Cardiac arrest & resuscitation

The effect of blood pressure on mortality following out-of-hospital cardiac arrest: a retrospective cohort study of the United Kingdom Intensive Care National Audit and Research Centre database

Crit CarePublished Retrospective cohort study

An erratum to this article was published (Crit Care, 4 May 2023 ↗)

Authors' conclusion

We found an association between hypotension and hypertension in the first 24 h in ICU and mortality following OHCA.

Study context

Population
Out-of-hospital Cardiac Arrest (OHCA) patients in UK ICUs (ICNARC Case Mix Programme), 1 January 2010 to 31 December 2019included in analysis
Participants
32,349 patients
Exposure
Lowest and highest mean arterial pressure (MAP) and systolic blood pressure (SBP) in first 24 h of ICU care
Outcome
Hospital mortality (aOR for lowest and highest MAP and SBP in first 24 h of ICU care)
Methodological detailsnational registry (ICNARC Case Mix Programme), restricted cubic splines, adjusted
  • National registry (ICNARC Case Mix Programme)
  • Restricted cubic splines
  • Adjusted

Main finding

As reported in the abstract

Hospital mortality

Hospital mortality

56.2%

Lowest recorded MAP associated with lowest mortality (mmHg)

60-63

Highest recorded MAP associated with lowest mortality (mmHg)

95-104

Observational data: associations, not effects.

Original publication

The effect of blood pressure on mortality following out-of-hospital cardiac arrest: a retrospective cohort study of the United Kingdom Intensive Care National Audit and Research Centre database. Crit Care. Published 5 January 2023. doi:10.1186/s13054-022-04289-2

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