Intrahospital Cardiac Arrest in a Tertiary Care of Hospital and Outcome of Resuscitation by Code Blue Team: An Observational Study

Background: Intrahospital cardiac arrest etiology could becardiac, respiratory, metabolic, infective or hemodynamic instability. Early CPR improves the survival. A CPR skilled team referred as Code Blue Teams (CBT) in hospitals plays crucial role in outcome. An observational study was conducted to study various aspect of resuscitation by Code blue team. Material & Methods: In our hospital. Multi-code Automated Event Response System (MAERS) is used for code blue initiation. Data was collected on demographic, indication, cause of arrest, rhythm whether shockable or non-shockable, duration of CPR, time pattern, location and resuscitation outcome. Data collected was analyzed using relevant statistical tests. Result: On analysis in 61890 admissions during study duration, deaths recorded 1356 (2.2%), code blue initiated in 342 (25.22%). Non shockable rhythm, malignancy diagnosis wise and cardiac arrest was most common cause followed respiratory arrest. Statistically significant impact on outcome in terms of duration of CPR (most revived in 20 minutes of CPR), type of rhythm, (revival rate 97.1 %in NSR, 57.1% in shockable and 21.8%in non-shockable rhythm) and highest ROSC in Respiratory arrest in compare to cardiac arrest. Conclusion: Code blue plays crucial role in resucitation outcome of intra-hospital cardiac arrest and various factors like rhythm type, diagnosis, duration of CPR, early initiation lays a significant role.