A PROSPECTIVE OBSERVATIONAL STUDY USING THE UTSTEIN STYLE OF REPORTING, REVIEWING AND ANALYZING VARIABLES AND OUTCOMES OF IN-HOSPITAL CARDIAC ARREST IN THE EAST WING OF THE CWM HOSPITAL FROM JULY TO SEPTEMBER 2019

A Prospective Observational Study Using the Utstein Style of Reporting, Reviewing and Analyzing Variables and Outcomes of In-Hospital Cardiac Arrest in the Acute Wards of the East Wing of the CWM Hospital from July to September, 2019.
Osea Volavola, Dr Dennis Lee, Dr Anne Creaton,
1Department of Emergency, CWM Hospital, Suva, Fiji.
2Department of Medical Sciences, College of Medicine, Nursing and Medical Sciences, Suva, Fiji.
Key Words: Utstein Style, In-Hospital Cardiac Arrest, CWM Hospital
Introduction: Resuscitation is a common event in any hospital. In Fiji there are no registries kept on Cardiac Arrest (CA) for both In-Hospital Cardiac Arrest (IHCA) and Out of hospital Cardiac Arrest (OHCA). However, IHCA constitutes about 80% of all mortality in developed countries with varying rates of survival from 0 – 42%. This study is aimed at using the Utstein style of reporting to collect data of patient variables, event variables and outcome of IHCA. It would also try to identify any association between these variables and survical. Finally, to compare the results with literature
Method(s): This is a propective observational study using the Utstein template. Data was collected from the acute wards of the East Wing of CWM Hospital by the nurses who attended to the IHCA. They were taught how fill the forms and the process before hand. All data was then complied and analysed using microsoft Excel. Chi square test was used to show associaton between the variables and outcome. The results were tabled and expressed in charts and graphs.
Results: The cases of IHCA were had a mean age of 52 years and predominantly male. The majority were from ICU, witnessed and monitored. All cases had IV lines as ACLS intervention with 64% of immediate causes being either hypotension or respiratory depression. Majority of initial rhythms were Non-shockable rhythms (96%). In terms of intervals, both the times from collapse to CPR and initial dose of adrenaline occurred within 1minute in 89% of cases and within 2 minutes in 82% of cases respectively.
Conclusion: This study had 100% mortality of all IHCA. Most cases were male, witnessed, located in ICU and with initial rhythm being Non- Shockable. Interventions were administered early in terms of initiation of CPR and initial dose of adrenaline. Due to the small sample size there were no associations between the variables and Return of Spontaneous Circulation (ROSC). A larger study would be recommended as a follow up.