Nooraldeen Al-Dury1, Araz Rawshani2, Johan Israelsson3, Anneli Strömsöe4, Solveig Aune5, Jens Agerström6, Thomas Karlsson7, Annica Ravn-Fischer8, Johan Herlitz9. 1. University of Gothenburg, Institute of Medicine, Sahlgrenska Academy, Sweden; Sahlgrenska University Hospital, Dept. of Medicine, Gothenburg, Sweden. Electronic address: Nooraldeen.Al-Dury@vgregion.se. 2. University of Gothenburg, Institute of Medicine, Sahlgrenska Academy, Sweden. 3. Department of Internal Medicine, Division of Cardiology, Kalmar County Hospital, Kalmar, Sweden; Kalmar Maritime Academy, Linnaeus University, Kalmar, Sweden; Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Linköping, Sweden. 4. School of Health, Care and Social Welfare, Västerås, Sweden. 5. Sahlgrenska University Hospital, Dept. of Medicine, Gothenburg, Sweden. 6. Department of Psychology, Faculty of Health and Life Sciences, Linnaeus University, Sweden. 7. Health Metrics at the Sahlgrenska Academy, University of Gothenburg, Sweden. 8. University of Gothenburg, Institute of Medicine, Sahlgrenska Academy, Sweden; Sahlgrenska University Hospital, Dept. of Cardiology, Gothenburg, Sweden. 9. University of Gothenburg, Institute of Medicine, Sahlgrenska Academy, Sweden; Sahlgrenska University Hospital, Dept. of Medicine, Gothenburg, Sweden; University of Borås, Borås, Sweden.
Abstract
AIM: To investigate characteristics and outcome among patients suffering in-hospital cardiac arrest (IHCA) with the emphasis on gender and age. METHODS: Using the Swedish Register of Cardiopulmonary Resuscitation, we analyzed associations between gender, age and co-morbidities, etiology, management, 30-day survival and cerebral function among survivors in 14,933 cases of IHCA. Age was divided into three ordered categories: young (18-49years), middle-aged (50-64years) and older (65years and above). Comparisons between men and women were age adjusted. RESULTS: The mean age was 72.7years and women were significantly older than men. Renal dysfunction was the most prevalent co-morbidity. Myocardial infarction/ischemia was the most common condition preceding IHCA, with men having 27% higher odds of having MI as the underlying etiology. A shockable rhythm was found in 31.8% of patients, with men having 52% higher odds of being found in VT/VF. After adjusting for various confounders, it was found that men had a 10% lower chance than women of surviving to 30days. Older individuals were managed less aggressively than younger patients. Increasing age was associated with lower 30-day survival but not with poorer cerebral function among survivors. CONCLUSION: When adjusting for various confounders, it was found that men had a 10% lower chance than women of surviving to 30days after in-hospital cardiac arrest. Older individuals were managed less aggressively than younger patients, despite a lower chance of survival. Higher age was, however, not associated with poorer cerebral function among survivors.
AIM: To investigate characteristics and outcome among patients suffering in-hospital cardiac arrest (IHCA) with the emphasis on gender and age. METHODS: Using the Swedish Register of Cardiopulmonary Resuscitation, we analyzed associations between gender, age and co-morbidities, etiology, management, 30-day survival and cerebral function among survivors in 14,933 cases of IHCA. Age was divided into three ordered categories: young (18-49years), middle-aged (50-64years) and older (65years and above). Comparisons between men and women were age adjusted. RESULTS: The mean age was 72.7years and women were significantly older than men. Renal dysfunction was the most prevalent co-morbidity. Myocardial infarction/ischemia was the most common condition preceding IHCA, with men having 27% higher odds of having MI as the underlying etiology. A shockable rhythm was found in 31.8% of patients, with men having 52% higher odds of being found in VT/VF. After adjusting for various confounders, it was found that men had a 10% lower chance than women of surviving to 30days. Older individuals were managed less aggressively than younger patients. Increasing age was associated with lower 30-day survival but not with poorer cerebral function among survivors. CONCLUSION: When adjusting for various confounders, it was found that men had a 10% lower chance than women of surviving to 30days after in-hospital cardiac arrest. Older individuals were managed less aggressively than younger patients, despite a lower chance of survival. Higher age was, however, not associated with poorer cerebral function among survivors.
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: Lone Due Vestergaard; Kasper Glerup Lauridsen; Niels Henrik Vinther Krarup; Jane Uhrenholt Kristensen; Lone Kaerslund Andersen; Bo Løfgren Journal: Open Access Emerg Med Date: 2021-12-16
Authors: Malin Albert; Johan Herlitz; Araz Rawshani; Mattias Ringh; Andreas Claesson; Therese Djärv; Per Nordberg Journal: BMJ Open Date: 2020-03-19 Impact factor: 2.692