To determine the impact of an Advanced Cardiac Life Support (ACLS) training program on resuscitation and survival in a rural hospital.
Retrospective review of arrests in a 119-bed rural community hospital before, during, and after organization of an ACLS teaching program.
ICU logs, death logs, and code review sheets were used to determine resuscitation efforts and outcomes ; these were cross-checked with medical and administrative records.
From 1980 through 1984, resuscitation attempts were conducted only in the lCU.
By 1985, after the training program was instituted, resuscitation efforts were conducted throughout the hospital.
Data are presented on resuscitations in the ICU only and on total hospital resuscitations.
To assess effort, resuscitation attempts and successes were compared with total death events (ie, total number of hospital deaths plus total number surviving a resuscitation effort).
From 1980 through 1984, before ACLS training was instituted, 42 patients were resuscitated and 15 (36%) survived to discharge.
From 1985 through 1987,113 ICU patients were resuscitated and 29 (26%) survived.
From 1988 through 1990, after ACLS protocol and code review procedures were established, 81 ICU patients were resuscitated and 23 (28%) survived.
The number of attempted resuscitations throughout the hospital increased from 42 in the early period to 179 in the final period, with 15 (36%) and 52 (29%) survivors, respectively. (...)
Mots-clés Pascal : Réanimation cardiocirculatoire, Programme enseignement, Milieu hospitalier, Personnel sanitaire, Zone rurale, Pronostic, Survie, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Intensive cardiocirculatory care, Educational program, Hospital environment, Health staff, Rural area, Prognosis, Survival, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0264552
Code Inist : 002B27B01. Création : 11/06/1997.