Fei Shao1, Chun Sheng Li2, Li Rong Liang3, Jian Qin4, Ning Ding5, Yan Fu5, Ke Yang6, Guo Qiang Zhang7, Li Zhao8, Bin Zhao9, Zhen Zhong Zhu10, Li Pei Yang11, Dong Ming Yu12, Zu Jun Song13, Qiu Lan Yang14. 1. Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. 2. Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. Electronic address: lcscyyy@163.com. 3. Beijing Institute of Respiratory Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. 4. Department of Emergency Medicine, Beijing Xuanwu Hospital, Capital Medical University, Beijing, China. 5. Department of Emergency Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing, China. 6. Department of Emergency Medicine, Beijing Hepingli Hospital, Beijing, China. 7. Department of Emergency Medicine, China-Japan Friendship Hospital, Beijing, China. 8. Department of Emergency Medicine, Beijing Fuxing Hospital, Beijing, China. 9. Department of Emergency Medicine, Beijing Jishuitan Hospital, Beijing, China. 10. Department of Emergency Medicine, Peking University Shougang Hospital, Beijing, China. 11. Department of Emergency Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, China. 12. Department of Emergency Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. 13. Department of Emergency Medicine, The 309th Hospital of Chinese People's Liberation Army, Beijing, China. 14. Department of Emergency Medicine, Beijing Huairou Hospital, Beijing, China.
Abstract
OBJECTIVE: To assess the incidence and outcome of in-hospital cardiac arrests (IHCAs) in Beijing, China. METHODS: The incidence and outcome of IHCAs over a 12-month period were evaluated in this prospective study. Between January 1 and December 31, 2014, 12 Beijing hospitals prospectively participated in this study for calculation of the incidence of IHCA. Data were collected according to the Utstein style for all cases of attempted resuscitation for IHCA that occurred in the participating hospitals. Surviving patients were followed for 1 month. RESULTS: The total number of admissions across the 12 hospitals during this 1-year period was 582,242; the IHCA incidence was 17.5 per 1000 admissions. Of the 10,198 IHCAs recorded, cardiopulmonary resuscitation (CPR) was initiated in 26.6%. Among CPR recipients, 1292 (47.6%) had a presumed cardiac aetiology and 1255 occurred in the Emergency Department. With regards to initial rhythm, 1340 had asystole and 423 had shockable rhythms. Of those receiving CPR, 1451 (53.5%) patients received it in less than 1min. Restoration of spontaneous circulation was achieved in 962 (35.5%) patients; 247 (9.1%) patients were discharged alive and 174 (6.4%) patients had good neurological outcomes. At 1 month after discharge, 236 patients remained alive. On multivariate regression analysis, factors associated with survival included female sex, age <60 years, and ventricular fibrillation/ventricular tachycardia as the initial rhythm. CONCLUSION: The incidence of IHCA in Beijing hospitals is high and the survival is poor compared to other industrialized countries.
OBJECTIVE: To assess the incidence and outcome of in-hospital cardiac arrests (IHCAs) in Beijing, China. METHODS: The incidence and outcome of IHCAs over a 12-month period were evaluated in this prospective study. Between January 1 and December 31, 2014, 12 Beijing hospitals prospectively participated in this study for calculation of the incidence of IHCA. Data were collected according to the Utstein style for all cases of attempted resuscitation for IHCA that occurred in the participating hospitals. Surviving patients were followed for 1 month. RESULTS: The total number of admissions across the 12 hospitals during this 1-year period was 582,242; the IHCA incidence was 17.5 per 1000 admissions. Of the 10,198 IHCAs recorded, cardiopulmonary resuscitation (CPR) was initiated in 26.6%. Among CPR recipients, 1292 (47.6%) had a presumed cardiac aetiology and 1255 occurred in the Emergency Department. With regards to initial rhythm, 1340 had asystole and 423 had shockable rhythms. Of those receiving CPR, 1451 (53.5%) patients received it in less than 1min. Restoration of spontaneous circulation was achieved in 962 (35.5%) patients; 247 (9.1%) patients were discharged alive and 174 (6.4%) patients had good neurological outcomes. At 1 month after discharge, 236 patients remained alive. On multivariate regression analysis, factors associated with survival included female sex, age <60 years, and ventricular fibrillation/ventricular tachycardia as the initial rhythm. CONCLUSION: The incidence of IHCA in Beijing hospitals is high and the survival is poor compared to other industrialized countries.
Authors: Reza Goharani; Amir Vahedian-Azimi; Behrooz Farzanegan; Farshid R Bashar; Mohammadreza Hajiesmaeili; Seyedpouzhia Shojaei; Seyed J Madani; Keivan Gohari-Moghaddam; Sevak Hatamian; Seyed M M Mosavinasab; Masoum Khoshfetrat; Mohammad A Khabiri Khatir; Andrew C Miller Journal: J Intensive Care Date: 2019-01-22
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