The association between timing of tracheal intubation and outcomes of adult in-hospital cardiac arrest: A retrospective cohort study

Wang, Chih‐Hung; Chen, Wen‐Jone; Chang, Wei‐Tien; Tsai, Min‐Shan; Yu, Ping‐Hsun; Wu, Yen‐Wen

doi:10.1016/j.resuscitation.2016.05.012

Cited by 24 publications

(20 citation statements)

References 41 publications

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“… 13 Survival to discharge was 7.7% in the present study. This is markedly lower than StD reported in Canada (13.1% 15 ), Taiwan (14.1% 19 ), Italy (14.8% 10 ), the Get With The Guidelines–Resuscitation database in the USA (17.0%; 12.7% for recurrent IHCA and 22.1% for no recurrent IHCA 20 ), the National Cardiac Arrest Audit in the UK (18.4% 11 ) and in the Swedish Register of Cardiopulmonary Resuscitation (28.5% 12 ). Overall, survival outcomes were lower in our study compared with other high-income/developed countries.…”

Section: Discussioncontrasting

confidence: 61%

Epidemiology of in-hospital cardiac arrest in Abu Dhabi, United Arab Emirates, 2013–2015

et al. 2018

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ObjectiveEstimate the incidence and outcomes of in-hospital cardiac arrest (IHCA) in a tertiary-care hospital in Abu Dhabi emirate, United Arab Emirates (UAE).MethodsRetrospective data from 685 inpatients who experienced an IHCA at a hospital in Abu Dhabi (UAE) between 1 January 2013 and 31 December 2015 were analysed. Sociodemographic variables were age and gender, and IHCA event variables were shift, day, event location, initial cardiac rhythm and the total number of IHCA events. Outcome variables were the return of spontaneous circulation (ROSC) and survival to discharge (StD).ResultsThe incidence of IHCA was 11.7 (95% CI 10.8 to 12.6) per 1000 hospital admissions. Non-shockable rhythms were 91.1% of the cardiac rhythms at presentation. The majority of IHCA cases occurred in the intensive care unit (46.1%) and on weekdays (74.6%). More than a third (38.3%) of patients who experienced an IHCA achieved ROSC and 7.7% StD. Both ROSC and StD were significantly higher in patients who were younger and presenting with a shockable rhythm (all p’s≤0.05). Survival outcomes were not significantly different between dayshifts and nightshifts or weekdays and weekends.ConclusionsThe incidence of IHCA was higher and its outcomes were lower compared with other high-income/developed countries. Survival outcomes were better for patients who were younger and had a shockable rhythm, and similar between time of day and days of the week. These findings may help to inform health managers about the magnitude and quality of IHCA care in the UAE.

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Section: Discussioncontrasting

confidence: 61%

Epidemiology of in-hospital cardiac arrest in Abu Dhabi, United Arab Emirates, 2013–2015

et al. 2018

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“…38 In contrast, another large retrospective series showed an inverse relationship between time to intubation during IHCA and survival to discharge and favorable neurologic outcome. 39 Specific knowledge gaps include the type and duration of training required for performing advanced airway management during CPR.…”

Section: [H2]tracheal Intubation During Cprmentioning

confidence: 99%

ILCOR Scientific Knowledge Gaps and Clinical Research Priorities for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: A Consensus Statement

Kleinman¹,

Perkins²,

Bhanji³

et al. 2018

Circulation

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Despite significant advances in the field of resuscitation science, important knowledge gaps persist. Current guidelines for resuscitation are based on the International Liaison Committee on Resuscitation 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations, which includes treatment recommendations supported by the available evidence. The writing group developed this consensus statement with the goal of focusing future research by addressing the knowledge gaps identified during and after the 2015 International Liaison Committee on Resuscitation evidence evaluation process. Key publications since the 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations are referenced, along with known ongoing clinical trials that are likely to affect future guidelines.

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“…The incidence of in-hospital cardiopulmonary arrest has been reported to be around 1.45 to 3.72 per thousand admissions with only 4.8% to 17% of such patients surviving till hospital discharge [15][16][17][18][19][20] . Other than failing to achieve a return of spontaneous circulation, the associated complications arising from CPR may result in significant morbidity 21 .…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary Resuscitation—From the Patient'S Perspective

Wee

Chang

Lau

et al. 2017

Anaesth Intensive Care

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With increasing emphasis on patient autonomy, patients are encouraged to be more involved in end-of-life issues, including the use of extraordinary efforts to prolong their lives. Being able to make anticipatory decisions is seen to promote autonomy, empower patients and optimise patient care. To facilitate shared decision-making, patients need to have a clear and accurate understanding of cardiopulmonary resuscitation (CPR). This study aims to understand the knowledge and perspectives of the local community regarding resuscitation options and end-of-life decision-making and to explore ways to improve the quality of end-of-life discussions. An interviewer-administered survey was conducted with a prospectively recruited group of surgical patients admitted postoperatively to the day surgery ward of a single tertiary institution in Singapore from April to May 2015. The survey, modelled after two validated questionnaires, measured patients' knowledge, attitudes and preferences regarding CPR in a series of 18 questions. Fifty-one out of 67 (76.1%) patients completed the survey. Results indicated that 80.4% (n=41) of participants correctly understood the purpose of CPR, but 64.7% (n=33) did not know of any possible complications of CPR. Less than half (n=21, 41.2%) of participants had thought about life support measures they wanted for themselves. Most of the participants agreed that they should personally be involved in making end-of-life decisions (n=44, 86.3%). Many patients had a poor knowledge of CPR and other resuscitation measures and the majority overestimated the success rate of CPR. However, a majority were receptive to improving their knowledge and keen to discuss end-of-life issues with physicians.

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The association between timing of tracheal intubation and outcomes of adult in-hospital cardiac arrest: A retrospective cohort study

Cited by 24 publications

References 41 publications

Epidemiology of in-hospital cardiac arrest in Abu Dhabi, United Arab Emirates, 2013–2015

Epidemiology of in-hospital cardiac arrest in Abu Dhabi, United Arab Emirates, 2013–2015

ILCOR Scientific Knowledge Gaps and Clinical Research Priorities for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: A Consensus Statement

Cardiopulmonary Resuscitation—From the Patient'S Perspective

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