Is there a difference between women and men in characteristics and outcome after in hospital cardiac arrest?

Herlitz, Johan; Rundqvist, S.; Bång, Angela; Aune, Solveig; Lundström, G; Ekström, Lars; Lindkvist, Jonny

doi:10.1016/s0300-9572(00)00342-7

Cited by 67 publications

(61 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ballew et al demonstrated that 43% of the study population had coronary artery disease and 31% had a previous myocardial infarction [17]. Herlitz et al also revealed that 42% of men and 25% of women with IHCA had a previous history of myocardial infarction [18]. The relatively low frequency of ischemic heart disease in this study is comparable to that of an out-of-hospital cardiac arrest study in Japan [19].…”

Section: Factorsupporting

confidence: 72%

Outcome of In-Hospital Cardiac Arrest in Adult General Wards

Kung¹,

Cheng²,

Hung³

et al. 2014

IJCM

View full text Add to dashboard Cite

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.

show abstract

Section: Factorsupporting

confidence: 72%

Outcome of In-Hospital Cardiac Arrest in Adult General Wards

Kung¹,

Cheng²,

Hung³

et al. 2014

IJCM

View full text Add to dashboard Cite

show abstract

“…[2] In many studies, it has been reported that the disorder present before arrest has an effect on survival. [4,5] However, there is no scoring system used in the prediction of mortality in CB patients. In this study, a comparison was made between the expected and actual mortality rates and an assessment was made of the PRISM and APACHE II scores in all true CB calls to evaluate the effectiveness of CB procedures and treatments as well as the usefulness of the PRISM and APACHE scores in CB procedures.…”

Section: Discussionmentioning

confidence: 99%

Mortality in Code Blue; can Apache II and PRISM scores be markers for prognostication?

Bakan¹,

Karaören

Tomruk³

et al. 2017

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: Code blue (CB) is an emergency call system developed to respond to cardiac and respiratory arrest in hospitals. However, in literature, no scoring system has been reported that can predict mortality in CB procedures. In this study, we aimed to investigate the effectiveness of estimated APACHE II and PRISM scores in the prediction of mortality in patients assessed using CB to retrospectively analyze CB calls.

show abstract

“…W jednoośrodkowym badaniu szwedzkim analizującym 557 przypadków NZK w warunkach szpitalnych udokumentowano przeciwne zjawisko. W badaniu tym po zidentyfikowaniu i uwzględnieniu odmienności w obu grupach płci, płeć żeńska związana była jednak tylko z nieistotną statystycznie poprawą przeżycia NZK [20]. Wyż-szą śmiertelność wśród kobiet obserwowano natomiast w pozaszpitalnym NZK [21].…”

Section: Dyskusjaunclassified

Ocena częstości występowania wewnątrzszpitalnego nagłego zatrzymania krążenia w Polsce

Adamski¹,

Nowakowski²,

Goryński³

et al. 2016

Anaesthesiol Intensive Ther

View full text Add to dashboard Cite

Background: In-hospital cardiac arrest with its poor prognosis is a challenging problem in hospitals. The aim of this study was to evaluate in Polish hospitals the frequency of in-hospital cardiac arrests with the subsequent mortality, with special emphasis on the type of unit at which the event occurred, and the patient's demographic data, such as age and sex. Methods: The study was a retrospective analysis of data for 2012 registered in the Polish General Hospital Morbidity Study. This research covered all Polish hospitals, excluding only government and psychiatric hospitals. The study inclusion criterion was the incidence of cardiac arrest in any hospital ward, recorded by the respective ICD-10 diagnosis code. Results: Of the 7,775,553 patients hospitalized, the diagnosis of cardiac arrest was reported in a total of 22,602 patients, which included 22,317 adults (98.7% of all patients) and 285 children (1.3%). Overall mortality after cardiac arrest among adults was 74.2%, and in children 46.7%. In both absolute numbers and as percentages of all documented cases, cardiac arrests occurred most often at the departments of intensive care, internal medicine, cardiology and emergency medicine. The accompanying mortal ity was lower than average at the departments of intensive care, cardiology, cardiology high dependency unit and emergency medicine. The median age of patients with cardiac arrest who died in the hospital was higher than the median age of those who survived (72 vs. 64; P < 0.05). Although cardiac arrests were reported more often among men than women (58.2% vs. 41.8%; P < 0.001), the hospital mortality was higher among women (79.2% vs. 71.6%; P < 0.001). Conclusion:The frequency of in-hospital cardiac arrests in Polish hospitals and the subsequent mortality is not substantially different from that observed in other countries. However, our study, based on ICD-10 diagnosis codes, gives only limited information about the patients and circumstances of this event. An in-depth analysis of the causes, prognoses, and outcome of in-hospital cardiac arrests could be facilitated by the creation of a national registry.

show abstract

Is there a difference between women and men in characteristics and outcome after in hospital cardiac arrest?

Cited by 67 publications

References 22 publications

Outcome of In-Hospital Cardiac Arrest in Adult General Wards

Outcome of In-Hospital Cardiac Arrest in Adult General Wards

Mortality in Code Blue; can Apache II and PRISM scores be markers for prognostication?

Ocena częstości występowania wewnątrzszpitalnego nagłego zatrzymania krążenia w Polsce

Contact Info

Product

Resources

About