The impact of the Tracey judgment on the rates and outcomes of in-hospital cardiac arrests in UK hospitals participating in the National Cardiac Arrest Audit
Authors: Zenasni, Z., Reynolds, E.C., Harrison, D.A., Rowan, K.M., Nolan, J.P., Soar, J. and Smith, G.B.
Journal: Clinical Medicine, Journal of the Royal College of Physicians of London
Volume: 20
Issue: 3
Pages: 319-323
eISSN: 1473-4893
ISSN: 1470-2118
DOI: 10.7861/clinmed.2019-0454
Abstract:Aims The aim was to determine if the 17 June 2014 Tracey judgment regarding ‘do not attempt cardiopulmonary resuscitation’ decisions led to increases in the rate of in-hospital cardiac arrests resulting in a resuscitation attempt (IHCA) and/or proportion of resuscitation attempts deemed futile. Method Using UK National Cardiac Arrest Audit data, the IHCA rate and proportion of resuscitation attempts deemed futile were compared for two periods (pre-judgment (01 July 2012 – 16 June 2014, inclusive) and post-judgment (01 July 2014 – 30 June 2016, inclusive)) using interrupted time series analyses. Results A total of 43,109 IHCAs (115 hospitals) were analysed. There were fewer IHCAs post- than pre-judgment (21,324 vs 21,785, respectively). The IHCA rate was declining over time before the judgment but there was an abrupt and statistically significant increase in the period immediately following the judgment (p<0.001). This was not sustained post-judgment. The proportion of resuscitation attempts deemed futile was smaller post-judgment than pre-judgment (8.2% vs 14.9%, respectively). The rate of attempts deemed futile decreased post-judgment (p<0.001). Conclusion The IHCA rate increased immediately after the Tracey judgment while the proportion of resuscitation attempts deemed futile decreased. The precise mechanisms for these changes are unclear.
https://eprints.bournemouth.ac.uk/34072/
Source: Scopus
The impact of the Tracey judgment on the rates and outcomes of in-hospital cardiac arrests in UK hospitals participating in the National Cardiac Arrest Audit.
Authors: Zenasni, Z., Reynolds, E.C., Harrison, D.A., Rowan, K.M., Nolan, J.P., Soar, J. and Smith, G.B.
Journal: Clin Med (Lond)
Volume: 20
Issue: 3
Pages: 319-323
eISSN: 1473-4893
DOI: 10.7861/clinmed.2019-0454
Abstract:AIMS: The aim was to determine if the 17 June 2014 Tracey judgment regarding 'do not attempt cardiopulmonary resuscitation' decisions led to increases in the rate of in-hospital cardiac arrests resulting in a resuscitation attempt (IHCA) and/or proportion of resuscitation attempts deemed futile. METHOD: Using UK National Cardiac Arrest Audit data, the IHCA rate and proportion of resuscitation attempts deemed futile were compared for two periods (pre-judgment (01 July 2012 - 16 June 2014, inclusive) and post-judgment (01 July 2014 - 30 June 2016, inclusive)) using interrupted time series analyses. RESULTS: A total of 43,109 IHCAs (115 hospitals) were analysed. There were fewer IHCAs post- than pre-judgment (21,324 vs 21,785, respectively). The IHCA rate was declining over time before the judgment but there was an abrupt and statistically significant increase in the period immediately following the judgment (p<0.001). This was not sustained post-judgment. The proportion of resuscitation attempts deemed futile was smaller post-judgment than pre-judgment (8.2% vs 14.9%, respectively). The rate of attempts deemed futile decreased post-judgment (p<0.001). CONCLUSION: The IHCA rate increased immediately after the Tracey judgment while the proportion of resuscitation attempts deemed futile decreased. The precise mechanisms for these changes are unclear.
https://eprints.bournemouth.ac.uk/34072/
Source: PubMed
The impact of the Tracey judgment on the rates and outcomes of in-hospital cardiac arrests in UK hospitals participating in the National Cardiac Arrest Audit
Authors: Zenasni, Z., Reynolds, E.C., Harrison, D.A., Rowan, K.M., Nolan, J.P., Soar, J. and Smith, G.B.
Journal: CLINICAL MEDICINE
Volume: 20
Issue: 3
Pages: 319-323
eISSN: 1473-4893
ISSN: 1470-2118
DOI: 10.7861/clinmed.2019-0454
https://eprints.bournemouth.ac.uk/34072/
Source: Web of Science (Lite)
The impact of the Tracey judgment on the rates and outcomes of in-hospital cardiac arrests in UK hospitals participating in the National Cardiac Arrest Audit
Authors: Zenasni, Z., Reynolds, E., Harrison, D., Rowan, K., Nolan, J., Soar, J. and Smith, G.
Journal: Clinical Medicine
Publisher: Royal College of Physicians
ISSN: 1470-2118
https://eprints.bournemouth.ac.uk/34072/
Source: Manual
The impact of the Tracey judgment on the rates and outcomes of in-hospital cardiac arrests in UK hospitals participating in the National Cardiac Arrest Audit.
Authors: Zenasni, Z., Reynolds, E.C., Harrison, D.A., Rowan, K.M., Nolan, J.P., Soar, J. and Smith, G.B.
Journal: Clinical medicine (London, England)
Volume: 20
Issue: 3
Pages: 319-323
eISSN: 1473-4893
ISSN: 1470-2118
DOI: 10.7861/clinmed.2019-0454
Abstract:Aims
The aim was to determine if the 17 June 2014 Tracey judgment regarding 'do not attempt cardiopulmonary resuscitation' decisions led to increases in the rate of in-hospital cardiac arrests resulting in a resuscitation attempt (IHCA) and/or proportion of resuscitation attempts deemed futile.Method
Using UK National Cardiac Arrest Audit data, the IHCA rate and proportion of resuscitation attempts deemed futile were compared for two periods (pre-judgment (01 July 2012 - 16 June 2014, inclusive) and post-judgment (01 July 2014 - 30 June 2016, inclusive)) using interrupted time series analyses.Results
A total of 43,109 IHCAs (115 hospitals) were analysed. There were fewer IHCAs post- than pre-judgment (21,324 vs 21,785, respectively). The IHCA rate was declining over time before the judgment but there was an abrupt and statistically significant increase in the period immediately following the judgment (p<0.001). This was not sustained post-judgment. The proportion of resuscitation attempts deemed futile was smaller post-judgment than pre-judgment (8.2% vs 14.9%, respectively). The rate of attempts deemed futile decreased post-judgment (p<0.001).Conclusion
The IHCA rate increased immediately after the Tracey judgment while the proportion of resuscitation attempts deemed futile decreased. The precise mechanisms for these changes are unclear.https://eprints.bournemouth.ac.uk/34072/
Source: Europe PubMed Central
The impact of the Tracey judgment on the rates and outcomes of in-hospital cardiac arrests in UK hospitals participating in the National Cardiac Arrest Audit.
Authors: Zenasni, Z., Reynolds, E.C., Harrison, D.A., Rowan, K.M., Nolan, J.P., Soar, J. and Smith, G.B.
Journal: Clinical Medicine Journal
Volume: 20
Issue: 3
Pages: 319-323
ISSN: 1470-2118
Abstract:AIMS: The aim was to determine if the 17 June 2014 Tracey judgment regarding 'do not attempt cardiopulmonary resuscitation' decisions led to increases in the rate of in-hospital cardiac arrests resulting in a resuscitation attempt (IHCA) and/or proportion of resuscitation attempts deemed futile. METHOD: Using UK National Cardiac Arrest Audit data, the IHCA rate and proportion of resuscitation attempts deemed futile were compared for two periods (pre-judgment (01 July 2012 - 16 June 2014, inclusive) and post-judgment (01 July 2014 - 30 June 2016, inclusive)) using interrupted time series analyses. RESULTS: A total of 43,109 IHCAs (115 hospitals) were analysed. There were fewer IHCAs post- than pre-judgment (21,324 vs 21,785, respectively). The IHCA rate was declining over time before the judgment but there was an abrupt and statistically significant increase in the period immediately following the judgment (p<0.001). This was not sustained post-judgment. The proportion of resuscitation attempts deemed futile was smaller post-judgment than pre-judgment (8.2% vs 14.9%, respectively). The rate of attempts deemed futile decreased post-judgment (p<0.001). CONCLUSION: The IHCA rate increased immediately after the Tracey judgment while the proportion of resuscitation attempts deemed futile decreased. The precise mechanisms for these changes are unclear.
https://eprints.bournemouth.ac.uk/34072/
Source: BURO EPrints