Cardiac arrest & resuscitation
Long-term survival comparison of patients admitted to the intensive care unit following in-hospital cardiac arrest in perioperative and ward settings. A multicentre retrospective cohort study
Authors' conclusion
Patients admitted to the ICU following Perioperative IHCA had longer survival than Ward IHCA.
Study context
- Population
- Adult intensive care unit (ICU) admissions from theatre/recovery or wards with a diagnosis of cardiac arrest, 175 ICUs, January 2018–March 2022
- Participants
- 5,659 admissions · 175 ICUs
- Exposure
- Perioperative IHCA vs Ward IHCA
- Outcome
- Survival time
- Follow-up
- Up to 4 years
Methodological detailsmulticentre, ANZICS adult patient database, Cox proportional hazards model, adjusted
- Multicentre
- ANZICS adult patient database
- Cox proportional hazards model, adjusted
Main finding
Survival up to 4 years
AHR, event not stated in abstract
0.63
95% CI 0.57–0.69
P < 0.001
By group
Perioperative IHCA vs Ward IHCA
aHR, event not stated in abstract 0.63 (95% CI 0.57–0.69); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Further findings
Subgroups (age ≥ 65 years, intubation within 24 h, elective vs emergency admission, survival on discharge)
- Concordant across all subgroups
- Older patients with Perioperative IHCA survived longer than both younger and older patients with Ward IHCA
Original publication
Long-term survival comparison of patients admitted to the intensive care unit following in-hospital cardiac arrest in perioperative and ward settings. A multicentre retrospective cohort study. Intensive Care Med. Published 8 August 2024. doi:10. 1007/ s00134-024-07570-w
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