ArticleAcute medicine & surgery
Cardiac arrest during hemodialysis: a survey of five Japanese hospitals.
Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 7 citations in OpenAlex.
- Effect of preparedness of emergency equipment on patient survival in hemodialysis facilities: a Korean nationwide cohort study.Kidney research and clinical practice · 2026Article
- Care of the chronic dialysis patient in the intensive care unit: a state-of-the-art review.Critical care science · 2025Review
- Cardiopulmonary arrest caused by nafamostat mesylate during hemodialysis.Clinical case reports · 2022Article
- Arrhythmias in Chronic Kidney Disease.European cardiology · 2022Review
- Rapid response system in Japanese outpatient departments based on online registry: Multicentre observational study.Resuscitation plus · 2021Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimIntraprocedural cardiac arrest is a serious complication among patients receiving hemodialysis. However, the frequency and reaction to these events remain unclear. This study aimed to explore the clinical picture of cardiac arrest during hemodialysis.
methodsTen cardiac arrests that had occurred during 217,984 hemodialysis treatments in five Japanese hospitals, between 2008 and 2017, were reviewed. We investigated the underlying disease, vital signs, emergency responses, and outcomes using patient medical records.
resultsThe cardiac arrest rate ranged from 1.1 to 7.5 per 100,000 hemodialysis sessions. All included cases of cardiac arrest occurred in a hemodialysis unit and had been witnessed and reported by supervising clinicians. The initial rhythm was ventricular fibrillation/ventricular tachycardia in six patients (60%) and pulseless electrical activity/asystole in four patients (40%). Seven (70%) patients showed a return of spontaneous circulation (ROSC), and two (20%) patients were discharged with a cerebral performance category score of 1. There was a statistically significant difference in the ROSC rate (
conclusionWe evaluated the frequency of cardiac arrest during hemodialysis. Overall assessment including respiratory status is needed at initiation of hemodialysis. In case of a sudden change in a patient's status, high-quality resuscitation treatment that includes an emergency call can improve prognosis.
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