Yıl: 2020 Cilt: 26 Sayı: 3 Sayfa Aralığı: 183 - 191 Metin Dili: İngilizce DOI: 10.5152/eurjther.2020.19124 İndeks Tarihi: 22-11-2020

The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients

Öz:
Objective: The objective of this study is to determine the effect of epinephrine administration on the return of spontaneous circulation (ROSC) and one-month mortality in patients with cardiopulmonary arrest.Methods: We conducted this study between August 1, 2016 and May 31, 2017. Importantly, we included the witnessed cases (≥18years) of in-emergency department cardiopulmonary arrest (IEDCA) and out-of-hospital cardiopulmonary arrest (OHCA) in thestudy. We divided the patients into two groups: the adrenaline group (Group 1) and the non-adrenaline group (Group 2). Thereafter, we investigated ROSC and one-month mortality in them.Results: We included 183 patients (50.3% of males and 49.7% of females with a mean age of 64.2±16.8 years) in the study. Thepercentages of IEDCA and OHCA cases were 25.1% and 74.9%, respectively. Epinephrine was administered to 100 (54.6%) patients(Group 1). Among these patients, 15.9% (n=29) of the patients had shockable rhythms (ventricular fibrillation, pulseless ventriculartachycardia) and 84.1% (n=154) of them had non-shockable rhythms (asystole, pulseless electrical activity) as the initial rhythm.ROSC and one-month mortality rate of these patients were 24% (n=44) and 72.8% (n=36), respectively. The one-month mortalityrates of Group 1 (30% of patients had IEDCA and 70% of patients had OHCA) and Group 2 were 43.8% and 56.2%, respectively(p=0.0231). The ROSC and one-month mortality rates of Group 1 and Group 2 cases, whose initial rhythm was a shockable rhythm,were 26.6% and 50% vs. 42.8% and 66.6%, respectively.Conclusion: In this study, we found no significant difference in terms of obtaining ROSC between the shockable rhythm and ROSCin the IEDCA and OHCA cases (p=0.963 and p=0.141, respectively). The effect of epinephrine administration on patients with IEDCA and OHCA whose ROSC was obtained on one-month mortality was not statistically significant (p>0.05).
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APA Sabak M, Al B, oktay m, Zengin S, Boğan M, GÜMÜŞBOĞA H, Sunar M, Eren S, BINGOL O, Güneyligil Kazaz T (2020). The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. , 183 - 191. 10.5152/eurjther.2020.19124
Chicago Sabak Mustafa,Al Behcet,oktay mehmet murat,Zengin Suat,Boğan Mustafa,GÜMÜŞBOĞA Hasan,Sunar Mehmet Murat,Eren Sevki Hakan,BINGOL OZLEM,Güneyligil Kazaz Tanyeli The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. (2020): 183 - 191. 10.5152/eurjther.2020.19124
MLA Sabak Mustafa,Al Behcet,oktay mehmet murat,Zengin Suat,Boğan Mustafa,GÜMÜŞBOĞA Hasan,Sunar Mehmet Murat,Eren Sevki Hakan,BINGOL OZLEM,Güneyligil Kazaz Tanyeli The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. , 2020, ss.183 - 191. 10.5152/eurjther.2020.19124
AMA Sabak M,Al B,oktay m,Zengin S,Boğan M,GÜMÜŞBOĞA H,Sunar M,Eren S,BINGOL O,Güneyligil Kazaz T The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. . 2020; 183 - 191. 10.5152/eurjther.2020.19124
Vancouver Sabak M,Al B,oktay m,Zengin S,Boğan M,GÜMÜŞBOĞA H,Sunar M,Eren S,BINGOL O,Güneyligil Kazaz T The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. . 2020; 183 - 191. 10.5152/eurjther.2020.19124
IEEE Sabak M,Al B,oktay m,Zengin S,Boğan M,GÜMÜŞBOĞA H,Sunar M,Eren S,BINGOL O,Güneyligil Kazaz T "The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients." , ss.183 - 191, 2020. 10.5152/eurjther.2020.19124
ISNAD Sabak, Mustafa vd. "The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients". (2020), 183-191. https://doi.org/10.5152/eurjther.2020.19124
APA Sabak M, Al B, oktay m, Zengin S, Boğan M, GÜMÜŞBOĞA H, Sunar M, Eren S, BINGOL O, Güneyligil Kazaz T (2020). The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. European Journal of Therapeutics, 26(3), 183 - 191. 10.5152/eurjther.2020.19124
Chicago Sabak Mustafa,Al Behcet,oktay mehmet murat,Zengin Suat,Boğan Mustafa,GÜMÜŞBOĞA Hasan,Sunar Mehmet Murat,Eren Sevki Hakan,BINGOL OZLEM,Güneyligil Kazaz Tanyeli The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. European Journal of Therapeutics 26, no.3 (2020): 183 - 191. 10.5152/eurjther.2020.19124
MLA Sabak Mustafa,Al Behcet,oktay mehmet murat,Zengin Suat,Boğan Mustafa,GÜMÜŞBOĞA Hasan,Sunar Mehmet Murat,Eren Sevki Hakan,BINGOL OZLEM,Güneyligil Kazaz Tanyeli The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. European Journal of Therapeutics, vol.26, no.3, 2020, ss.183 - 191. 10.5152/eurjther.2020.19124
AMA Sabak M,Al B,oktay m,Zengin S,Boğan M,GÜMÜŞBOĞA H,Sunar M,Eren S,BINGOL O,Güneyligil Kazaz T The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. European Journal of Therapeutics. 2020; 26(3): 183 - 191. 10.5152/eurjther.2020.19124
Vancouver Sabak M,Al B,oktay m,Zengin S,Boğan M,GÜMÜŞBOĞA H,Sunar M,Eren S,BINGOL O,Güneyligil Kazaz T The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients. European Journal of Therapeutics. 2020; 26(3): 183 - 191. 10.5152/eurjther.2020.19124
IEEE Sabak M,Al B,oktay m,Zengin S,Boğan M,GÜMÜŞBOĞA H,Sunar M,Eren S,BINGOL O,Güneyligil Kazaz T "The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients." European Journal of Therapeutics, 26, ss.183 - 191, 2020. 10.5152/eurjther.2020.19124
ISNAD Sabak, Mustafa vd. "The Effect of Epinephrine Administration on Return of Spontaneous Circulation and One-Month Mortality with Cardiopulmonary Arrest Patients". European Journal of Therapeutics 26/3 (2020), 183-191. https://doi.org/10.5152/eurjther.2020.19124