ArticleResuscitation plus2025
In-hospital cardiac arrest - A three-year Utstein- style report from a tertiary care centre in Poland.
Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aim: To evaluate the epidemiology, management and outcomes of in-hospital cardiac arrest (IHCA) in a tertiary care centre in Poland, using a Utstein-style report. Methods: A retrospective analysis was conducted on IHCAs between January 1, 2022, and December 31, 2024. Adult patients with confirmed cardiac arrest who received chest compressions and/or defibrillation were included. Key outcomes included patient and IHCA characteristics, return of spontaneous circulation (ROSC) rate and 30-day/discharge survival, including neurological outcome. Logistic regression was performed to identify factors associated with survival. Results: A total of 460 IHCAs were recorded over the 3-year period, corresponding to 2.5 events per 1000 hospital admissions. Median patient age was 73 years. The first documented rhythm was non-shockable in 88.5 % of events, while shockable rhythms were observed in 11.5 %. ROSC was achieved in 48.7 % of cases. Overall 30-day survival was 14.6 %. 66.7 % of survivors had a Cerebral Performance Category (CPC) 1-2, 33.3 % were CPC 3-4. Conclusions: In this Utstein-style report of IHCA we found similar results to those reported in other European reports of incidence and overall survival of IHCA. However, in our study a substantial proportion of survivors had poor neurological outcome. Our findings highlight the importance of systematic data collection and the creation of a national IHCA registry in Poland to enable benchmarking and drive quality improvement.
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