Prevalence, outcome and conduct of in-hospital cardiopulmonary resuscitation in government hospitals of Nepal.
<h4>Introduction</h4>Cardiopulmonary resuscitation (CPR) is an evidence-based intervention that saves lives. In low- and middle-income countries like Nepal, the occurrence of the problem and its outcome are seldom studied. The study aims to highlight the prevalence, performance, and outc...
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Public Library of Science (PLoS)
2025-01-01
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| Online Access: | https://doi.org/10.1371/journal.pone.0316950 |
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| author | Pawan Kumar Hamal Surendra Kunwar Kapil Gautam Ramesh Bhattarai Rupesh Kumar Yadav Ritesh Lamsal Radeep Singh Sonam Pathak Nabin Pokhrel |
| author_facet | Pawan Kumar Hamal Surendra Kunwar Kapil Gautam Ramesh Bhattarai Rupesh Kumar Yadav Ritesh Lamsal Radeep Singh Sonam Pathak Nabin Pokhrel |
| author_sort | Pawan Kumar Hamal |
| collection | DOAJ |
| description | <h4>Introduction</h4>Cardiopulmonary resuscitation (CPR) is an evidence-based intervention that saves lives. In low- and middle-income countries like Nepal, the occurrence of the problem and its outcome are seldom studied. The study aims to highlight the prevalence, performance, and outcome of CPR in government hospitals of Nepal.<h4>Methods</h4>A mixed method study was done for two months in central and provincial government hospitals of Nepal. A total of 80 resuscitations were evaluated using a questionnaire based on the American Heart Association 2020 guidelines for cardiopulmonary resuscitation. An in-depth interview was conducted with 15 active participants of the resuscitation in different sites. Thematic analysis was done using the framework of the chain of survival of arrest victims.<h4>Results</h4>The overall prevalence of CPR was found to be 1.92% [95% CI: 0.01,0.02] with 5.4% in central hospitals and 0.65% in provincial hospitals with 60% cardiac arrests occurring in the intensive care unit. Estimated time from recognition of the arrest to initiating CPR was 1.9 ±1.4 minutes. Asystole 66.25% was the commonest arrest rhythm and 21.25% had difficulty interpreting rhythm. Only 11.25% of the victims had return of spontaneous circulation and were subsequently transferred for post-arrest care. The qualitative analysis highlighted the lack of trained staff, a dedicated system, feedback mechanism, and provision of post-arrest care.<h4>Conclusion</h4>Across various level of Nepal's healthcare system, cardiopulmonary resuscitation is prevalent with poor performance and outcome. To improve outcomes, it is essential to implement standardized procedures and ensure high quality resuscitation delivery before and after the event supported by well-trained healthcare personnel and adequate infrastructure. |
| format | Article |
| id | doaj-art-6248baa9e83f4b4a8ed9b9aedf1e1e3d |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-6248baa9e83f4b4a8ed9b9aedf1e1e3d2025-02-07T05:30:42ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031695010.1371/journal.pone.0316950Prevalence, outcome and conduct of in-hospital cardiopulmonary resuscitation in government hospitals of Nepal.Pawan Kumar HamalSurendra KunwarKapil GautamRamesh BhattaraiRupesh Kumar YadavRitesh LamsalRadeep SinghSonam PathakNabin Pokhrel<h4>Introduction</h4>Cardiopulmonary resuscitation (CPR) is an evidence-based intervention that saves lives. In low- and middle-income countries like Nepal, the occurrence of the problem and its outcome are seldom studied. The study aims to highlight the prevalence, performance, and outcome of CPR in government hospitals of Nepal.<h4>Methods</h4>A mixed method study was done for two months in central and provincial government hospitals of Nepal. A total of 80 resuscitations were evaluated using a questionnaire based on the American Heart Association 2020 guidelines for cardiopulmonary resuscitation. An in-depth interview was conducted with 15 active participants of the resuscitation in different sites. Thematic analysis was done using the framework of the chain of survival of arrest victims.<h4>Results</h4>The overall prevalence of CPR was found to be 1.92% [95% CI: 0.01,0.02] with 5.4% in central hospitals and 0.65% in provincial hospitals with 60% cardiac arrests occurring in the intensive care unit. Estimated time from recognition of the arrest to initiating CPR was 1.9 ±1.4 minutes. Asystole 66.25% was the commonest arrest rhythm and 21.25% had difficulty interpreting rhythm. Only 11.25% of the victims had return of spontaneous circulation and were subsequently transferred for post-arrest care. The qualitative analysis highlighted the lack of trained staff, a dedicated system, feedback mechanism, and provision of post-arrest care.<h4>Conclusion</h4>Across various level of Nepal's healthcare system, cardiopulmonary resuscitation is prevalent with poor performance and outcome. To improve outcomes, it is essential to implement standardized procedures and ensure high quality resuscitation delivery before and after the event supported by well-trained healthcare personnel and adequate infrastructure.https://doi.org/10.1371/journal.pone.0316950 |
| spellingShingle | Pawan Kumar Hamal Surendra Kunwar Kapil Gautam Ramesh Bhattarai Rupesh Kumar Yadav Ritesh Lamsal Radeep Singh Sonam Pathak Nabin Pokhrel Prevalence, outcome and conduct of in-hospital cardiopulmonary resuscitation in government hospitals of Nepal. PLoS ONE |
| title | Prevalence, outcome and conduct of in-hospital cardiopulmonary resuscitation in government hospitals of Nepal. |
| title_full | Prevalence, outcome and conduct of in-hospital cardiopulmonary resuscitation in government hospitals of Nepal. |
| title_fullStr | Prevalence, outcome and conduct of in-hospital cardiopulmonary resuscitation in government hospitals of Nepal. |
| title_full_unstemmed | Prevalence, outcome and conduct of in-hospital cardiopulmonary resuscitation in government hospitals of Nepal. |
| title_short | Prevalence, outcome and conduct of in-hospital cardiopulmonary resuscitation in government hospitals of Nepal. |
| title_sort | prevalence outcome and conduct of in hospital cardiopulmonary resuscitation in government hospitals of nepal |
| url | https://doi.org/10.1371/journal.pone.0316950 |
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