A Study of Cerebral Performance Categories Based on Initial Rhythm and Resuscitation Time Following In-Hospital Cardiac Arrest in a State Hospital in Turkey

Background: The cerebral performance category (CPC) score is widely used in research and quality assurance to assess neurologic outcome following cardiac arrest. However, little is known about the results of the CPC in Turkey. Objective: This study aimed to determine whether the CPC is associated with the initial rhythm and resuscitation time following resuscitation from in-hospital cardiac arrest. Methods: This study compared the CPCs (CPC ۱-۲ and CPC ۳-۴-۵) of patients discharged from the hospital after surviving cardiopulmonary arrest (CPA) during a ۲-year period between June ۲۰۱۳ and June ۲۰۱۵ (at discharge, and at ۶th, ۱۲th, ۱۸th, and ۲۴th months) based on the initial rhythm (asystole/pulseless electrical activity and ventricular fibrillation/pulseless ventricular tachycardia) and resuscitation time (۰–۱۴ min and ۱۵–۳۰ min) at the time of arrest. Results: No difference was found between CPC ۱-۲ and CPC ۳-۴-۵ scores at discharge or at ۶th, ۱۲th, ۱۸th, and ۲۴th months in terms of the first rhythm and resuscitation time (P > ۰.۰۵). Conclusion: Patients discharged from the hospital following in-hospital cardiopulmonary resuscitation (CPR) were found to have no difference in ۲-year CPC scores with respect to cardiac rhythms and resuscitation durations at the onset of resuscitation.

Keywords:

Heart Arrest , Cardio-Pulmonary Resuscitation , Neurologic Examination