In-hospital cardiac arrest

Soar, Jasmeet

doi:10.1097/mcc.0000000000001035

Cited by 8 publications

(1 citation statement)

References 30 publications

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“…Our results suggest that patients in the non-shockable group had relatively good preoperative cardiac function; therefore, discharged patients experienced fewer cardiovascular events during the follow-up. Considering the poor early outcomes in the non-shockable group, the most important measure to improve prognosis is to avoid cardiac arrest by prophylactically addressing correctable or reversible causes [ 8 , 18 , 20 ]. Additionally, the use of safety checklists and rapid response teams can help prevent cardiac arrest after cardiac surgery [ 8 , 9 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of cardiac arrest after coronary artery bypass grafting

Yang,

Tiemuerniyazi,

et al. 2024

J Cardiothorac Surg

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Background Cardiac arrest after coronary artery bypass grafting (CABG) is a serious complication with low survival rate. The prognosis of patients with cardiac arrest in the general ward is worse than that in the intensive care unit (ICU) because of the delayed and poor rescue conditions. Methods This retrospective study included patients who experienced cardiac arrest after CABG surgery between January 2010 and December 2019 at the Fuwai Hospital. Differences in cardiac arrest between the ICU and the general ward were compared. The patients were divided into shockable and non-shockable rhythm groups, and the differences between the two groups were compared. Finally, we proposed a management protocol for cardiac arrest in the general ward. Results We retrospectively analyzed 41,450 patients who underwent CABG only, of whom 231 (0.56%) experienced cardiac arrest post-surgery in the ICU (185/231) or in the general ward (46/231). The rescue success rate and 30-day survival rate of the patients with cardiac arrest in the general ward were 76.1% (35/46) and 58.7% (27/46), respectively. The incidence of the different arrhythmia types of cardiac arrest in the general ward compared with that in the ICU was different (P = 0.010). The 30-day survival rate of the non-shockable rhythm group was 31.8% (7/22), which was worse than that of the shockable rhythm group (83.3% [20/24]; P = 0.001). Kaplan–Meier survival analysis showed that the prognosis of the non-shockable group was poor (P < 0.001). Conclusions The incidence of cardiac arrest after CABG was low. The prognosis of patients in the general ward was worse than that of those in the ICU. The proportion of non-shockable rhythm type cardiac arrest was higher in the general ward than in the ICU, and patients in this group had a worse early prognosis.

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