In-hospital cardiac arrest characteristics, causes and outcomes in patients with cardiovascular disease across different departments: a retrospective study.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968539 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2261 (Electronic) Linking ISSN: 14712261 NLM ISO Abbreviation: BMC Cardiovasc Disord Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Heart Arrest*/mortality ; Heart Arrest*/therapy ; Heart Arrest*/diagnosis ; Heart Arrest*/epidemiology ; Heart Arrest*/etiology ; Hospital Mortality* ; Cardiopulmonary Resuscitation*/mortality; Humans ; Male ; Female ; Retrospective Studies ; Aged ; Middle Aged ; Time Factors ; Risk Factors ; Treatment Outcome ; Risk Assessment ; Aged, 80 and over ; Beijing/epidemiology ; Cardiology Service, Hospital ; China/epidemiology
    • Abstract:
      Background: Cardiac etiologies arrest accounts for almost half of all in-hospital cardiac arrest (IHCA), and previous studies have shown that the location of IHCA is an important factor affecting patient outcomes. The aim was to compare the characteristics, causes and outcomes of cardiovascular disease in patients suffering IHCA from different departments of Fuwai hospital in Beijing, China.
      Methods: We included patients who were resuscitated after IHCA at Fuwai hospital between March 2017 and August 2022. We categorized the departments where cardiac arrest occurred as cardiac surgical or non-surgical units. Independent predictors of in-hospital survival were assessed by logistic regression.
      Results: A total of 119 patients with IHCA were analysed, 58 (48.7%) patients with cardiac arrest were in non-surgical units, and 61 (51.3%) were in cardiac surgical units. In non-surgical units, acute myocardial infarction/cardiogenic shock (48.3%) was the main cause of IHCA. Cardiac arrest in cardiac surgical units occurred mainly in patients who were planning or had undergone complex aortic replacement (32.8%). Shockable rhythms (ventricular fibrillation/ventricular tachycardia) were observed in approximately one-third of all initial rhythms in both units. Patients who suffered cardiac arrest in cardiac surgical units were more likely to return to spontaneous circulation (59.0% vs. 24.1%) and survive to hospital discharge (40.0% vs. 10.2%). On multivariable regression analysis, IHCA in cardiac surgical units (OR 5.39, 95% CI 1.90-15.26) and a shorter duration of resuscitation efforts (≤ 30 min) (OR 6.76, 95% CI 2.27-20.09) were associated with greater survival rate at discharge.
      Conclusion: IHCA occurring in cardiac surgical units and a duration of resuscitation efforts less than 30 min were associated with potentially increased rates of survival to discharge.
      (© 2024. The Author(s).)
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    • Grant Information:
      TXGYCSJJH2021-2022 Tencent Foundation
    • Contributed Indexing:
      Keywords: Cardiovascular; In-hospital cardiac arrest; Outcome; Resuscitation
    • Publication Date:
      Date Created: 20240906 Date Completed: 20240907 Latest Revision: 20240910
    • Publication Date:
      20240910
    • Accession Number:
      PMC11378364
    • Accession Number:
      10.1186/s12872-024-04152-y
    • Accession Number:
      39243041