Background: In-hospital cardiac arrest (IHCA) is associated with high mortality. Measuring outcomes after CPR and identifying predictors of survival help improve resuscitation systems and post-resuscitation care.
Aim: To evaluate immediate and 30-day outcomes following in-hospital CPR and to identify factors associated with return of spontaneous circulation (ROSC) and survival to discharge.
Materials & Methods: Prospective observational study conducted over 12 months in the Department of Medicine and Emergency at ________ Hospital. All adult patients (≥18 years) who received CPR for cardiac arrest were included. Data collected: demographics, location and witnessed status of arrest, initial rhythm, time to CPR, duration of resuscitation, interventions, comorbidities, and post-ROSC care. Primary outcomes: ROSC, survival to 24 hours, survival to discharge, neurological outcome (Cerebral Performance Category — CPC). Statistical analysis used Chi-square, t-tests and logistic regression; p < 0.05 considered significant.
Results: Out of ___ arrests, ROSC was achieved in % (n=). Survival to hospital discharge was % (n=). Favorable neurological outcome (CPC 1–2) among survivors was __%. Factors positively associated with ROSC and survival included witnessed arrest, short no-flow interval (time to CPR ≤ 1–2 minutes), shockable initial rhythm (VF/VT), arrest occurring in monitored areas, and reversible cause. Longer resuscitation duration and presence of multi-organ failure predicted poor outcome.
Conclusion: Survival after in-hospital CPR remains limited but is significantly influenced by immediate recognition, rapid initiation of high-quality CPR, initial rhythm, and prompt defibrillation. Strengthening early warning systems and post-resuscitation care pathways can improve outcomes.