Short and long-term survival following an in-hospital cardiac arrest in a regional hospital cohort

Zakary Doherty, Jason Fletcher, Kim Fuzzard, Rebecca Kippen, Cameron Knott, Belinda O'Sullivan

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Introduction: Evidence about the immediate survival from in-hospital cardiac arrest (IHCA) is well established, however, beyond discharge there is very little describing the long-term outcomes of these patients. Of the few existing studies, all have been conducted in metropolitan centres. Therefore, this study describes survival from IHCA in both the short and long-term in a large regional hospital cohort. Method: A retrospective cohort study was conducted including all adult patients who suffered an IHCA between 1 February 2000 and 31 December 2017 in a large regional (non-metropolitan) hospital in Victoria, Australia. Characteristics of the arrest and patient were sourced from a prospectively collected database that captures all of the arrests occurring in the hospital. Mortality data after discharge were sourced from the state death registry, censored on 31 January 2018. Results: A total of 629 patients were included in the study. Of these, 357 (57%) survived the event, and 213 (34%) survived to discharge. At one-year post-arrest 27% of the original cohort were still alive. The age of the patient, arrest rhythm, location and duration of resuscitation were all significantly associated with long-term survival. Conclusion: Both short and long-term survival following an IHCA in a regional hospital are similar to previously described rates in metropolitan hospitals. Further research is required on the post-discharge correlates of long-term survival.

Original languageEnglish
Pages (from-to)134-141
Number of pages8
JournalResuscitation
Volume143
DOIs
Publication statusPublished - 1 Oct 2019

Keywords

  • Cardiac arrest
  • In-hospital cardiac arrest
  • Long-term
  • Survival

Cite this

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title = "Short and long-term survival following an in-hospital cardiac arrest in a regional hospital cohort",
abstract = "Introduction: Evidence about the immediate survival from in-hospital cardiac arrest (IHCA) is well established, however, beyond discharge there is very little describing the long-term outcomes of these patients. Of the few existing studies, all have been conducted in metropolitan centres. Therefore, this study describes survival from IHCA in both the short and long-term in a large regional hospital cohort. Method: A retrospective cohort study was conducted including all adult patients who suffered an IHCA between 1 February 2000 and 31 December 2017 in a large regional (non-metropolitan) hospital in Victoria, Australia. Characteristics of the arrest and patient were sourced from a prospectively collected database that captures all of the arrests occurring in the hospital. Mortality data after discharge were sourced from the state death registry, censored on 31 January 2018. Results: A total of 629 patients were included in the study. Of these, 357 (57{\%}) survived the event, and 213 (34{\%}) survived to discharge. At one-year post-arrest 27{\%} of the original cohort were still alive. The age of the patient, arrest rhythm, location and duration of resuscitation were all significantly associated with long-term survival. Conclusion: Both short and long-term survival following an IHCA in a regional hospital are similar to previously described rates in metropolitan hospitals. Further research is required on the post-discharge correlates of long-term survival.",
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Short and long-term survival following an in-hospital cardiac arrest in a regional hospital cohort. / Doherty, Zakary; Fletcher, Jason; Fuzzard, Kim; Kippen, Rebecca; Knott, Cameron; O'Sullivan, Belinda.

In: Resuscitation, Vol. 143, 01.10.2019, p. 134-141.

Research output: Contribution to journalArticleResearchpeer-review

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