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NCT06209944 Clinical Trial

Charlson Comorbidity Index and Outcome of Cardiopulmonary Resuscitation in Geriatric Patients in Hong Kong

Cardiopulmonary Resuscitation Clinical Trial

Official title:
A Retrospective Review on Charlson Comorbidity Index (CCI) as a Predictor of Return-of-spontaneous-circulation and Survival-to-discharge of Geriatric In-hospital Cardiopulmonary Resuscitation (CPR) in a Regional Acute Hospital in Hong Kong

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT06209944
Other study ID # CCI and outcome of CPR
Secondary ID
Status Completed
Phase
First received
Last updated
Start date May 2, 2019
Est. completion date December 31, 2019

Study information
Verified date January 2024
Source Haven of Hope Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The goal of this observational study is to learn about the factors affecting the outcome (survival) of cardiopulmonary resuscitation in older persons in a hospital. The main questions it aims to answer are: - Whether age would affect outcome - Whether Charlson Comorbidity Index would affect outcome - Whether the conditions (e.g. heart rhythm) immediately before resuscitation would affect survival. Researchers would compare the patients who deceased with the patients who survived.

Description:

The goal of this review was to investigate the impact of age, existing medical conditions. and other factors before cardiac arrest in predicting outcome of in-hospital cardiopulmonary resuscitation (CPR) of older persons. It was conducted on all patients aged ≥ 65, who underwent CPR in acute medical and geriatric wards (excluding Intensive Care Unit) in United Christian Hospital from January 2017 to December 2018.

Recruitment information / eligibility
Status Completed
Enrollment 394
Est. completion date December 31, 2019
Est. primary completion date December 31, 2019
Accepts healthy volunteers No
Gender All
Age group 65 Years to 101 Years
Eligibility Inclusion Criteria: - All adults aged 65 or above with in-hospital cardiac arrest and undergoing CPR in wards of Department of Medicine and Geriatrics (excluding Intensive Care Unit (ICU)) in United Christian Hospital (total bed 1,174 with 16 ICU beds) in Hong Kong from 1 January 2017 to 31 December 2018 - In patients with multiple resuscitation events, only the first in-hospital CPR was included. Exclusion Criteria: - Patients with existing Do-Not-Attempt-Cardiopulmonary-Resuscitation (DNACPR) order - Patients younger than 65 years old - Out-of-hospital CPR in the index admission - CPR occurred in ICU / Emergency Department / Operating Theatre / wards other than medical wards

Study Design

Related Conditions & MeSH terms

Intervention

Procedure:
• Cardiopulmonary resuscitation
cardiac compression, endotracheal intubation, defibrillation, and use of cardiovascular medications, to restore circulation in patients with cardiac arrest

Locations
Country Name City State
China Haven of Hope Hospital Hong Kong Hong Kong

Sponsors (1)
Lead Sponsor Collaborator
Jane Yidan Zhu

Country where clinical trial is conducted

China, 

Outcome
Type Measure Description Time frame Safety issue
Primary sustained return of spontaneous circulation (ROSC), survival at 24 hours, survival at hospital discharge, and at 1 year. Sustained ROSC is defined as documented return of adequate circulation in the absence of ongoing chest compressions, and the duration should be of 20 minutes or above 2017 - 2018
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