PROSPECTIVE ANALYSIS OF THE CODE BLUE SYSTEM IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 26-30
Author(s):  
Laishram Linthoingambi ◽  
Rahul Agarwal
Keyword(s):  
Overall Survival ◽  
Cardiac Arrest ◽  
Survival Rate ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Technical Equipment ◽  
Care Hospital ◽  
Cox Regression Analysis ◽  
Code Blue ◽  
Audit Form

BACKGROUND: This study was an analysis done to ascertain the efciency of the code blue system in a tertiary care hospital. All patients on whom a 'Code Blue' has been called in Command Hospital (Eastern Command) Kolkata from January 2017 to July 2018 were analysed using the standardised Code Blue audit form, maintained by the Department of Anaesthesiology & Critical Care and lled in soon after the Code Blue protocol is run. The primary objective was to analyse the factors associated with survival as well as survival rate along with the issues faced by the Code Blue team.METHODS: Data was collected as per the Code Blue audit form and analysed RESULTS: SPSS software version 22 was used. Pearson Chi Square Test and Cox Regression analysis were used to analyse the data. Atotal of 446 code blue calls were initiated during the period. After excluding 40 False calls and 08 Administrative calls, 398 calls were studied and analysed. Overall survival discharge from ICU was 23.37%. But when patients who had a cardiac arrest at the time of code blue were considered, the survival rate dropped to 5.9%. Factors such as Age, Presenting Rhythm and Duration of CPR were found to have signicant effect on overall survival. Four types of problems were faced during the study – technical, equipment related, crash cart related and staff on duty.CONCLUSION: The study concludes that the code blue system and team is useful in managing patients with a cardiac arrest as well as other medical emergencies. However, there are many lacunae that need to be addressed and more studies are required.

scholarly journals In-hospital cardiac arrest incidence and outcomes in the era of COVID-19: an observational study in a Singapore hospital

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Ting Lyu ◽  
Faheem Ahmed Khan ◽  
Shanaz Matthew Sajeed ◽  
Amit Kansal ◽  
Monika Gulati Kansal ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Hospital Discharge ◽  
Primary Outcome ◽  
Hospital Admissions ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Code Blue ◽  
Secondary Outcomes ◽  
Hospital Cardiac Arrest

Abstract Background COVID-19 pandemic has resulted in significant strain on healthcare resources and this requires diligent resource re-allocation. We aim to describe the incidence and outcomes of in-hospital cardiac arrest (IHCA) during this period as compared to non-pandemic period. Methods We conducted a retrospective study in a tertiary care hospital in Singapore. The study compared the incidence and outcomes of code blue activations over a 3-month period from March to May 2020 (COVID-19 period) with the same months in 2019 (pre-COVID-19 period). The primary outcome of the study was the rate of survival to hospital discharge for IHCA. The secondary outcomes included incidence of all code blue activation per 1000 hospital admissions, incidence of IHCA per 1000 hospital admissions. Outcomes The rate of survival to hospital discharge for IHCA was 5.88% in the COVID-19 period as compared to 10.0% in the pre-COVID-19 period [odds ratio (OR), 0.72; 95% confidence interval (CI), 0.26-1.95]. Compared to pre-COVID-19 period, there were more IHCA incidences per 1000 hospital admissions in the COVID-19 period (1.86 vs 1.03; OR, 1.81; 95% CI, 0.78-4.41). Conclusions The study observed a trend towards higher incidence of IHCA and lower rate of survival to hospital discharge during COVID-19 pandemic compared to pre-COVID-19 period.

scholarly journals Impact of pregnancy on cancer survival: Experience at a tertiary care hospital

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Dur-e- Shahwar ◽  
Sheikh Irfan Ahmed ◽  
Zaheena Shamsul Islam ◽  
Lumaan Sheikh
Keyword(s):  
Overall Survival ◽  
Cancer Survival ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Gestational Trophoblastic Disease ◽  
University Hospital ◽  
Care Hospital ◽  
Creative Commons ◽  
Hematological Cancers ◽  
Expectant Mothers

Objectives: To assess the overall survival of pregnant women diagnosed with cancer during pregnancy or became pregnant thereafter. Methods: A retrospective medical record review of 90 patients who were diagnosed with cancer when pregnant or who became pregnant thereafter between 1996 and 2015 in Aga Khan University Hospital, Karachi. Results: A total of 90 patients were analyzed. The malignancies that expectant mothers had were, breast cancer 38 (42.2%), hematological cancers 29 (32.2%), brain cancer 10 (11.1%), and other malignancies 13 (14.4%) that included thyroid cancers, gestational trophoblastic disease and synovial tumor of foot. We observed only four deaths out of 90 patients and mean survival time in pregnant patients with malignancies was 17.98 years [CI 16.35-19.31]. Conclusions: The diagnosis of most cancer types before or during pregnancy does not influence on overall survival of patients. doi: https://doi.org/10.12669/pjms.37.2.3525 How to cite this:Dur-e-Shahwar, Irfan S, Islam ZS, Sheikh L. Impact of pregnancy on cancer survival: Experience at a tertiary care hospital. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.3525 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Impact of a Local Low-Cost Ward-Based Response System in a Canadian Tertiary Care Hospital

2016 ◽  
Vol 2016 ◽  
pp. 1-8
Author(s):  
Andrea Blotsky ◽  
Louay Mardini ◽  
Dev Jayaraman
Keyword(s):  
Clinical Teaching ◽  
Tertiary Care Hospital ◽  
Low Cost ◽  
Tertiary Care ◽  
Medical Emergency ◽  
Care Hospital ◽  
Response System ◽  
Code Blue ◽  
Initial Intervention ◽  
Teaching Unit

Background. Medical emergency teams (METs) or rapid response teams (RRTs) facilitate early intervention for clinically deteriorating hospitalized patients. In healthcare systems where financial resources and intensivist availability are limited, the establishment of such teams can prove challenging.Objectives. A low-cost, ward-based response system was implemented on a medical clinical teaching unit in a Montreal tertiary care hospital. A prospective before/after study was undertaken to examine the system’s impact on time to intervention, code blue rates, and ICU transfer rates.Results. Ninety-five calls were placed for 82 patients. Median time from patient decompensation to intervention was 5 min (IQR 1–10), compared to 3.4 hours (IQR 0.6–12.4) before system implementation (p<0.001). Total number of ICU admissions from the CTU was reduced from 4.8/1000 patient days (±2.2) before intervention to 3.3/1000 patient days (±1.4) after intervention (IRR: 0.82,p=0.04(CI 95%: 0.69–0.99)). CTU code blue rates decreased from 2.2/1000 patient days (±1.6) before intervention to 1.2/1000 patient days (±1.3) after intervention (IRR: 0.51,p=0.02(CI 95%: 0.30–0.89)).Conclusion. Our local ward-based response system achieved a significant reduction in the time of patient decompensation to initial intervention, in CTU code blue rates, and in CTU to ICU transfers without necessitating additional usage of financial or human resources.

scholarly journals Analysis of functioning and efficiency of a code blue system in a tertiary care hospital

2018 ◽  
Vol 12 (2) ◽  
pp. 245 ◽  
Author(s):  
Mridul Dhar ◽  
Srinivas Monangi ◽  
Rangraj Setlur ◽  
Ramprasad Ramanathan ◽  
Sidharth Bhasin
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Code Blue

scholarly journals Knowledge and Practice Gaps among Pediatric Nurses at a Tertiary Care Hospital Karachi Pakistan

2011 ◽  
Vol 2011 ◽  
pp. 1-8
Author(s):  
Rozina Roshan Essani ◽  
Tazeen Saeed Ali
Keyword(s):  
Quantitative Research ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Medical Science ◽  
Care Hospital ◽  
Pediatric Nurses ◽  
Quality Patient Care ◽  
Code Blue ◽  
Knowledge And Practice ◽  
Nursing Professionals

The advancement in medical science has created health care environments that require nursing professionals who posses specialized clinical knowledge and skills to provide care and deal with critically and acutely ill children. This study explored gaps between knowledge and practice as perceived by the registered nurses of pediatric units by further recommending the changes suggested by them. A descriptive exploratory study design under the quantitative research methodology was utilized using universal sampling of all pediatric nurses working at a tertiary care hospital in Karachi, Pakistan. The gaps between knowledge and practice, as perceived by the participants, were categorized into five major categories: (1) medication (34%), (2) skills (28.3%), (3) knowledge (13.36%), (4) handling of code blue and intubations (12.6%), and (5) operating medical devices (11.58%). As a result, anxiety and incompetency were notably seen in the participants which had great amount of impact on the level of care provided to the patients. The implications of the findings for quality patient care were also analyzed.

scholarly journals Long-term outcomes and predictors of survival after cardiopulmonary resuscitation for in-hospital cardiac arrest in a tertiary care hospital in Thailand

2018 ◽  
Vol Volume 14 ◽  
pp. 583-589 ◽  
Author(s):  
Panita Limpawattana ◽  
Wannaporn Aungsakul ◽  
Chomchanok Suraditnan ◽  
Anupol Panitchote ◽  
Boonsong Patjanasoontorn ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Long Term Outcomes ◽  
Hospital Cardiac Arrest
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