Ocena częstości występowania wewnątrzszpitalnego nagłego zatrzymania krążenia w Polsce

Abstract

Background: In-hospital cardiac arrest with its poor prognosis is a challenging problem in hospitals. The aim of this study was to evaluate in Polish hospitals the frequency of in-hospital cardiac arrests with the subsequent mortality, with special emphasis on the type of unit at which the event occurred, and the patient's demographic data, such as age and sex. Methods: The study was a retrospective analysis of data for 2012 registered in the Polish General Hospital Morbidity Study. This research covered all Polish hospitals, excluding only government and psychiatric hospitals. The study inclusion criterion was the incidence of cardiac arrest in any hospital ward, recorded by the respective ICD-10 diagnosis code. Results: Of the 7,775,553 patients hospitalized, the diagnosis of cardiac arrest was reported in a total of 22,602 patients, which included 22,317 adults (98.7% of all patients) and 285 children (1.3%). Overall mortality after cardiac arrest among adults was 74.2%, and in children 46.7%. In both absolute numbers and as percentages of all documented cases, cardiac arrests occurred most often at the departments of intensive care, internal medicine, cardiology and emergency medicine. The accompanying mortal ity was lower than average at the departments of intensive care, cardiology, cardiology high dependency unit and emergency medicine. The median age of patients with cardiac arrest who died in the hospital was higher than the median age of those who survived (72 vs. 64; P < 0.05). Although cardiac arrests were reported more often among men than women (58.2% vs. 41.8%; P < 0.001), the hospital mortality was higher among women (79.2% vs. 71.6%; P < 0.001). Conclusion:The frequency of in-hospital cardiac arrests in Polish hospitals and the subsequent mortality is not substantially different from that observed in other countries. However, our study, based on ICD-10 diagnosis codes, gives only limited information about the patients and circumstances of this event. An in-depth analysis of the causes, prognoses, and outcome of in-hospital cardiac arrests could be facilitated by the creation of a national registry.

Rapid Response System Components and In-Hospital Cardiac Arrests Rates 21 Years After Introduction Into an Australian Teaching Hospital

“…The number and outcome of IHCAs at out hospital compares favorably with previous publications, 31–34 which have reported IHCA rates between 1.4 and 17.5/1000 admissions.…”

In-hospital sudden cardiac arrest protocol analysis

“…There are few data on in-hospital cases of SCA, while many studies have been carried out on out-of-hospital cardiac arrest. The results of these studies are only partially applicable to in-hospital patients due to different cardiac arrest mechanisms and other characteristics of the population [7]. Assessing the occurrence of this event allows us to identify the frequency and the hospital wards where cardiac arrest occurs most commonly.…”

“…Assessing the occurrence of this event allows us to identify the frequency and the hospital wards where cardiac arrest occurs most commonly. It is also one of the key components of the care quality assessment [7].…”

Nationwide General Hospital Morbidity Study as a source of data about Polish population health

“…Powstające artykuły dotyczą bezpośrednio leczenia szpitalnego (np. częstości występowania wewnątrzszpitalnego nagłego zatrzymania krążenia (9), hospitalizacji z powodu otyłości (10) czy astmy (11)), ale również sezonowości i przestrzennego zróżnicowania zjawisk zdrowotnych (12,13), skuteczności szczepień (14,15), rozpowszechnienia chorób rzadkich (16)(17)(18)(19) -w tym wypadku OBChSO zastępuje nieistniejące rejestry chorób. Dane z badania trafiają również do wydawanych corocznie przez GUS raportów pt.…”