In-hospital cardiac arrest : different wards show different survival patterns
The purpose of the study was to investigate the characteristics and outcomes of in-hospital cardiac arrests that occurred outside of the hospital critical care areas. A prospective register of adult in-hospital cardiac arrests occurring in non-critical care areas of Christchurch Hospital, Christchur...
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| Veröffentlicht in: | Anaesthesia and intensive care 2007-08, Vol.35 (4), p.522-528 |
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| description | The purpose of the study was to investigate the characteristics and outcomes of in-hospital cardiac arrests that occurred outside of the hospital critical care areas. A prospective register of adult in-hospital cardiac arrests occurring in non-critical care areas of Christchurch Hospital, Christchurch, New Zealand, from January 2001 to December 2004 was compiled. Two-hundred-and-forty-three cardiac arrests were recorded in this period. The overall return of spontaneous circulation was 38.7% (CI 32.6, 44.8) and survival to discharge was 21.0% (CI 15.9, 26.1). Comparison of clinical areas showed that the percentage with successful resuscitation and the percentage with survival to discharge were highest in the cardiology wards (52.2%, 41.3%) and lowest in the medical wards (24.9%, 8.8%). After taking account of rhythm, age, gender and time of day, differences between clinical areas were slightly reduced. Cardiology wards, however, still had a higher resuscitation percentage than medical wards (P = 0.03) and a higher percentage with survival to discharge than all other areas (P = 0.005 overall, P < or = 0.05 for each individual comparison). Reporting of hospital-wide survival rates does not accurately reflect the survival rates in a variety of specific clinical areas. The analysis of outcomes across different clinical areas at Christchurch Hospital revealed differences in outcomes and therefore the clinical experience of staff in those areas. These differences have implications for the resuscitation training of health professionals. The further development of national resuscitation registries may allow more specific analysis of outcomes in different clinical areas. |
| doi_str_mv | 10.1177/0310057x0703500410 |
| format | Article |
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A ; WELLS, J. E</creator><creatorcontrib>SMITH, S ; SHIPTON, E. A ; WELLS, J. E</creatorcontrib><description>The purpose of the study was to investigate the characteristics and outcomes of in-hospital cardiac arrests that occurred outside of the hospital critical care areas. A prospective register of adult in-hospital cardiac arrests occurring in non-critical care areas of Christchurch Hospital, Christchurch, New Zealand, from January 2001 to December 2004 was compiled. Two-hundred-and-forty-three cardiac arrests were recorded in this period. The overall return of spontaneous circulation was 38.7% (CI 32.6, 44.8) and survival to discharge was 21.0% (CI 15.9, 26.1). Comparison of clinical areas showed that the percentage with successful resuscitation and the percentage with survival to discharge were highest in the cardiology wards (52.2%, 41.3%) and lowest in the medical wards (24.9%, 8.8%). After taking account of rhythm, age, gender and time of day, differences between clinical areas were slightly reduced. Cardiology wards, however, still had a higher resuscitation percentage than medical wards (P = 0.03) and a higher percentage with survival to discharge than all other areas (P = 0.005 overall, P < or = 0.05 for each individual comparison). Reporting of hospital-wide survival rates does not accurately reflect the survival rates in a variety of specific clinical areas. The analysis of outcomes across different clinical areas at Christchurch Hospital revealed differences in outcomes and therefore the clinical experience of staff in those areas. These differences have implications for the resuscitation training of health professionals. The further development of national resuscitation registries may allow more specific analysis of outcomes in different clinical areas.</description><identifier>ISSN: 0310-057X</identifier><identifier>EISSN: 1448-0271</identifier><identifier>DOI: 10.1177/0310057x0703500410</identifier><identifier>PMID: 18020070</identifier><identifier>CODEN: AINCBS</identifier><language>eng</language><publisher>Edgecliff: Anaesthesia and Intensive Care</publisher><subject>After-Hours Care ; Age Distribution ; Aged ; Aged, 80 and over ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Arrhythmias, Cardiac - mortality ; Biological and medical sciences ; Cardiac arrest ; Care and treatment ; CPR (First aid) ; Female ; Heart Arrest - etiology ; Heart Arrest - mortality ; Heart Arrest - therapy ; Hospital patients ; Hospital Units - statistics & numerical data ; Hospitalization ; Humans ; Linear Models ; Male ; Medical sciences ; Middle Aged ; New Zealand - epidemiology ; Outcome and Process Assessment (Health Care) ; Patient outcomes ; Prospective Studies ; Time Factors</subject><ispartof>Anaesthesia and intensive care, 2007-08, Vol.35 (4), p.522-528</ispartof><rights>2007 INIST-CNRS</rights><rights>COPYRIGHT 2007 Sage Publications Ltd. (UK)</rights><rights>Copyright Australian Society of Anaesthetists Aug 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-6c1df605c268de0e19cd58961b345c39ee432a481a990e533fb3ee9a8feab6443</citedby><cites>FETCH-LOGICAL-c535t-6c1df605c268de0e19cd58961b345c39ee432a481a990e533fb3ee9a8feab6443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18992872$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18020070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SMITH, S</creatorcontrib><creatorcontrib>SHIPTON, E. A</creatorcontrib><creatorcontrib>WELLS, J. E</creatorcontrib><title>In-hospital cardiac arrest : different wards show different survival patterns</title><title>Anaesthesia and intensive care</title><addtitle>Anaesth Intensive Care</addtitle><description>The purpose of the study was to investigate the characteristics and outcomes of in-hospital cardiac arrests that occurred outside of the hospital critical care areas. A prospective register of adult in-hospital cardiac arrests occurring in non-critical care areas of Christchurch Hospital, Christchurch, New Zealand, from January 2001 to December 2004 was compiled. Two-hundred-and-forty-three cardiac arrests were recorded in this period. The overall return of spontaneous circulation was 38.7% (CI 32.6, 44.8) and survival to discharge was 21.0% (CI 15.9, 26.1). Comparison of clinical areas showed that the percentage with successful resuscitation and the percentage with survival to discharge were highest in the cardiology wards (52.2%, 41.3%) and lowest in the medical wards (24.9%, 8.8%). After taking account of rhythm, age, gender and time of day, differences between clinical areas were slightly reduced. Cardiology wards, however, still had a higher resuscitation percentage than medical wards (P = 0.03) and a higher percentage with survival to discharge than all other areas (P = 0.005 overall, P < or = 0.05 for each individual comparison). Reporting of hospital-wide survival rates does not accurately reflect the survival rates in a variety of specific clinical areas. The analysis of outcomes across different clinical areas at Christchurch Hospital revealed differences in outcomes and therefore the clinical experience of staff in those areas. These differences have implications for the resuscitation training of health professionals. The further development of national resuscitation registries may allow more specific analysis of outcomes in different clinical areas.</description><subject>After-Hours Care</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Arrhythmias, Cardiac - mortality</subject><subject>Biological and medical sciences</subject><subject>Cardiac arrest</subject><subject>Care and treatment</subject><subject>CPR (First aid)</subject><subject>Female</subject><subject>Heart Arrest - etiology</subject><subject>Heart Arrest - mortality</subject><subject>Heart Arrest - therapy</subject><subject>Hospital patients</subject><subject>Hospital Units - statistics & numerical data</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>New Zealand - epidemiology</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Patient outcomes</subject><subject>Prospective Studies</subject><subject>Time Factors</subject><issn>0310-057X</issn><issn>1448-0271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkU1LHTEUhkOp1FvbP9CFDJW6G3vyNUncibRWULppwV3IzZzUyNyZazKj9t-byx3wA8kicPI8h5e8hHyhcESpUt-BUwCpHkABlwCCwjuyoELoGpii78liA9SFuNolH3O-AaCGKfmB7FINDIq2IJfnfX095HUcXVd5l9rofOVSwjxWx1UbQ8CE_Vjdl6dc5evh_tkwT-ku3hVx7cYRU58_kZ3guoyf53uP_P3548_pr_ri99n56clF7SWXY9142oYGpGeNbhGQGt9KbRq65EJ6bhAFZ05o6owBlJyHJUc0Tgd0y0YIvkcOt3vXabidSla7itlj17kehynbRksGjdAF_PoKvBmm1JdsljGhy5cxXqCDLfTPdWhjH4YxOb_ZaE-o1sooYKxQR29Q5bS4in7oMcQyfyGwreDTkHPCYNcprlz6bynYTYF2LvDqqcAi7c-Bp-UK2ydlbqwA32bAZe-6kFzvY37GGcO0YvwRX_Sgfg</recordid><startdate>20070801</startdate><enddate>20070801</enddate><creator>SMITH, S</creator><creator>SHIPTON, E. 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A ; WELLS, J. E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-6c1df605c268de0e19cd58961b345c39ee432a481a990e533fb3ee9a8feab6443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>After-Hours Care</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Arrhythmias, Cardiac - mortality</topic><topic>Biological and medical sciences</topic><topic>Cardiac arrest</topic><topic>Care and treatment</topic><topic>CPR (First aid)</topic><topic>Female</topic><topic>Heart Arrest - etiology</topic><topic>Heart Arrest - mortality</topic><topic>Heart Arrest - therapy</topic><topic>Hospital patients</topic><topic>Hospital Units - statistics & numerical data</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>New Zealand - epidemiology</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Patient outcomes</topic><topic>Prospective Studies</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SMITH, S</creatorcontrib><creatorcontrib>SHIPTON, E. A</creatorcontrib><creatorcontrib>WELLS, J. 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A</au><au>WELLS, J. E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In-hospital cardiac arrest : different wards show different survival patterns</atitle><jtitle>Anaesthesia and intensive care</jtitle><addtitle>Anaesth Intensive Care</addtitle><date>2007-08-01</date><risdate>2007</risdate><volume>35</volume><issue>4</issue><spage>522</spage><epage>528</epage><pages>522-528</pages><issn>0310-057X</issn><eissn>1448-0271</eissn><coden>AINCBS</coden><abstract>The purpose of the study was to investigate the characteristics and outcomes of in-hospital cardiac arrests that occurred outside of the hospital critical care areas. A prospective register of adult in-hospital cardiac arrests occurring in non-critical care areas of Christchurch Hospital, Christchurch, New Zealand, from January 2001 to December 2004 was compiled. Two-hundred-and-forty-three cardiac arrests were recorded in this period. The overall return of spontaneous circulation was 38.7% (CI 32.6, 44.8) and survival to discharge was 21.0% (CI 15.9, 26.1). Comparison of clinical areas showed that the percentage with successful resuscitation and the percentage with survival to discharge were highest in the cardiology wards (52.2%, 41.3%) and lowest in the medical wards (24.9%, 8.8%). After taking account of rhythm, age, gender and time of day, differences between clinical areas were slightly reduced. Cardiology wards, however, still had a higher resuscitation percentage than medical wards (P = 0.03) and a higher percentage with survival to discharge than all other areas (P = 0.005 overall, P < or = 0.05 for each individual comparison). Reporting of hospital-wide survival rates does not accurately reflect the survival rates in a variety of specific clinical areas. The analysis of outcomes across different clinical areas at Christchurch Hospital revealed differences in outcomes and therefore the clinical experience of staff in those areas. These differences have implications for the resuscitation training of health professionals. The further development of national resuscitation registries may allow more specific analysis of outcomes in different clinical areas.</abstract><cop>Edgecliff</cop><pub>Anaesthesia and Intensive Care</pub><pmid>18020070</pmid><doi>10.1177/0310057x0703500410</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | After-Hours Care Age Distribution Aged Aged, 80 and over Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Arrhythmias, Cardiac - mortality Biological and medical sciences Cardiac arrest Care and treatment CPR (First aid) Female Heart Arrest - etiology Heart Arrest - mortality Heart Arrest - therapy Hospital patients Hospital Units - statistics & numerical data Hospitalization Humans Linear Models Male Medical sciences Middle Aged New Zealand - epidemiology Outcome and Process Assessment (Health Care) Patient outcomes Prospective Studies Time Factors |
| title | In-hospital cardiac arrest : different wards show different survival patterns |
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