Cardiopulmonary Arrest Outcome in Nemazee Hospital, Southern Iran

Many factors are important determinants in the outcome of cardiopulmonary resuscitation (CPR) such as quality of CPR, age of patients, co morbidities, time and location of arrest, and skill of rescuers. This study was conducted to evaluate the efficacy of CPR in Shiraz, southern Iran. From October 2007 to March 2008, all patients who received in-hospital CPR in Nemazee Hospital affiliated to Shiraz University of Medical Sciences were enrolled. Two standard scales of ROSC (Return of Spontaneous Circulation) and DR (Discharge Rate) were used to evaluate the efficacy of CPR. Two hundred and seventy one patients (45.1%) had ROSC while 329 (54.9%) died immediately after resuscitation. Among ROSC patients, 18 (6.6%) cases were discharged from the hospital (3% of study population). Although ROSC was comparable with developed countries, but the DR was lower. It shows that in our area, post-resuscitation care needs more attention in relation to organized trainings and the skills in postresuscitation care together with expansion of the facilities.