AUDIT OF CODE BLUE EVENTS IN A SINGLE SECONDARY CARE CENTER: A RETROSPECTIVE PILOT STUDY

Background: Code blue is an alert code for cardiac emergency in hospital. Cardiac emergency can occur to anybody as expected or unexpected cause of event. The purpose was to analyse factors associated with this emergency and survival rate. Methods: It was aretrospective audit of Code Blue data from a single secondary care Center. This audit was done for a period of four months, which were recorded by using Cardiopulmonary resuscitation (CPR) form. Results: Total 63 code blue events are activated out of them maximum code blue event activated in critical care units (87.3%, n=55) and General ward have only 12.6 % (n=08). Most of the patients were male 45 (71.4%). The maximum code blue call activated in heart disease (15 (23.8%) patients, hypoxia found the major cause of events (n=37, 58.73%), 61 patients received CPR and eight (13.11%) patients developed shockable rhythm. The average response time of code blue team is 150±64.14 seconds in wards. Twelve (19.67%) patients survived and 40 (65.57%) patients died within 24 hours and nine (14.75%) died after 24 hours. Survival rate was found significantly associated with area of event occurrence (p<0.05) by Fishers exact test. More deaths were found in ICU patients. Conclusion: The code blue events occurred more in male patients. The maximum events were in heart disease and sepsis patient. The survival rate was low as reported in other published studies. There was a significant association of area of events with survival rate.