 (25.6%). In multiple regression analysis, “total cholesterol level” at the P-value of 0.05, there is high significant association between clinical variable and the level of cerebral performance score among patients with IHCA. It means that the total cholesterol level is highly influencing the cerebral performance scores. Conclusion: Assessment of neurologic status is a major determinant of functional outcome of postcardiac arrest patient. However, measures of neurologic status do not directly replicate overall outcome after cardiac arrest. Inclusion of neurologic outcome measures the neuroprognostication of patient.