Survival From In-hospital Cardiac Arrest on the Internal Medicine Clinical Teaching Unit

Schwartz, Blair Carl; Jayaraman, Dev; Warshawsky, Paul J.

doi:10.1016/j.cjca.2012.03.024

Cited by 11 publications

(6 citation statements)

References 26 publications

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“…Work environment may also play a role in IHCA survival [61–64]. It has been estimated that an increase by one full-time registered nurse per patient ICU day reduces IHCA relative risk by 28% [65].…”

Section: Discussionmentioning

confidence: 99%

Real-time compression feedback for patients with in-hospital cardiac arrest: a multi-center randomized controlled clinical trial

et al. 2019

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ObjectiveTo determine if real-time compression feedback using a non-automated hand-held device improves patient outcomes from in-hospital cardiac arrest (IHCA).MethodsWe conducted a prospective, randomized, controlled, parallel study (no crossover) of patients with IHCA in the mixed medical–surgical intensive care units (ICUs) of eight academic hospitals. Patients received either standard manual chest compressions or compressions performed with real-time feedback using the Cardio First Angel™ (CFA) device. The primary outcome was sustained return of spontaneous circulation (ROSC), and secondary outcomes were survival to ICU and hospital discharge.ResultsOne thousand four hundred fifty-four subjects were randomized; 900 were included. Sustained ROSC was significantly improved in the CFA group (66.7% vs. 42.4%, P < 0.001), as was survival to ICU discharge (59.8% vs. 33.6%) and survival to hospital discharge (54% vs. 28.4%, P < 0.001). Outcomes were not affected by intra-group comparisons based on intubation status. ROSC, survival to ICU, and hospital discharge were noted to be improved in inter-group comparisons of non-intubated patients, but not intubated ones.ConclusionUse of the CFA compression feedback device improved event survival and survival to ICU and hospital discharge.Trial registrationThe study was registered with Clinicaltrials.gov (NCT02845011), registered retrospectively on July 21, 2016.

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Section: Discussionmentioning

confidence: 99%

Real-time compression feedback for patients with in-hospital cardiac arrest: a multi-center randomized controlled clinical trial

et al. 2019

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“…Similarly %27.7 of our patients were survived and discharged. Also the rate of successful CPR is as low as 2.4%-18.4% [10][11][12][13][14][15] although most studies reported a successful CPR rate of 13%-59% [8]. In our study successful CPR rate at first attempt is 61%.…”

Section: Discussionmentioning

confidence: 49%

Analysis of “Code Blue” events in a single center: A cohort study with 419 incidents

Şimşek¹,

Akyılmaz²

2019

Journal of Surgery and Medicine

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Aim: Cardiac arrest sustains a significant cause of in-hospital morbidity and mortality worldwide and "Code Blue" (emergency code) is defined as a hospital code used to indicate a patient requiring immediate resuscitation. In this study we aimed to evaluate the ''code Blue'' events retrospectively in our hospital. Methods: Data were collected from the file book that is contained the patients' name, protocol numbers, duration of arrivals to the arrest locale, final results of CPR and the CPR team's names, locales of "code blue". Patients' gender, locales of "code blue", false or right "code blue" situations, final results were analyzed. Results: One hundred-nineteen "code blue" situations were analyzed, 132 of 339 true "code blue" patients died at the locale after CPR. One hundred-forty four patients were transferred to reanimation unit, 29 were to the coronary intensive care unit (ICU), 28 were to the cardio-vascular surgery ICU, four were to pediatric-ICU and two were taken to the emergency operations. Also 113 of these 207 remaining patients were died in these units in later times, 94 patients survived. Eighty of them were determined as false code blue. Conclusions: Even the situation is in-hospital cardiac arrest and the CPR is performed by skilled team mortality rate may still be high. To prevent the false code blue situations, in-house training is indispensable for every hospital workers.

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“…Many studies have indicated that the presence or absence of witness of the IHCA as well as monitoring systems are associated with the survival rate [3,12,13]. According to a recent study, cardiac arrest patients in general wards that lack good patient monitoring systems did not exhibit a good recovery [14]. [15].…”

Section: Discussionmentioning

confidence: 99%

In-Hospital Cardiac Arrest: Patient Characteristics and Factors Influencing Survival and Neurologic Outcomes

Cho

2021

Soonchunhyang Med Sci

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Objective: We aimed to determine the characteristics of in-hospital cardiac arrest (IHCA) patients, as well as the factors influencing survival to discharge and good neurologic outcome.Methods: We examined patients who experienced IHCA from January 1, 2011, to December 31, 2013, in Soonchunhyang University Seoul Hospital. They were divided into a survival group and non-survival group. The patient characteristics, including age, sex, comorbid disease, arrest time, arrest location, witnessed arrest, monitoring, arrest cause, arrest rhythm, and cardiopulmonary resuscitation (CPR) duration, were compared between the groups. Moreover, we assessed the factors associated with survival to discharge and good neurologic outcomes by using multivariate logistic regression analysis.Results: In total, 453 patients of IHCA were observed. The comorbidities in the survival group included neurologic disease (P < 0.001), arrhythmia (P = 0.001), and myocardial infarction (P = 0.032), pneumonia (P = 0.016). Other characteristics included cardiac arrest at daytime (P = 0.032), cardiogenic arrest cause (P = 0.019), and CPR duration < 15 minutes (P < 0.001). The factors associated with survival to discharge included comorbid neurologic disease (odds ratio [OR], 2.191; P = 0.031), arrhythmia (OR, 3.027; P = 0.009), pneumonia (OR, 3.243; P = 0.002), and CPR duration < 15 minutes (OR, 9.638; P < 0.001). The factors influencing good neurologic outcomes included age < 65 years (OR, 3.158; P = 0.007), comorbid disease as arrhythmia (OR, 4.921; P = 0.001), pneumonia (OR, 4.551; P = 0.001), hypotension (OR, 4.264; P = 0.021), and CPR duration < 15 minutes (OR, 6.652; P = 0.001).Conclusion: The factors influencing survival to discharge and good neurologic outcomes among IHCA patients included comorbidities, arrest cause, and CPR duration.

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Survival From In-hospital Cardiac Arrest on the Internal Medicine Clinical Teaching Unit

Cited by 11 publications

References 26 publications

Real-time compression feedback for patients with in-hospital cardiac arrest: a multi-center randomized controlled clinical trial

Real-time compression feedback for patients with in-hospital cardiac arrest: a multi-center randomized controlled clinical trial

Analysis of “Code Blue” events in a single center: A cohort study with 419 incidents

In-Hospital Cardiac Arrest: Patient Characteristics and Factors Influencing Survival and Neurologic Outcomes

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