Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit

被引：349

作者：

Nolan, Jerry P. ^{[1
]}

Soar, Jasmeet ^{[2
]}

Smith, Gary B. ^{[3
]}

Gwinnutt, Carl ^{[4
]}

Parrott, Francesca ^{[5
]}

Power, Sarah ^{[5
]}

Harrison, David A. ^{[5
]}

Nixon, Edel ^{[5
]}

Rowan, Kathryn ^{[5
]}

机构：

[1] Royal United Hosp, Bath BA1 3NG, Avon, England

[2] Southmead Hosp, Bristol BS10 5NB, Avon, England

[3] Bournemouth Univ, Sch Hlth & Social Care, Ctr Postgrad Med Res & Educ CoPMRE, Bournemouth BH1 3LT, Dorset, England

[4] Resuscitat Council UK, London WC1H 9HR, England

[5] Intens Care Natl Audit & Res Ctr, London WC1V 6AZ, England

来源：

RESUSCITATION | 2014年 / 85卷 / 08期

关键词：

In-hospital cardiac arrest; Cardiopulmonary resuscitation; Cardiac arrest; Outcome; Epidemiology; SURVIVAL;

D O I：

10.1016/j.resuscitation.2014.04.002

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To report the incidence, characteristics and outcome of adult in-hospital cardiac arrest in the United Kingdom (UK) National Cardiac Arrest Audit database. Methods: A prospectively defined analysis of the UK National Cardiac Arrest Audit (NCAA) database. 144 acute hospitals contributed data relating to 22,628 patients aged 16 years or over receiving chest compressions and/or defibrillation and attended by a hospital-based resuscitation team in response to a 2222 call. The main outcome measures were incidence of adult in-hospital cardiac arrest and survival to hospital discharge. Results: The overall incidence of adult in-hospital cardiac arrest was 1.6 per 1000 hospital admissions with a median across hospitals of 1.5 (interquartile range 1.2-2.2). Incidence varied seasonally, peaking in winter. Overall unadjusted survival to hospital discharge was 18.4%. The presenting rhythm was shockable (ventricular fibrillation or pulseless ventricular tachycardia) in 16.9% and non-shockable (asystole or pulseless electrical activity) in 72.3%; rates of survival to hospital discharge associated with these rhythms were 49.0% and 10.5%, respectively, but varied substantially across hospitals. Conclusions: These first results from the NCAA database describing the current incidence and outcome of adult in-hospital cardiac arrest in UK hospitals will serve as a benchmark from which to assess the future impact of changes in service delivery, organisation and treatment for in-hospital cardiac arrest.

引用

页码：987 / 992

页数：6

共 15 条

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