In-hospital Cardiopulmonary Resuscitation

Vos, Rien de; Koster, R. W.; Haan, Rob J. de; Oosting, H.; Wouw, Poll A. van der; Lampe-Schoenmaeckers, A. J.

doi:10.1001/archinte.159.8.845

Cited by 110 publications

(40 citation statements)

References 29 publications

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“…The NRCPR study and that by de Vos et al revealed that patients with cardiac morbidity had a nearly twofold increase in survival rate compared with those with non-cardiac morbidity [3] [16]. However, the results of the current study shows that cardiac morbidity was significantly associated with a poorer ROSC rate, contrary to those of previous studies that demonstrated significant association of cardiac morbidity with a higher probability of ROSC and survival rate.…”

Section: Factorcontrasting

confidence: 99%

Outcome of In-Hospital Cardiac Arrest in Adult General Wards

Kung¹,

Cheng²,

Hung³

et al. 2014

IJCM

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Objective: Few studies have focused on factors influencing outcomes of patients with in-hospital cardiac arrest (IHCA) in general wards. The goal of this study was to report the outcomes of adult patients with IHCA in the general wards and identified the prognostic factors. Methods: Adult patients with IHCA having received cardiopulmonary resuscitation in general wards from January 2008 to December 2011 were retrospectively reviewed from our registry system. The primary outcome was survival to hospital discharge, while the secondary outcome was sustained return of spontaneous circulation (ROSC). Results: A total of 544 general ward patients were analyzed for event variables and resuscitation results. The rate of establishing a ROSC was 40.1% and the rate of survival to discharge was 5.1%. Ventricular tachycardia/ventricular fibrillation (VT/VF) was the initial rhythm in 3.9% of patients. Pre-arrest factors including a high Charlson comorbidity index (CCI) ≥ 9 (OR 0.251, 95% CI 0.098 -0.646), cardiac comorbidity (OR 0.612, 95% CI 0.401 -0.933), and arrest time on the midnight shift (OR 0.403, 95% CI 0.252 -0.642) were independently associated with a low possibility of ROSC. The initial VT/VF presenting rhythms (OR 0.135, 95% CI 0.030 -0.601) were independently associated with a high survival rate, whereas patients with deteriorated disease course were independently associated with a decreased hospital survival (OR 3.902, 95% CI 1.619 -9.403). Conclusions: We demonstrated that pre-arrest factors can predict patient outcome after IHCA in general wards, including the association of a CCI ≥ 9 and cardiac comorbidity with poor ROSC, and deteriorated disease course as an independent predictor of a low survival rate.

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Section: Factorcontrasting

confidence: 99%

Outcome of In-Hospital Cardiac Arrest in Adult General Wards

Kung¹,

Cheng²,

Hung³

et al. 2014

IJCM

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“…Advanced age is associated with decreased survival after resuscitation, [257][258][259] but at least 1 study suggested that advanced age did not predict poor neurological outcome in survivors. 260 Race [261][262][263] and poor pre-cardiac arrest health, including conditions such as diabetes mellitus, 259,264 sepsis, 265 metastatic cancer, 266 renal failure, 267 homebound lifestyle, 266 and stroke, 267 were associated with outcome, although not enough to be reliable predictors of function. The prearrest Acute Physiology and Chronic Health Evaluation (APACHE) II and III scores also were not reliable predictors.…”

Section: Pre-cardiac Arrest Factorsmentioning

confidence: 99%

Post–Cardiac Arrest Syndrome

Neumar¹,

Nolan²,

Adrie³

et al. 2008

Circulation

1,245

398

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“…70 Intra-arrest details, such as initial cardiac rhythm, time to ROSC, absence of bystander cardiopulmonary resuscitation, and maximal endtidal CO 2 , are also associated with patient outcome. 2 However, no factors are sufficiently reliable to conclude that continued care is futile.…”

Section: Prognosticationmentioning

confidence: 99%