ArticleClinical research in cardiology : official journal of the German Cardiac Society2023
Clinical characteristics, causes and predictors of outcomes in patients with in-hospital cardiac arrest: results from the SURVIVE-ARREST study.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 21 citations in OpenAlex.
- Impact of Resuscitation Status and Cardiac Arrest Location on Survival and Neurological Outcomes in Acute Coronary Syndrome Patients Undergoing Coronary Angiography.Journal of clinical medicine · 2026Article
- Incident and predictors of 30-day mortality in critically ill patients after admission to the emergency department in the central region of Thailand: a prospective observational study.BMC health services research · 2026Observational
- Call characteristics and factors associated with outcomes of in-hospital cardiac arrest response teams: a 10-year retrospective cohort study.Frontiers in public health · 2026Article
- Functional Outcome and Independence Among In-Hospital Cardiac Arrest Patients in South India: A Prospective Longitudinal Study.Nursing research and practice · 2026Article
- Cardiopulmonary resuscitation duration and patient survival in a South Indian intensive care unit.World journal of critical care medicine · 2025Article
- Challenges in resuscitation and survival factors of in-hospital cardiac arrest with suspected cardiovascular etiology: A multicenter retrospective study in Beijing, China.Resuscitation plus · 2025Article
- Racial and Ethnic and Sex Disparities in the Outcomes and Treatment of In-Hospital Cardiac Arrest: A Nationwide Analysis From the United States.Journal of the American Heart Association · 2025Article
- Influencing factors and predictive indicators of return of spontaneous circulation in in-hospital cardiac arrest.Frontiers in cardiovascular medicine · 2025Article
- Drug-induced cardiac arrest: a pharmacovigilance study from 2004-2024 based on FAERS database.Frontiers in cardiovascular medicine · 2025Article
- In-hospital cardiac arrest characteristics, causes and outcomes in patients with cardiovascular disease across different departments: a retrospective study.BMC cardiovascular disorders · 2024Article
- The effects of bolus compared to continuous administration of adrenaline on cerebral oxygenation during experimental cardiopulmonary resuscitation.Resuscitation plus · 2024Article
- Analysis of cardiac arrest after coronary artery bypass grafting.Journal of cardiothoracic surgery · 2024Article
- Management and prevention of in-hospital cardiac arrest: present and future.NPJ cardiovascular health · 2024Review
- Associated Factors of Cardiopulmonary Resuscitation Outcomes; a Cohort Study on an Adult In-hospital Cardiac Arrest Registry.Archives of academic emergency medicine · 2024Article
- In-Hospital Cardiac Arrest.Emergency medicine clinics of North America · 2023Review
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16 authors at 1 institution in 4 countries.
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No grant is acknowledged in the PubMed record.
Abstract
introductionIn-hospital cardiac arrest (IHCA) is acutely life-threatening and remains associated with high mortality and morbidity. Identifying predictors of mortality after IHCA would help to guide acute therapy.
methodsWe determined patient characteristics and independent predictors of 30-day in-hospital mortality, neurological outcome, and discharge/referral pathways in patients experiencing IHCA in a large tertiary care hospital between January 2014 and April 2017. Multivariable Cox regression model was fitted to assess predictors of outcomes.
resultsA total of 368 patients with IHCA were analysed (median age 73 years (interquartile range 65-78), 123 (33.4%) women). Most patients (45.9%) had an initial non-shockable rhythm and shockable rhythms were found in 20.9%; 23.6% of patients suffered from a recurrent episode of cardiac arrest. 172/368 patients died within 30 days (46.7%). Of 196/368 patients discharged alive after IHCA, the majority (72.9%, n = 143) had a good functional neurological outcome (modified Rankin Scale ≤ 3 points). In the multivariable analysis, return of spontaneous circulation without mechanical circulatory support (hazard ratio (HR) 0.36, 95% confidence interval (CI) 0.21-0.64), invasive coronary angiography and/or percutaneous intervention (HR 0.56, 95% CI 0.34-0.92), and antibiotic therapy (HR 0.87, 95% CI 0.83-0.92) were associated with a lower risk of 30-day in hospital mortality.
conclusionIn the present study, IHCA was survived in ~ 50% in a tertiary care hospital, although only a minority of patients presented with shockable rhythms. The majority of IHCA survivors (~ 70%) had a good neurological outcome. Recovery of spontaneous circulation and presence of treatable acute causes of the arrest are associated with better survival. Clinical Characteristics, Causes and Predictors of Outcomes in Patients with In-Hospital Cardiac Arrest: Results from the SURVIVE-ARREST Study. ABBREVIATIONS: CPR, cardiopulmonary resuscitation; IHCA, In-hospital cardiac arrest; MCS, mechanical circulatory support; PCI, percutaneous coronary intervention; ROSC, return of spontaneous circulation; SBP, systolic blood pressure.
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