Variability in survival after in-hospital cardiac arrest depending on the hospital level of care

Is there a difference in survival between men and women suffering in-hospital cardiac arrest?

“…10,13 This corresponds with our results. In addition, when comparing CAs with a resuscitation attempt to CAs without resuscitation, the proportion of attempts was higher among men.…”

“…Since the time factor has been studied by using a number of definitions, the results concerning this variable should be interpreted with caution. 10,13 One variable of potential importance is the duration of CA. This variable was not included in the register until the revision in 2013.…”

“…In Sweden, the survival rate after IHCA is higher compared to OHCA, 4 almost 30% 5 vs. approximately 10%. 6 Factors described as predictors for IHCA survival in previous research are; sex, 7,8 age, 9,10 initial rhythm, 9,10 witnessed CA, 9,10 CA during daytime, 10,11 etiology, 9,11 time to treatment, 4 absence of intubation 12 and duration of CA. 13,14 Few studies have investigated the sex perspective in relation to survival, and the findings are incongruent.…”

Clinical Outcomes of Witnessed and Monitored Cases of In-Hospital Cardiac Arrest in the General Ward of a University Hospital in Korea

“…Skrifvars et al reported that a locally implemented, strong, inhospital chain of survival is probably the only way to improve clinical outcomes following IHCA. 29 Medical Emergency Team implementation may have allowed better survival to hospital discharge rate in our hospital. In addition, the differences in the survival to hospital discharge rate between this study and the study by Chakra- varthy et al 26 could be attributed to the higher proportion of non-cardiac causes and non-cardiac preexisting conditions in our data.…”

Post–Cardiac Arrest Syndrome

“…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.…”