Analysis of clinical outcomes following in‐hospital adult cardiac arrest

• DOI: 10.1111/j.1445-5994.2004.00566.x
• Publication Date: 2004-07-21T16:04:39Z
• Authors: A. C. Cohn; W. M. Wilson; B. Yan; S. B. Joshi; M. Heily; P. Morley; P. Maruff; L. E. Grigg; A. E. Ajani
• Keywords: Pulseless electrical activity; Clinical death

Abstract Aims: The outcome of in‐hospital resuscitation following cardiac arrest depends on many factors related to the patient, environment and extent efforts. aim present study was determine predictors successful survival ­hospital discharge assess functional outcomes survivors (cerebral performance scores). Methods: Medical records adult patients sustaining between June 2001 January 2003 were reviewed. Successful defined as return spontaneous circulation at completion resuscitative efforts, irrespective degree inotropic/vasopressor support. Thirty demographic clinical variables analysed survival. Results: In 105 with arrest, 46 (44%) successfully resuscitated 22 (21%) ­survived hospital discharge. Predictors included a primary admission diagnosis, monitoring time longer duration absence need for endotracheal intubation. Patients ventricular tachycardia/fibrillation more likely survive than those asystolic or pulseless electrical activity (45 vs 12 20%, P = 0.01). sole independent predictor intu­bation (odds ratio 0.14, 95% confidence interval 0.02−0.88, < majority (73%) had normal cerebral scores. Conclusions: Identification is important risk stratification. Ongoing appraisal arrests through multicentre registry could improve outcomes. (Intern Med J 2004; 34: 398−402)