Cardiac arrest & resuscitation

Mortality and healthcare resource utilisation after cardiac arrest in the United States – A 10-year nationwide analysis prior to the COVID-19 pandemic

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Over the last ten years prior to the COVID-19 pandemic, CA-related survival has incrementally improved with shorter hospitalisations and increased medical expenses, while strong disparities existed among different age groups and ethnicities.

Study context

Population
Hospitalised adults with cardiac arrest (without DNR orders), United States (US), 2010–201957.5% male
Participants
248,754 adults
Outcome
In-hospital mortality and healthcare resource utilisation
Methodological detailsnationwide, US National Inpatient Sample, adjusted for 47 confounders
  • Nationwide
  • US National Inpatient Sample
  • Adjusted for 47 confounders

Main finding

As reported in the abstract

In-hospital mortality

Overall in-hospital mortality

51.2%

In-hospital mortality 2010 vs 2019

58.3% to 46.4%

P < 0.001

Observational data: associations, not effects.

Further findings

Healthcare resource utilisation · 2010 to 2019

Average hospital LOS decreased
11%
Hospital expenses increased
13%
ECMO use
2.6% to 8.7%
Impella use
1.8% to 14.2%
  • Each P < 0.001 (LOS and expenses)

Young adults with cardiac arrest (CA) and opioid-induced CA

Number almost doubled within study period

Original publication

Mortality and healthcare resource utilisation after cardiac arrest in the United States – A 10-year nationwide analysis prior to the COVID-19 pandemic. Resuscitation. Published 25 August 2023. doi:10.1016/j.resuscitation.2023.109946

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