The epidemiology of in‐hospital cardiac arrests in Australia and New Zealand

Abstract

IHCA are uncommon in ANZ and three quarters die in-hospital. However, their frequency varies markedly across institutions and may be affected by the presence of RRS. Where reported, the long-term outcomes survivors appear to have acceptable neurological outcomes.

Incidence of Adult In-Hospital Cardiac Arrest Using National Representative Patient Sample in Korea

“…This is significantly different from the incidence reported in the present study. In a review on hospitals in Australia and New Zealand, the IHCA incidence ranged from 1.31–6.11 per 1,000 admissions in four population studies, and 0.58–4.59 in 16 cohort studies from 1964 to 2014 [10]. This study showed a difference in IHCA between hospitals with a rapid response system and those without [10].…”

“…Another study compared the incidence rates of IHCA and OHCA in specific hospitals in the United Kingdom [9]. The IHCA incidence rates in Australia and New Zealand were found [10]. In Korea, research has been limited to a small number of hospitals [1112].…”

Temporal trends and hospital-level variation of inhospital cardiac arrest incidence and outcomes in the Veterans Health Administration

“…6,8,17 General aspects of quality improvement have been shown to contribute to variation in hospital performance for other clinical conditions. For example, a prior study of hospital-performance in acute myocardial infarction care found high-performing hospitals were defined by an organizational culture that supported efforts to improve care.…”

“…The lack of association between hospital rapid response teams and incidence and survival outcomes of cardiac arrest is not unexpected in light of the mixed results of prior studies. 17,23,24 Additional study is needed to further inform consistent aspects of high-quality IHCA care and define approaches to apply these findings in quality improvement activities for the achievement of lower incidence and better survival of IHCA.…”

Patient specific advice for in‐hospital cardiac arrest survival rates

“…Age is such a factor that is readily available to clinicians when holding these discussions. 3 We conducted a secondary analysis of data from a retrospective cohort study of all adult patients (≥20 years of age) who suffered an IHCA in a large, regional Australian hospital between 2000 and 2017 inclusive. The methodology of this study has been previously described, with a total of 629 arrests meeting inclusion criteria.…”