Abstract
Introduction: Little data exists evaluating how different risk factors influence outcomes following in-hospital arrests. Methods: A retrospective review of patients that suffered a cardiopulmonary arrest between 1 May 2008 and 30 June 2014 was performed. Patients were stratified into subsets based on cardiac versus non-cardiac reasons for admission. Results: 199 patients met inclusion criteria, of which 138 (69.3%) had a non-cardiac reason for admission and 61 (30.7%) a cardiac etiology. No difference in demographics and non-cardiac comorbidities were present. Cardiac-related comorbidities were more prevalent in the cardiac etiology subset. Arrests with a shockable rhythm were more common in the cardiac group (P < 0.0001), yet return of spontaneous circulation from the index event was similar (P = 0.254). More patients in the cardiac group were alive at 24-h post resuscitation (n = 34, 55.7% versus n = 49, 35.5%; P = 0.0085), discharge (n = 21, 34.4% versus n = 19, 13.8%; P = 0.0018), and at last follow-up (n = 13, 21.3% versus n = 14, 10.1%; P = 0.0434). Conclusion: Although patients with cardiac and non-cardiac etiologies for admission have similar rates of return of spontaneous circulation, those with cardiac etiologies are more likely to survive to hospital discharge and outpatient follow-up.
Original language | English (US) |
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Pages (from-to) | 67-71 |
Number of pages | 5 |
Journal | Acute Cardiac Care |
Volume | 17 |
Issue number | 4 |
DOIs | |
State | Published - Oct 2 2015 |
Keywords
- Cardiopulmonary arrest
- outcomes
- resuscitation
ASJC Scopus subject areas
- Emergency Medicine
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine