Cardiac arrest & resuscitation

Longitudinal analysis of in-hospital cardiac arrest: trends in the incidence, mortality, and long-term survival of a nationwide cohort

Crit CarePublished Retrospective cohort study

Authors' conclusion

Our study data revealed significant declines in the IHCA incidence and in-hospital mortality in Taiwan, along with improved long-term survival among survivors, particularly among specific subgroups.

Study context

Population
Adults with in-hospital cardiac arrest (IHCA), Taiwan, 2003–2020
Outcome
Temporal trend in IHCA incidence, in-hospital mortality and median survival after discharge
Methodological detailsnationwide, Taiwan National Health Insurance Research Database
  • Nationwide
  • Taiwan National Health Insurance Research Database

Main finding

As reported in the abstract

Temporal trends 2003–2020

Reduction in in-hospital mortality rate

14%

Average in-hospital mortality

86.5%

Overall long-term survival rate for discharged survivors

63.9%

Increase in median survival of discharged survivors, from 1.56 years in 2003 to 3.51 years in 2015

125%

Observational data: associations, not effects.

Further findings

Subgroups (subgroup)

Favourable in-hospital survival and extended life expectancy in shockable rhythms, cardiac primary diagnosis, women and younger patients

Original publication

Longitudinal analysis of in-hospital cardiac arrest: trends in the incidence, mortality, and long-term survival of a nationwide cohort. Crit Care. Published 23 January 2025. doi:10.1186/s13054-025-05274-1

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