Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit
Authors: Nolan, J.P., Soar, J., Smith, G.B., Gwinnutt, C., Parrott, F., Power, S., Harrison, D.A., Nixon, E. and Rowan, K.
Journal: Resuscitation
Volume: 85
Issue: 8
Pages: 987-992
eISSN: 1873-1570
ISSN: 0300-9572
DOI: 10.1016/j.resuscitation.2014.04.002
Abstract: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. © 2014 Elsevier Ireland Ltd.
Source: Scopus
Preferred by: Gary Smith
Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit.
Authors: Nolan, J.P., Soar, J., Smith, G.B., Gwinnutt, C., Parrott, F., Power, S., Harrison, D.A., Nixon, E., Rowan, K. and National Cardiac Arrest Audit
Journal: Resuscitation
Volume: 85
Issue: 8
Pages: 987-992
eISSN: 1873-1570
DOI: 10.1016/j.resuscitation.2014.04.002
Abstract: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.
Source: PubMed
Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit
Authors: Nolan, J.P., Soar, J., Smith, G.B., Gwinnutt, C., Parrott, F., Power, S., Harrison, D.A., Nixon, E. and Rowan, K.
Journal: RESUSCITATION
Volume: 85
Issue: 8
Pages: 987-992
eISSN: 1873-1570
ISSN: 0300-9572
DOI: 10.1016/j.resuscitation.2014.04.002
Source: Web of Science (Lite)
Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit.
Authors: Nolan, J.P., Soar, J., Smith, G.B., Gwinnutt, C., Parrott, F., Power, S., Harrison, D.A., Nixon, E., Rowan, K. and National Cardiac Arrest Audit
Journal: Resuscitation
Volume: 85
Issue: 8
Pages: 987-992
eISSN: 1873-1570
ISSN: 0300-9572
DOI: 10.1016/j.resuscitation.2014.04.002
Abstract: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.Source: Europe PubMed Central