Cardiac arrest & resuscitation
A novel structured debriefing program for consensus determinations of in-hospital cardiac arrest predictability and preventability
Authors' conclusion
Our IHCA debriefing procedures are a feasible and sustainable means of determining the predictability and potential preventability of ward cardiac arrests.
Study context
- Population
- Ward in-hospital cardiac arrests at an urban quaternary-care academic hospital, 09/2015–11/2023
- Participants
- 544 arrests
- Exposure
- Unpredictable vs Predictable but unpreventable vs Potentially preventable
- Potentially preventablen = 235
- Outcome
- Consensus determination of in-hospital cardiac arrest (IHCA) predictability and preventability
Methodological detailssingle-centre, consensus-based structured debriefing
- Single-centre
- Consensus-based structured debriefing
Main finding
As reported in the abstract
Predictability and preventability of IHCA
Potentially preventable
42%
235
- Deemed predictable by consensus
- 339 (61%)
Observational data: associations, not effects.
Further findings
Survival to discharge
| Outcome | P value |
|---|---|
| Arrests on nights and weekends70% vs 55% | P = 0.002 |
| Respiratory (vs cardiac) etiology33% vs 15% | P < 0.001 |
- Survival to discharge: p = 0.007
ROSC
- Similar rates of ROSC across groups
- 67-70%
Original publication
A novel structured debriefing program for consensus determinations of in-hospital cardiac arrest predictability and preventability. Resuscitation. Published 28 February 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →