10779/rcsi.10767776.v1
Neil K. Fennelly
Neil K.
Fennelly
Celine McPhillips
Celine
McPhillips
Peadar Gilligan
Peadar
Gilligan
Arrest in hospital: a study of in hospital cardiac arrest outcomes.
Royal College of Surgeons in Ireland
2019
Cardiopulmonary Resuscitation
Heart Arrest
Hospital Mortality
Humans
Ireland
Retrospective Studies
2019-11-22 15:17:20
Journal contribution
https://repository.rcsi.com/articles/journal_contribution/Arrest_in_hospital_a_study_of_in_hospital_cardiac_arrest_outcomes_/10767776
<p>The effect of advances in cardiac arrest management over the last five decades on in-hospital cardiac arrest survival rates is not clear. Data on 212 arrests between January 2010 and May 2013 were retrospectively analyzed by means of an audit form based upon the Utstein template for in-hospital cardiac arrest, with a view to identifying significant associations between arrest characteristics and return of spontaneous circulation or survival to discharge. Significant associations were identified between return of spontaneous circulation and location (ward, 36 patients (38%) vs. ICU, 33 Patients (56%); P = 0.032), whether an arrest was witnessed or not (82 patients (52%) vs. 9 patients (30%); P = 0.029), whether the initial rhythm was shockable or non-shockable (28 patients (85%) vs. 38 patients (31%); P < 0.001), whether the first dose of adrenaline was administered within 2 minutes of arrest onset or later (13 patients (54%) vs. 12 patients (28%); P = 0.04).</p>