Chung-Ting Chen1, Po-Chi Chiu1, Ching-Ying Tang2, Yan-Ying Lin1, Yi-Tzu Lee1, Chorng-Kuang How3, David Hung-Tsang Yen1, Mu-Shun Huang1. 1. Emergency Department, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC. 2. Emergency Department, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. 3. Emergency Department, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC. Electronic address: ckhow@vghtpe.gov.tw.
Abstract
BACKGROUND: In-hospital cardiac arrest (IHCA) is a catastrophic complication for patients while admitted in a medical institution. The outcome of IHCA remains poor, and understanding of the prognostic factors for survival outcome after IHCA is lacking, specifically in an oriental population. METHODS: A retrospective observational cohort study of 382 patients with IHCA who required resuscitation was conducted in an urban tertiary hospital in Taiwan. Return of spontaneous circulation (ROSC) and survival to hospital discharge were the primary outcome measures. RESULTS: The incidence of IHCA was 3.25 per 1000 admissions. These patients had a mean age of 67.2 ± 21.7 years and were mostly men (66.5%). The rate of successful ROSC was 66%, and the rate of survival to hospital discharge was 11.8%. A stepwise decrease in ROSC was observed with additional resuscitation efforts. Independent predictors for survival to hospital discharge were being female, a resuscitation duration of <20 minutes, and no use of epinephrine during resuscitation. A 68% ROSC success rate and an 84% survival to discharge rate was recorded in patients receiving resuscitation for <30 minutes. Young patients seemed the most likely to benefit from longer resuscitation attempts (>30 minutes), as observed in survival to hospital discharge. CONCLUSION: Based on data from a single hospital registry in East Asia, a shorter duration of resuscitation was demonstrated to be a predictor of immediate survival with ROSC and survival to hospital discharge.
BACKGROUND: In-hospital cardiac arrest (IHCA) is a catastrophic complication for patients while admitted in a medical institution. The outcome of IHCA remains poor, and understanding of the prognostic factors for survival outcome after IHCA is lacking, specifically in an oriental population. METHODS: A retrospective observational cohort study of 382 patients with IHCA who required resuscitation was conducted in an urban tertiary hospital in Taiwan. Return of spontaneous circulation (ROSC) and survival to hospital discharge were the primary outcome measures. RESULTS: The incidence of IHCA was 3.25 per 1000 admissions. These patients had a mean age of 67.2 ± 21.7 years and were mostly men (66.5%). The rate of successful ROSC was 66%, and the rate of survival to hospital discharge was 11.8%. A stepwise decrease in ROSC was observed with additional resuscitation efforts. Independent predictors for survival to hospital discharge were being female, a resuscitation duration of <20 minutes, and no use of epinephrine during resuscitation. A 68% ROSC success rate and an 84% survival to discharge rate was recorded in patients receiving resuscitation for <30 minutes. Young patients seemed the most likely to benefit from longer resuscitation attempts (>30 minutes), as observed in survival to hospital discharge. CONCLUSION: Based on data from a single hospital registry in East Asia, a shorter duration of resuscitation was demonstrated to be a predictor of immediate survival with ROSC and survival to hospital discharge.
Authors: Abdullah Mohammed Kaki; Kamal Waheeb Alghalayini; Mohamed Nabil Alama; Adnan Abdullah Almazroaa; Norah Abdullah A Khathlan; Hassan Sembawa; Beena M Ouseph Journal: Saudi J Anaesth Date: 2017 Oct-Dec
Authors: Shannon M Fernando; Alexandre Tran; Wei Cheng; Bram Rochwerg; Monica Taljaard; Christian Vaillancourt; Kathryn M Rowan; David A Harrison; Jerry P Nolan; Kwadwo Kyeremanteng; Daniel I McIsaac; Gordon H Guyatt; Jeffrey J Perry Journal: BMJ Date: 2019-12-04
Authors: Loes Mandigers; Eric Boersma; Corstiaan A den Uil; Diederik Gommers; Jan Bělohlávek; Mirko Belliato; Roberto Lorusso; Dinis Dos Reis Miranda Journal: Interact Cardiovasc Thorac Surg Date: 2022-09-09
Authors: Talal Alnabelsi; Rahul Annabathula; Julie Shelton; Marc Paranzino; Sarah Price Faulkner; Matthew Cook; Adam J Dugan; Sethabhisha Nerusu; Susan S Smyth; Vedant A Gupta Journal: Resusc Plus Date: 2020-11-07
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
Authors: In Young Park; Young-Su Ju; Sung Yeon Lee; Hyun Sun Cho; Jeong-Im Hong; Hyun Ah Kim Journal: Medicine (Baltimore) Date: 2020-07-24 Impact factor: 1.817