• Users Online: 26
  • Print this page
  • Email this page
 
ORIGINAL ARTICLE
Ahead of Print

Evaluation of the blue code system established in the health campus of a university hospital


1 Department of Internal Medicine, Division of Intensive Care Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
2 Department of Public Health, Faculty of Medicine, Hacettepe University, Ankara, Turkey

Correspondence Address:
Arzu Topeli,
Hacettepe University Faculty of Medicine, Medical Intensive Care Unit, Ankara
Turkey
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2452-2473.301912

OBJECTIVE: We report the hospital outcomes after implementing the blue code system in our hospital and health campus. We also aimed to determine factors related to mortality. METHODS: This is a retrospective observational study of the patients who received cardiopulmonary resuscitation (CPR). All blue code calls for all age groups between March 15, 2013, and April 30, 2015 were analyzed. Logistic regression analysis was performed to find independent predictors of in-hospital mortality. RESULTS: A total of 155 patients from the blue code calls were evaluated. Return of spontaneous circulation was achieved in 45.5% of patients, and 54.8% of the patients had died at the end of the CPR. The hospital discharge rate was 20%. Of all patients, 65% were adults with a survival rate of 7.9%, whereas pediatric patients had a 44.2% survival rate. Asystole and pulseless electrical activity were the predominant electrocardiography rhythms in 92.4% of patients. The comparison of survivors and nonsurvivors revealed that nonsurvivors were older, had more cancer as the comorbidity, had a more cardiac arrest, and sepsis as the underlying cause and had >20 min of CPR. The logistic regression analysis demonstrated the independent risk factors for mortality as arrest at a hospital ward, and sepsis as the underlying cause and being adult patient. CONCLUSION: The performance of the blue code system should be evaluated periodically. Every effort should be made to prevent unexpected cardiac arrests and increase hospital discharge with good neurologic outcomes.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Topeli A
    -  Cakir B
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed829    
    PDF Downloaded29    

Recommend this journal