Daniel Bergum1, Trond Nordseth2, Ole Christian Mjølstad3, Eirik Skogvoll4, Bjørn Olav Haugen3. 1. Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway; Department of Anaesthesia and Intensive Care Medicine, St. Olav University Hospital, Trondheim, Norway; Norwegian Air Ambulance Foundation, Norway. Electronic address: daniel.bergum@ntnu.no. 2. Department of Anaesthesia and Intensive Care Medicine, St. Olav University Hospital, Trondheim, Norway; Norwegian Air Ambulance Foundation, Norway. 3. Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway; Department of Cardiology, St. Olav University Hospital, Trondheim, Norway. 4. Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway; Department of Anaesthesia and Intensive Care Medicine, St. Olav University Hospital, Trondheim, Norway.
Abstract
BACKGROUND AND METHODS: Do emergency teams (ETs) consider the underlying causes of in-hospital cardiac arrest (IHCA) during advanced life support (ALS)? In a 4.5-year prospective observational study, an aetiology study group examined 302 episodes of IHCA. The purpose was to investigate the causes and cause-related survival and to evaluate whether these causes were recognised by the ETs. RESULTS: In 258 (85%) episodes, the cause of IHCA was reliably determined. The cause was correctly recognised by the ET in 198 of 302 episodes (66%). In the majority of episodes, cardiac causes (156, 60%) or hypoxic causes (51, 20%) were present. The cause-related survival was 30% for cardiac aetiology and 37% for hypoxic aetiology. The initial cardiac rhythm was pulseless electrical activity (PEA) in 144 episodes (48%) followed by asystole in 70 episodes (23%) and combined ventricular fibrillation/ventricular tachycardia (VF/VT) in 83 episodes (27%). Seventy-one patients (25%) survived to hospital discharge. The median delay to cardiopulmonary resuscitation (CPR) was 1min (inter-quartile range 0-1min). CONCLUSIONS: Various cardiac and hypoxic aetiologies dominated. In two-thirds of IHCA episodes, the underlying cause was correctly identified by the ET, i.e. according to the findings of the aetiology study group.
BACKGROUND AND METHODS: Do emergency teams (ETs) consider the underlying causes of in-hospital cardiac arrest (IHCA) during advanced life support (ALS)? In a 4.5-year prospective observational study, an aetiology study group examined 302 episodes of IHCA. The purpose was to investigate the causes and cause-related survival and to evaluate whether these causes were recognised by the ETs. RESULTS: In 258 (85%) episodes, the cause of IHCA was reliably determined. The cause was correctly recognised by the ET in 198 of 302 episodes (66%). In the majority of episodes, cardiac causes (156, 60%) or hypoxic causes (51, 20%) were present. The cause-related survival was 30% for cardiac aetiology and 37% for hypoxic aetiology. The initial cardiac rhythm was pulseless electrical activity (PEA) in 144 episodes (48%) followed by asystole in 70 episodes (23%) and combined ventricular fibrillation/ventricular tachycardia (VF/VT) in 83 episodes (27%). Seventy-one patients (25%) survived to hospital discharge. The median delay to cardiopulmonary resuscitation (CPR) was 1min (inter-quartile range 0-1min). CONCLUSIONS: Various cardiac and hypoxic aetiologies dominated. In two-thirds of IHCA episodes, the underlying cause was correctly identified by the ET, i.e. according to the findings of the aetiology study group.
Authors: Duc H Do; Alan Kuo; Edward S Lee; David Mortara; David Elashoff; Xiao Hu; Noel G Boyle Journal: Am J Cardiol Date: 2019-07-17 Impact factor: 2.778
Authors: Ryan W Morgan; Hannah R Stinson; Heather Wolfe; Robert B Lindell; Alexis A Topjian; Vinay M Nadkarni; Robert M Sutton; Robert A Berg; Todd J Kilbaugh Journal: Crit Care Med Date: 2018-03 Impact factor: 7.598
Authors: Laura Goodwin; Katie Samuel; Behnaz Schofield; Sarah Voss; Stephen J Brett; Keith Couper; Doug Gould; David Harrison; Ranjit Lall; Jerry P Nolan; Gavin D Perkins; Jasmeet Soar; Matthew Thomas; Jonathan Benger Journal: J Intensive Care Soc Date: 2020-08-18
Authors: William J Brady; Summer Chavez; Michael Gottlieb; Stephen Y Liang; Brandon Carius; Alex Koyfman; Brit Long Journal: Am J Emerg Med Date: 2022-04-27 Impact factor: 4.093
Authors: Carsten Lott; Anatolij Truhlář; Anette Alfonzo; Alessandro Barelli; Violeta González-Salvado; Jochen Hinkelbein; Jerry P Nolan; Peter Paal; Gavin D Perkins; Karl-Christian Thies; Joyce Yeung; David A Zideman; Jasmeet Soar Journal: Notf Rett Med Date: 2021-06-10 Impact factor: 0.826
Authors: Abdullah Hussain Alzahrani; Maumounah F Alnajjar; Hussien M Alshamarni; Hasan M Alshamrani; Abdullah A Bakhsh Journal: Saudi J Med Med Sci Date: 2019-08-28