Research Article
Year 2025,
Volume: 2 Issue: 2, 127 - 134, 30.06.2025
Abstract
References
- Soar J, Böttiger BW, Carli P, et al. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation. 2021 Apr: 161:115-151.
- Merchant RM, Topjian AA, Panchal AR, et al. Part 1: Executive Summary: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2): S337-S357.
- Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-Hospital Cardiac Arrest: A Review. JAMA. 2019 Mar 26;321(12):1200-1210.
- Holmberg MJ, Ross CE, Fitzmaurice GM, et al. Annual Incidence of Adult and Pediatric In-Hospital Cardiac Arrest in the United States. Circ Cardiovasc Qual Outcomes. 2019 Jul 9;12(7): e005580.
- Holmberg MJ, Granfeldt A, Girotra S, Donnino MW, Andersen LW; American Heart Association’s Get With The Guidelines®-Resuscitation Investigators. Trends in survival and introduction of the 2010 and 2015 guidelines for adult in-hospital cardiac arrest. Resuscitation. 2020 Dec: 157:112-120.
- Girotra S, Nallamothu BK, Spertus JA, Li Y, Krumholz HM, Chan PS; American Heart Association Get with the Guidelines–Resuscitation Investigators. Trends in survival after in-hospital cardiac arrest. N Engl J Med. 2012 Nov 15;367(20):1912-1920.
- Eroglu SE, Onur O, Urgan O, Denizbasi A, Akoglu H. Blue code: Is it a real emergency? World J Emerg Med. 2014;5(1):20.
- Lee H-J, Lee O. Perceptions of hospital emergency color codes among hospital employees in Korea. Int Emerg Nurs. 2018 Sep;40:6–11.
- Sağlık bakanlığı Kamu Hastaneleri Birliği Genel Müdürlüğü Mavi Kod Uygulama Usul ve Esasları. Available from: https://khgmacilveyurtdisisaglikdb.saglik.gov.tr/Eklenti/27017/0/makam-olurupdf.pdf
- Hunziker S, Johansson AC, Tschan F, et al. Teamwork and leadership in cardiopulmonary resuscitation. J Am Coll Cardiol. 2011 Jun 14;57(24):2381-2388.
- Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005 Jan 19;293(3):305-310.
- Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005 Jan 19;293(3):299-304.
- Cashman JN. In-hospital cardiac arrest: what happens to the false arrests? Resuscitation. 2002 Jun;53(3):271–6.
- Kenward G, Robinson A, Bradburn S, Steeds R. False cardiac arrests: the right time to turn away? Postgrad Med J. 2007 May 1;83(979):344–347.
- Cem Tosyalı MN. Mavi Kod Uygulama Sonuçlarının Değerlendirilmesi. Sağlıkta Performans ve Kalite Derg. 2015;(9):66–77.
- Esen O, Kahraman Esen H, Öncül S, ve ark. Eğitim ve Araştırma Hastanesinde Mavi Kod Uygulaması ve Sonuçlarının Değerlendirilmesi. J Kartal TR. 2016;27(1):57–61.
- Çiçekçi F, Atıcı SS. Mavi Kod çağrısına bağlı kardiyo-pulmoner resüsitasyon uygulamaları sonuçlarının değerlendirilmesi. Genel Tıp Derg. 2013;23(3):70–76.
- Petrie DA, De Maio V, Stiell IG, et al. Factors affecting survival after prehospital asystolic cardiac arrest in a Basic Life Support-Defibrillation system. CJEM. 2001 Jul 21;3(03):186–192.
- Cooper S, Cade J. Predicting survival, In-hospital cardiac arrests: Resuscitation survival variables and training effectiveness. Resuscitation. 1997 Aug;35(1):17–22.
- Suraseranivongse S, Chawaruechai T, Saengsung P, et al. Outcome of cardiopulmonary resuscitation in a 2300-bed hospital in a developing country. Resuscitation. 2006 Nov;71(2):188–193.
- Murat E, Toprak S, Buğur Doğan D, ve ark. Hasta Güvenliğinde Mavi Kod Uygulama Sonuçlarının Değerlendirilmesi. Med Sci. 2014;3(1):1002–12.
- Özütürk B, Muhammedoğlu N, Dal E, ve ark. Mavi Kod Uygulama Sonuçlarının Değerlendirilmesi. Med Bull Haseki. 2015;53(3):204–8.
- Panchal AR, Bobrow BJ, Spaite DW, et al. Chest compression-only cardiopulmonary resuscitation performed by lay rescuers for adult out-of-hospital cardiac arrest due to non-cardiac aetiologies. Resuscitation. 2013 Apr;84(4):435–439.
- Nolan JP, Soar J, Smith GB, et al. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2014 Aug;85(8):987–992.
- Peberdy MA. Survival From In-Hospital Cardiac Arrest During Nights and Weekends. JAMA. 2008 Feb 20;299(7):785–792.
Evaluation of cause-effect relationship and protocol compliance in code blue calls in a tertiary level hospital
Abstract
Background: Cardiopulmonary arrest (CPA) is a primary emergency that can be reversible and a code blue call is given for this. Our aim in this study is to evaluate the reasons and accuracy of the call-in patients and the intervention results who received a code blue call.
Methods: This study was retrospectively evaluated the blue code calls and applications given between 01.01.2019 – 01.06.2020 in a third-level hospital.
Results: Out of a total of 199 code blue calls, 40 (20.1%) were found to be incorrect. It was noted that code blue calls from outpatient clinics and imaging units often being incorrect (p < 0.001), made by doctors and nurses were more accurate (p < 0.001), and the accuracy of code blue calls was higher outside working hours (p = 0.002). Furthermore, the study revealed that the rates of spontaneous circulation were higher in patients who received chest compressions before the arrival of the code blue team (p = 0.003).
Conclusion: This study strongly emphasizes the importance of accurate diagnosis, rapid intervention, and effective resuscitation in CPA cases. These results can reference measures to reduce incorrect code blue call rates, and improve patient outcomes in cardiac arrest situations.
References
- Soar J, Böttiger BW, Carli P, et al. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation. 2021 Apr: 161:115-151.
- Merchant RM, Topjian AA, Panchal AR, et al. Part 1: Executive Summary: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2): S337-S357.
- Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-Hospital Cardiac Arrest: A Review. JAMA. 2019 Mar 26;321(12):1200-1210.
- Holmberg MJ, Ross CE, Fitzmaurice GM, et al. Annual Incidence of Adult and Pediatric In-Hospital Cardiac Arrest in the United States. Circ Cardiovasc Qual Outcomes. 2019 Jul 9;12(7): e005580.
- Holmberg MJ, Granfeldt A, Girotra S, Donnino MW, Andersen LW; American Heart Association’s Get With The Guidelines®-Resuscitation Investigators. Trends in survival and introduction of the 2010 and 2015 guidelines for adult in-hospital cardiac arrest. Resuscitation. 2020 Dec: 157:112-120.
- Girotra S, Nallamothu BK, Spertus JA, Li Y, Krumholz HM, Chan PS; American Heart Association Get with the Guidelines–Resuscitation Investigators. Trends in survival after in-hospital cardiac arrest. N Engl J Med. 2012 Nov 15;367(20):1912-1920.
- Eroglu SE, Onur O, Urgan O, Denizbasi A, Akoglu H. Blue code: Is it a real emergency? World J Emerg Med. 2014;5(1):20.
- Lee H-J, Lee O. Perceptions of hospital emergency color codes among hospital employees in Korea. Int Emerg Nurs. 2018 Sep;40:6–11.
- Sağlık bakanlığı Kamu Hastaneleri Birliği Genel Müdürlüğü Mavi Kod Uygulama Usul ve Esasları. Available from: https://khgmacilveyurtdisisaglikdb.saglik.gov.tr/Eklenti/27017/0/makam-olurupdf.pdf
- Hunziker S, Johansson AC, Tschan F, et al. Teamwork and leadership in cardiopulmonary resuscitation. J Am Coll Cardiol. 2011 Jun 14;57(24):2381-2388.
- Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005 Jan 19;293(3):305-310.
- Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005 Jan 19;293(3):299-304.
- Cashman JN. In-hospital cardiac arrest: what happens to the false arrests? Resuscitation. 2002 Jun;53(3):271–6.
- Kenward G, Robinson A, Bradburn S, Steeds R. False cardiac arrests: the right time to turn away? Postgrad Med J. 2007 May 1;83(979):344–347.
- Cem Tosyalı MN. Mavi Kod Uygulama Sonuçlarının Değerlendirilmesi. Sağlıkta Performans ve Kalite Derg. 2015;(9):66–77.
- Esen O, Kahraman Esen H, Öncül S, ve ark. Eğitim ve Araştırma Hastanesinde Mavi Kod Uygulaması ve Sonuçlarının Değerlendirilmesi. J Kartal TR. 2016;27(1):57–61.
- Çiçekçi F, Atıcı SS. Mavi Kod çağrısına bağlı kardiyo-pulmoner resüsitasyon uygulamaları sonuçlarının değerlendirilmesi. Genel Tıp Derg. 2013;23(3):70–76.
- Petrie DA, De Maio V, Stiell IG, et al. Factors affecting survival after prehospital asystolic cardiac arrest in a Basic Life Support-Defibrillation system. CJEM. 2001 Jul 21;3(03):186–192.
- Cooper S, Cade J. Predicting survival, In-hospital cardiac arrests: Resuscitation survival variables and training effectiveness. Resuscitation. 1997 Aug;35(1):17–22.
- Suraseranivongse S, Chawaruechai T, Saengsung P, et al. Outcome of cardiopulmonary resuscitation in a 2300-bed hospital in a developing country. Resuscitation. 2006 Nov;71(2):188–193.
- Murat E, Toprak S, Buğur Doğan D, ve ark. Hasta Güvenliğinde Mavi Kod Uygulama Sonuçlarının Değerlendirilmesi. Med Sci. 2014;3(1):1002–12.
- Özütürk B, Muhammedoğlu N, Dal E, ve ark. Mavi Kod Uygulama Sonuçlarının Değerlendirilmesi. Med Bull Haseki. 2015;53(3):204–8.
- Panchal AR, Bobrow BJ, Spaite DW, et al. Chest compression-only cardiopulmonary resuscitation performed by lay rescuers for adult out-of-hospital cardiac arrest due to non-cardiac aetiologies. Resuscitation. 2013 Apr;84(4):435–439.
- Nolan JP, Soar J, Smith GB, et al. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2014 Aug;85(8):987–992.
- Peberdy MA. Survival From In-Hospital Cardiac Arrest During Nights and Weekends. JAMA. 2008 Feb 20;299(7):785–792.
There are 25 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Anaesthesiology |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | June 30, 2025 |
| Submission Date | September 14, 2024 |
| Acceptance Date | May 26, 2025 |
| Published in Issue | Year 2025 Volume: 2 Issue: 2 |
