Date of Publication
11-2025
Document Type
Bachelor's Thesis
Degree Name
Bachelor of Science in Biology major in Medical Biology
Subject Categories
Biology | Medicine and Health Sciences
College
College of Science
Department/Unit
Biology
Thesis Advisor
Eligio Santiago V. Maghirang
Defense Panel Chair
Rosita Roldan Gan
Defense Panel Member
Brian M. Limson
Anthony Joseph M. Contreras
Abstract (English)
Cardiac Compression Fraction (CCF) measures the chest compression without interruptions, with at least 80% to be considered a high quality CPR. Hence, the study mainly focused on assessing whether CCF is a predictive factor of Return of Spontaneous Circulation (ROSC). Along with this, the relationship between factors affecting CCF which includes patient, CPR, and CPR team related factors were tested. In addition, the differences in CCF between patients with initial non-shockable rhythms who converted to shockable rhythms and those who did not were evaluated; and its impact on ROSC outcomes were examined. This retrospective study was conducted through reviewing 18 supplementary forms and code sheets. Results show a CCF with a mean of 91%, this indicates high CPR performance of the code team. However, this result still coincided with a 50% mortality rate which connected the next outcome that CCF is not an independent factor that could predict ROSC. Furthermore, Among the factors affecting CCF, only interruption and duration under CPR related factors had a significant relationship with CCF, with interruption having an inverse relationship. Furthermore, there is no significant difference between the CCF of patients that initially had non-shockable rhythm that converted to shockable vs those who did not. Moreover, the converted and non-converted had no association with ROSC. In conclusion, while high rates of CCF showed that CPR performance in DLSUMC measured through CCF is on par with the AHA guidelines, it still does not independently predict the chances of ROSC, suggesting chances of ROSC are influenced by factors beyond CCF.
Abstract Format
html
Abstract (Filipino)
Ang Cardiac Compression Fraction (CCF) ay sumusukat sa chest compression na walang mga pagputol, kung saan ang hindi bababa sa 80% ay itinuturing na mataas na kalidad na CPR. Dahil dito, ang pag-aaral ay pangunahing nakatuon sa pagsusuri kung ang CCF ay maaaring maging prediktibong salik ng Return of Spontaneous Circulation (ROSC). Kasabay nito, sinuri rin ang ugnayan ng mga salik na nakaaapekto sa CCF, kabilang ang mga salik na may kinalaman sa pasyente, CPR, at CPR team. Dagdag pa rito, tinasa rin ang pagkakaiba sa CCF sa pagitan ng mga pasyenteng may unang non-shockable rhythm na nag-transition sa shockable rhythm at ng mga hindi nag-transition; at sinuri ang epekto nito sa mga kinalabasan ng ROSC. Ang retrospective na pag-aaral na ito ay isinagawa sa pamamagitan ng pagtingin sa 18 supplementary forms at code sheets. Ipinakita ng mga resulta ang CCF na may mean na 91%, na nagpapahiwatig ng mataas na kalidad ng CPR performance ng code team. Gayunpaman, ang resultang ito ay kaakibat pa rin ng 50% mortality rate, na nagpalakas sa kinalabasang ang CCF ay hindi isang independent factor na maaaring makapagpahiwatig ng ROSC.Bukod dito, sa mga salik na nakaaapekto sa CCF, tanging ang interruption at duration sa ilalim ng CPR na may kaugnayan sa CPR-related factors ang nagpakita ng makabuluhang ugnayan sa CCF, kung saan ang interruption ay nagpakita ng inverse relationship.Dagdag pa, walang makabuluhang pagkakaiba sa CCF ng mga pasyenteng unang nagkaroon ng non-shockable rhythm na nag-transition sa shockable kumpara sa mga hindi nag-transition. Gayundin, ang mga nag-transition at hindi nag-transition ay walang ipinakitang kaugnayan sa ROSC. Sa konklusyon, habang ang mataas na CCF ay nagpapakita na ang CPR performance sa DLSUMC na sinusukat sa pamamagitan ng CCF ay naaayon sa AHA guidelines, hindi pa rin nito independent na nahuhulaan ang posibilidad ng ROSC, na nagpapahiwatig na ang mga pagkakataon ng ROSC ay naiimpluwensiyahan ng iba pang mga salik bukod sa CCF.
Abstract Format
html
Language
English
Format
Electronic
Keywords
CPR (First aid); Cardiac arrest—Treatment
Recommended Citation
Cayetano, M. O., & Saracho, F. M. (2025). Assessing the cardiac compression fraction (CCF) through in-hospital cardiopulmonary resuscitation (CPR) inclusive of contributing factors to ROSC and possible survivability. Retrieved from https://animorepository.dlsu.edu.ph/etdb_bio/202
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Embargo Period
12-4-2027
