Cardiac arrest & resuscitation
Compliance with cardiopulmonary resuscitation guidelines in witnessed in-hospital cardiac arrest events and patient outcome on monitored versus non-monitored wards
Authors' conclusion
Compliance with initial CPR guidelines was higher in witnessed IHCA events on monitored wards than on non-monitored wards
Study context
- Population
- Adults with witnessed in-hospital cardiac arrest at six hospitals, 2018–2019
- Participants
- 956 witnessed in-hospital cardiac arrest (IHCA) events
- Exposure
- Monitored vs non-monitored wards
- Outcome
- Compliance with initial cardiopulmonary resuscitation (CPR) guidelines (≤1 min collapse to rapid response team alert, ≤1 min to start of CPR, ≤3 min to defibrillation of shockable rhythm) and patient outcome, by place of arrest
Methodological detailsmulticentre (6 hospitals), Swedish Registry of Cardiopulmonary Resuscitation
- Multicentre (6 hospitals)
- Swedish Registry of Cardiopulmonary Resuscitation
Main finding
As reported in the abstract
Compliance with initial CPR guidelines
- Odds of compliance higher on monitored vs non-monitored wards, even after adjustment for staffing and resource factors
Observational data: associations, not effects.
Further findings
Sustained ROSC, 30-day survival, neurological status at discharge
- Place of arrest not a significant factor after adjustment for clinically relevant confounders
Compliance with guidelines and outcome
- Compliance remained a significant factor for 30-day survival and favourable neurological outcome at discharge regardless of other confounders
Original publication
Compliance with cardiopulmonary resuscitation guidelines in witnessed in-hospital cardiac arrest events and patient outcome on monitored versus non-monitored wards. Resuscitation. Published 24 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →