The Patient Characteristics and Mortality of Code Blue Calls

• ClinicalTrials.gov Identifier: NCT02203435
• Recruitment Status: Completed
• First Posted: July 29, 2014
• Last Update Posted: August 6, 2014
• Sponsor: Gulsah Karaoren
• Information provided by (Responsible Party): Gulsah Karaoren, Umraniye Education and Research Hospital

Study Description

Brief Summary:

This study aimed to retrospectively examine patients evaluated by the Code Blue team on a Code Blue call in our hospital between 2009 and 2013.

Primary outcome: an examination of the survival rates and demographic data of the patients evaluated as an emergency by a Code Blue call in the period 2009-2013.Secondary outcome: to determine the rates of false Code Blue calls, the clinics giving Code Blue calls and the relationship between the times of Code Blue calls and mortality.Inclusion criteria: patients throughout the whole hospital for whom a Code Blue form was completed and who were evaluated by the Code Blue team on a Code Blue call.

Exclusion criteria: patients who refused treatment

Condition or disease
Demographics of the Patients Evaluated by Code Blue Call

Detailed Description:

Retrospective examination was made of the Code Blue notification forms which were completed by the anaesthesiologist as Code Blue team leader of the hospital. The age of the patient, gender, diagnosis, the department where admitted, time of Blue Code call, reason for Blue Code call, whether or not the Blue code call was appropriate, whether or not cardiopulmonary resuscitation was administered, if administered, the duration of cardiopulmonary resuscitation, whether or not the patient was postoperative, whether or not the patient had been discharged from the intensive care unit and if so, how many days had passed, the APACHE II score of the patient and expected mortality, were recorded by calculation of the data on thhe Code Blue notification form and in the hospital automated system. Patients were excluded from the study if they had refused treatment or if there was no record of the parameters necessary to calculate the APACHE II score.

Study Design

• Study Type: Observational
• Actual Enrollment: 1050 participants
• Time Perspective: Retrospective
• Official Title: The Characteristics of the Blue-code Calls; Five Years Survey.
• Study Start Date: January 2014
• Actual Primary Completion Date: April 2014
• Actual Study Completion Date: April 2014

Groups and Cohorts

Outcome Measures

Primary Outcome Measures :

1. mortality of blue-codes [ Time Frame: 5 years ]
   an examination of the survival rates and demographic data of the patients evaluated as an emergency by a Code Blue call in the period 2009-2013.

Secondary Outcome Measures :

1. the demographics of blue code admissions [ Time Frame: 5 years ]
   to determine the rates of false Code Blue calls, the clinics giving Code Blue calls and the relationship between the times of Code Blue calls and mortality.

Other Outcome Measures:

1. the rate of successful cardiopulmonary resuscitation [ Time Frame: 5 years ]
   the rate of CPR, the apache and saps II expanded values and indication of ICU stay will be calculated

Eligibility Criteria

• Ages Eligible for Study: Child, Adult, Older Adult
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No
• Sampling Method: Non-Probability Sample

Study Population

This study aimed to retrospectively examine patients evaluated by the Code Blue team on a Code Blue call in our hospital between 2009 and 2013.Retrospective examination was made of the Code Blue notification forms which were completed by the anaesthesiologist as Code Blue team leader of the hospital.

Criteria

Inclusion Criteria:

Patients throughout the whole hospital for whom a Code Blue form was completed and who were evaluated by the Code Blue team on a Code Blue call.

Exclusion Criteria:

Patients who refused treatment

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Contacts and Locations

Locations

Turkey

Istanbul Umraniye Education and Research Hospital

Istanbul, Turkey, 34760

Sponsors and Collaborators

Gulsah Karaoren

Investigators

• Study Director: Nurten Bakan, assoc prof; Istanbul Umraniye Education and Research Hospital

More Information

Publications of Results:

Fecho K, Jackson F, Smith F, Overdyk FJ. In-hospital resuscitation: opioids and other factors influencing survival. Ther Clin Risk Manag. 2009;5:961-8. Epub 2009 Dec 29.

Yang J, Howell MD. Commentary: Is the glass half empty? Code blue training in the modern era. Acad Med. 2011 Jun;86(6):680-3. doi: 10.1097/ACM.0b013e318217e969.

Other Publications:

Grimaldi D, Dumas F, Perier MC, Charpentier J, Varenne O, Zuber B, Vivien B, Pène F, Mira JP, Empana JP, Cariou A. Short- and long-term outcome in elderly patients after out-of-hospital cardiac arrest: a cohort study. Crit Care Med. 2014 Nov;42(11):2350-7. doi: 10.1097/CCM.0000000000000512.

• Responsible Party: Gulsah Karaoren, doctor, Umraniye Education and Research Hospital
• ClinicalTrials.gov Identifier: NCT02203435
• Other Study ID Numbers: GK1
• First Posted: July 29, 2014
• Last Update Posted: August 6, 2014
• Last Verified: August 2014

Keywords provided by Gulsah Karaoren, Umraniye Education and Research Hospital:

code blue; Cardiopulmonary Resuscitation; APACHE