Factors Associated with Successful Return of Spontaneous Circulation (ROSC) after Advanced Life Support (ALS) in Emergency Patients at Thasala Hospital
Keywords:
Cardiac arrest, Cardiopulmonary resuscitation, Emergency medical servicesAbstract
This cross-sectional descriptive study aimed to investigate factors associated with survival among cardiac arrest patients who received cardiopulmonary resuscitation (CPR). The sample consisted of 80 cardiac arrest patients who were treated in the emergency department. Data were collected using a structured data collection form. Descriptive statistics were used for data analysis, and associations were examined using the Chi-square test and logistic regression analysis.
The results showed that most patients were male, with a mean age of 61.48 years, and had underlying diseases. The majority of cardiac arrest cases occurred out-of-hospital, and initiation of CPR was delayed for more than 4 minutes. The survival rate after resuscitation was 37.50%. Factors significantly associated with survival included location of arrest, witnessed status, time to initiation of CPR, initial cardiac rhythm, and duration of resuscitation (p < 0.05). In contrast, personal factors and healthcare system factors were not significantly associated with survival. Multivariate analysis revealed that initial cardiac rhythm and duration of resuscitation were significant predictors of survival. Patients with a shockable rhythm had a higher likelihood of survival, whereas prolonged resuscitation duration was associated with decreased survival. Therefore, early initiation of CPR, improvement of emergency medical services, and enhanced access to advanced life support should be promoted to reduce resuscitation time and improve survival outcomes among cardiac arrest patients
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