Outcome after cardiac arrest in adults in UK hospitals: effect of the 1997 guidelines

Gwinnutt, Carl; Columb, Malachy O.; Harris, Robert A.

doi:10.1016/s0300-9572(00)00212-4

Cited by 171 publications

(70 citation statements)

References 40 publications

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“…1,[3][4][5][6][7]19,20,26 Based on our findings, the majority of cases of IHCA that occur in the general ward are non-cardiac. There are several possible explanations for differences in survival to hospital discharge after IHCA in the general ward.…”

Section: Discussionsupporting

confidence: 60%

“…1,2 Many studies have reported survival to discharge rates of 15-20% for IHCA, which are much lower than the rates for out-of-hospital cardiac arrest. 1,[3][4][5][6][7] A few studies report higher survival-to-discharge rates, of up to 45% by the Medical Emergency Team activities. [8][9][10] In addition, the incidence of IHCA has been reported as 1-4 arrests per 1,000 patient admissions.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2013

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The main outcomes included survival to hospital discharge, incidence of IHCA, and prognostic factors related to hospital mortality. We also investigated preventable cases. RESULTS: We identified 238 index cases of IHCA. The average incidence of IHCA was 0.145 IHCAs per 1,000 patient admissions. Survival to hospital discharge was 19% (46 cases), 66% of which were due to non-cardiac causes, and 77% were due to medical illnesses. The most common first documented rhythm was pulseless electrical activity (38%). Two hundred three cases (85.3%) of IHCA were witnessed at the event; 135 cases (56.7%) were monitored at the event. Non-witnessed cases, monitored cases, night onset, medical illness, metastatic cancer, intubation, and long duration of cardiopulmonary resuscitation were significantly associated with hospital mortality. We identified 91 preventable cases (38%). Respiratory insufficiency (37 cases, 41%) was one of major cause of preventable IHCA. CONCLUSIONS: Witnessed IHCAs in the general ward had a higher rate of survival to hospital discharge; however, monitored cases had a lower rate of survival to hospital discharge. Respiratory insufficiency was a major preventable cause of IHCA. In consideration of the preventable IHCAs, further studies should be performed on monitoring practices in general wards.

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Section: Discussionsupporting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

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

et al. 2013

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“…[1][2][3][4] Basic life support (BLS), a key component of the chain of survival decreases the arrest -CPR interval and increases the rate of hospital discharge. [3] Individuals in the community at least the health care professionals should know how to perform BLS as they encounter such situation very often.…”

Section: Introductionmentioning

confidence: 99%

Basic life support: knowledge and attitude of medical/paramedical professionals

Shrestha¹,

Kh²,

Piryani³

et al. 2012

World Journal of Emergency Medicine

125

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“…Clearly, if the patient were dying from a terminal illness, CPR would be futile and inappropriate. (Ebell, 1992;Marik and Craft, 1997;Ebell et al, 1998;De Vos et al, 1999;Gwinnutt et al, 2000). Notions of futility are centred on whether CPR is likely to be successful.…”

Section: Notions Of Futilitymentioning

confidence: 99%

Do not attempt resuscitation decisions in a cancer centre: addressing difficult ethical and communication issues

Reid

Jeffrey

2002

Br J Cancer

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Outcome after cardiac arrest in adults in UK hospitals: effect of the 1997 guidelines

Cited by 171 publications

References 40 publications

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

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

Basic life support: knowledge and attitude of medical/paramedical professionals

Do not attempt resuscitation decisions in a cancer centre: addressing difficult ethical and communication issues

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