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>