EFFECTIVENESS OF VITAL SIGN OBSERVATIONS IN DETECTING CARDIOPULMONARY ARREST: A PROSPECTIVE OBSERVATIONAL STUDY
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Keywords
Cardiopulmonary Arrest, Vital Signs, Early Detection, Patient Outcomes
Abstract
Background: Cardiopulmonary arrest (CPA) is a condition that is fatal and requires immediate action to be taken by the medical practitioners. The opportunity to detect the disease in its early stage by monitoring the vital signs increases the probability of survival. This paper aims to determine the efficiency of the observations of the vital signs in the early detection of CPA among patients in DHQ Hospital, Mishti Mela Orakzai, KPK.
Objectives: The objectives of the study are to determine the role of vital sign monitoring in identifying the signs of cardiopulmonary arrest, identify the correlation between the abnormal vital signs and CPA development, and analyze the influence of early detection on the patient’s outcomes.
Study design: A prospective observational study
Place and duration of Study: DHQ Hospital, Mishti Mela Orakzai from jan 2023 to jan 2024
Methods: A prospective observational study was carried out in DHQ Hospital, Mishti Mela Orakzai on 100 patients for six months. The medical conditions included in this study were heart rate, respiratory rate, blood pressure, and oxygen saturation of patients admitted in the hospital. Data was taken at intervals of one hour. The main measure was the identification of the symptoms that may point to the development of cardiopulmonary arrest. Descriptive data analysis involved use of mean age, standard deviation, p-values and percentage to establish the level of significance.
Results: The mean age of the patients was 55. 3 years with SD of 12. 7. The prevalence of arrhythmias was 25%, non-steady respiratory rate 20%, hypertension 40%, and hypoxemia 18%. Cardiopulmonary arrest was identified in 10 patients, and 8 of 10 patients had abnormal vital signs before the arrest. The ability to identify the problem early made it possible to revive the patient in 60% of the cases. The p-value for the correlation between abnormal vital signs and CPA was 0. 03 which is less than the significance level of 0. 05.
Conclusion: Supravital assessment helps in identifying early signs of cardiopulmonary arrest and thus helps in early intervention thus enhancing the patient’s status. Therefore, constant supervision and immediate intervention when deviations are detected are vital in the management of CPA. More studies should be conducted with a larger sample size to confirm these results.
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Sayyeda Aisha Bahar
Female Medical Officer, DHQ Hospital, Mishti Mela Orakzai, KPK Pakistan
Fazal Rabi
Medical Specialist, DHQ Hospital, Mishti Mela, KPK Pakistan
Mahnoor Liaqat
Female Medical Officer, THQ Hospital, Dogger Kurram, KPK Pakistan
Dure Nayab
TMO Medicine, Lady Reading Hospital, Peshawar, KPK Pakistan
Syeda Noor us Saba
Alshifa Eye Trust, Kohat, KPK Pakistan
Tauseef Hamid
Saidu Group of Teaching Hospital, Swat KPK Pakistan
Sadaf Wazir
TMO Medicine, Khyber Teaching Hospital, Peshawar, KPK Pakistan