The Success Rate of Cardiopulmonary Resuscitation in Sudden Cardiac Arrest

Background: Cardiopulmonary resuscitation (CPR) must be initiated immediately in the event of cardiac arrest, which is a medical emergency. One important outcome measure of CPR, whether performed in a hospital setting or out-of-hospital, is the return of spontaneous circulation (ROSC), which has long been used as a benchmark for assessing the success of CPR. Aim and objectives: To determine how often cardiopulmonary resuscitation (CPR) is effective in the emergency department and what variables are associated with CPR effectiveness in adults at Al-Hussein University Hospital in Cairo, Egypt. Patients and methods: Starting in January 2023 and continuing until the study's conclusion, researchers at Al-Hussein University Hospital in Cairo, Egypt, aimed to establish the success rate of cardiopulmonary resuscitation (CPR) in the emergency room as well as the factors predicting CPR success. Approval was sought from the Department of Emergency Medicine and Critical Care, Faculty of Medicine, Al-Azhar University, to study the records. Results: Resuscitation was 4.1 times (95% CI [1.1-15.7]) more likely to be successful in the ER arrest compared to OHCA. In addition, resuscitation was 3.5 times (95% CI [1.1-12.6]) more likely to be successful during the morning shifts. Conclusion: There was a statistically significant association was observed between the ROSC and cardiac arrest at ER, and during the morning shifts. Cardiac arrest at the ER and during the morning shifts are the major predictors of successful resuscitation. Resuscitation was 4.1 times more likely to be successful in the ER arrest compared to OHCA.