ArticleJournal of intensive care2022
Incidence and outcomes of in-hospital cardiac arrest in Japan 2011-2017: a nationwide inpatient database study.
Article in Journal of intensive care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 26 citations in OpenAlex.
- In-hospital cardiac arrest in a Singaporean tertiary hospital: Epidemiology, outcomes, and potential suboptimal end-of-life planning.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026Article
- Prediction of in-hospital cardiac arrest on general wards using calibrated machine learning.BMJ health & care informatics · 2026Article
- Evaluation of off-the-shelf wearable for ambulatory clinical event monitoring and patient localization in hospital settings.Scientific reports · 2026Article
- Optimizing infection management after cardiac arrest: addressing diagnostic uncertainty and therapeutic dilemmas-a narrative review.Journal of intensive care · 2026Review
- Disparities in Survival After In-Hospital Cardiac Arrest by Time of Day and Day of Week: A Single-Center Cohort Study.Journal of clinical medicine · 2026Article
- Factors influencing Iranian critical care nurses' initiation of resuscitation decisions: a qualitative study.BMC nursing · 2025Article
- A single early warning signs (SEWS) system for recognizing clinically deterioration outperforms the national early warning score (NEWS) by having a lower activation threshold, broader clinical scope, and faster response time.Resuscitation plus · 2025Article
- Longitudinal analysis of in-hospital cardiac arrest: trends in the incidence, mortality, and long-term survival of a nationwide cohort.Critical care (London, England) · 2025Article
- Prevalence, outcome and conduct of in-hospital cardiopulmonary resuscitation in government hospitals of Nepal.PloS one · 2025Article
- Knowledge, Attitudes, and Practices Regarding Post-Cardiac Arrest Syndrome Among Chinese Physicians: A Dual-Center Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
- Evaluating the current breadth of randomized control trials on cardiac arrest: A scoping review.Journal of the American College of Emergency Physicians open · 2024Article
- Impact of dynamic parameter of trends in vital signs on the prediction of serious events in hospitalized patients -a retrospective observational study.Resuscitation plus · 2024Article
- Associated Factors of Cardiopulmonary Resuscitation Outcomes; a Cohort Study on an Adult In-hospital Cardiac Arrest Registry.Archives of academic emergency medicine · 2024Article
- Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes.Resuscitation · 2023Article
- Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes.Circulation. Cardiovascular quality and outcomes · 2023Review
- Knowledge, attitude, and proficiency of healthcare providers in cardiopulmonary resuscitation in a public primary healthcare setting in Qatar.Frontiers in cardiovascular medicine · 2023Article
- Some concerts about incidence and outcomes of in-hospital cardiac arrest in obstetric setting.Internal and emergency medicine · 2022Article
- China joins the family of in-hospital cardiac arrest registries.Resuscitation plus · 2022Article
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5 authors at 4 institutions in 2 countries.
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Abstract
backgroundAlthough numerous studies have investigated out-of-hospital cardiac arrest, few studies have been conducted on in-hospital cardiac arrest (IHCA). Knowledge of the nationwide epidemiology of IHCA in Japan, with its super-aging society, is important to understand the current situation of IHCA and to establish evidenced-based medicine in the future. The present study aimed to determine the incidence and outcomes of IHCA and their trends in Japan.
methodsThis observational cohort study was performed using a national administrative inpatient database for more than 1600 acute-care hospitals covering about 50% of all acute-care hospital beds in Japan from April 2011 to March 2018. We defined cardiac arrest patients who received cardiopulmonary resuscitation (chest compression) during hospitalization as IHCA. We excluded out-of-hospital cardiac arrest patients from the source population. The incidence of IHCA per 1000 hospital admissions and survival to discharge rate was reported with trend analyses by calendar year 2011-2017.
resultsAmong 53,871,101 hospitalized patients without out-of-hospital cardiac arrest patients in 1626 hospitals, 2,136,038 (4.0%) had cardiac arrest. Of them, 274,664 (12.9%) received cardiopulmonary resuscitation at least once during hospitalization and were identified as IHCA, and 1,861,374 (87.1%) did not receive cardiopulmonary resuscitation. The incidence of IHCA per 1000 hospital admissions was 5.1, with a significant decreasing trend from 6.1 in 2011 to 4.6 in 2017 (P for trend = 0.033). Our estimated incidence can be translated to approximately 87,000 IHCA cases in Japan each year. The percentage of IHCA patients among cardiac arrest patients was 12.9%, with a significant decreasing trend from 14.0% in 2011 to 12.2% in 2017 (P for trend = 0.006). The overall rate of survival to discharge was 12.7%, with a significant increasing trend from 10.5% in 2011 to 14.0% in 2017 (P for trend < 0.001).
conclusionsWe found substantial associations between mortality and loss of health and IHCA in Japan. The incidence of IHCA showed a decreasing trend over time, the percentage of treated cardiac arrest patients also had a decreasing trend, and the overall survival to discharge rate improved over time.
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