Trends in Survival After In-Hospital Cardiac Arrest

Prevalence, predictors and outcomes of cardiopulmonary resuscitation in hospitalized adult stem cell transplant recipients in the United States: not just opening the black box but exploring an opportunity to optimize!

“…[1][2][3] More importantly, the survival to discharge rate is also comparable to the unselected population rates. 5 We hope that this finding will provide an impetus to further explore the factors associated with survival in this cohort and thereby optimizing outcomes in future. Although we assessed the available variables in the NIS data set to delineate the risk factors associated with CPR events in this study, omitted variable bias is a significant limitation.…”

“…[1][2][3][4][5][6] In a large epidemiological study utilizing a nationwide sample in the United States, between the years 2000 and 2009, the rate of IHCA-CPR increased from 1 case per 453 to 1 case per 339 hospitalized patients. 3 Although the overall survival to discharge rates have improved in the past decade, mortality rate remains high with fewer than 25% of CPR recipients surviving to discharge.…”

“…3 Although the overall survival to discharge rates have improved in the past decade, mortality rate remains high with fewer than 25% of CPR recipients surviving to discharge. 2,5 Comparatively, survival rates are much lower in patients with hematological malignancies, metastatic disease or in recipients of stem cell transplantation (SCT). 7 CPR in SCT patients is thought to be a low yield intervention, occasionally labeled 'heroic effort' and often deemed futile.…”

The impact of prehospital resuscitation research on in-hospital care

“…In an attempt to improve adherence to evidence-based care of patients who sustain cardiac arrest, the AHA developed a quality improvement program known as Get with the Guidelines-Resuscitation. 20 This program collects data on cardiac arrest performance for hospitals across the United States and provides feedback on resuscitation practice and performance with the aim of providing a robust registry, real-time benchmarking and performance improvement methodologies that ultimately will enhance patient outcomes. Many Canadian EMS systems regularly collect data on out-of-hospital CPR quality, but no system currently exists in Canada to consistently measure in-hospital CPR quality, missing a golden opportunity to improve resuscitation practices and patient outcomes.…”

2015 Resuscitation Guidelines

“…There is a good evidence that survival from cardiac arrest is improving and we hope that these 2015 ERC guidelines will contribute to further improvements in outcome for victims of cardiac arrest throughout the Europe [12][13][14].…”