In-hospital cardiac arrest--an Utstein style report of seven years experience from the Sahlgrenska University Hospital

• BACKGROUND: In-hospital cardiac arrest is one of the most stressful situations in modern medicine. Since 1997, there has been a uniform way of reporting - the Utstein guidelines for in-hospital cardiac arrest reporting. MATERIAL AND METHODS: We have studied all consecutive cardiac arrest in the Sahlgrenska University Hospital (SU) between 1994 and 2001 for who the rescue team was alerted in all 833 patients. The primary endpoint for this study was survival to discharge. RESULTS: Thirty-seven percent survived to hospital discharge. Among patients who were discharged alive, 86% were alive 1 year later. The survivors have a good cerebral outcome (94% among those who were discharged alive had cerebral performance category (CPC) score 1 or 2). The organization at SU is efficient; 80% of the cardiac arrest had CPR within 1 min. Time from cardiac arrest to first defibrillation is a median of 2 min. Almost two-thirds of the patients were admitted for cardiac related diagnoses. CONCLUSION: The current study is the largest single-centre study of in hospital cardiac arrest reported according to the Utstein guidelines. We report a high survival for in-hospital cardiac arrest. We have pointed out that a functional chain of survival, short intervals before the start of CPR and defibrillation are probably contributing factors for this.

Keyword

Adolescent

Adult

Aged

Aged

80 and over

*Cardiopulmonary Resuscitation

Cognition Disorders/classification

Defibrillators

Electric Countershock

Female

Heart Arrest/*epidemiology/*therapy

*Hospitalization

Hospitals

University

Humans

Male

Middle Aged

*Outcome and Process Assessment (Health Care)

Patient Care Team/*organization & administration

Prospective Studies

Resuscitation Orders

Retrospective Studies

Survival Analysis

Survivors

Sweden/epidemiology

Time Factors

Publication and Content Type

ref (subject category)

art (subject category)