Cardiac arrest & resuscitation
Impact of the Life-Sustaining Treatment Decision Act on the Incidence and Outcomes of In-Hospital Cardiopulmonary Resuscitation
Main finding · In-hospital mortality; annual ASIR of IHCAResult — go to the resultAdjusted odds ratio 0.90 95% CI 0.88–0.92Authors' conclusion
The enactment of the LSTDA was associated with a significant improvement in survival outcomes and a deceleration in the rising incidence of IHCA.
Study context
- Population
- Adults (≥ 18 yr) undergoing in-hospital CPR, South Korea, 2013–2023 (implementation year 2018 excluded)
- Participants
- 380,488 adults
- Exposure
- Post-LSTDA vs pre-LSTDA period
- post-LSTDAn = 233,103
- pre-LSTDAn = 147,385reference
- Outcome
- Annual age-standardized incidence rate (ASIR) of IHCA and in-hospital mortality
Methodological detailsnationwide administrative database, pre-post comparison, segmented linear regression
- Nationwide administrative database
- Pre-post comparison
- Segmented linear regression
Main finding
In-hospital mortality; annual ASIR of IHCA
Adjusted odds ratio
0.90
95% CI 0.88–0.92
P < 0.001
Post-LSTDA vs Pre-LSTDA
aOR 0.90 (95% CI 0.88–0.92); P < 0.001
As reported in the abstract
- Age-standardized incidence rate (ASIR) of in-hospital cardiac arrest (IHCA) before the Life-Sustaining Treatment Decision Act (LSTDA): significant increase, cases per 100,000 population per year
- 6.5 (95% CI, 1.6-11.4; p < 0.001; segmented linear regression)
- ASIR of IHCA after implementation: upward trend decelerated, slope change
- −5.4 (95% CI, −12.8 to 1.5; p = 0.177)
Observational data: associations, not effects.
Original publication
Impact of the Life-Sustaining Treatment Decision Act on the Incidence and Outcomes of In-Hospital Cardiopulmonary Resuscitation. Crit Care Med. Published 31 March 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →