Cardiac arrest & resuscitation
Peri‐operative cardiac arrest: management and outcomes of patients analysed in the 7th National Audit Project of the Royal College of Anaesthetists
Authors' conclusion
These results describe the management and outcomes of peri-operative cardiac arrest in UK practice for the first time.
Study context
- Population
- Patients with peri-operative cardiac arrest in the UK, 16 June 2021 to 15 June 2022
- Participants
- 881 cases
- Outcome
- Survival after peri-operative cardiac arrest
Methodological details12-month registry phase, national (UK)
- 12-month registry phase
- National (UK)
Main finding
As reported in the abstract
Initial rhythm non-shockable
723
82%
Survived initial event
665
75%
Survived to hospital discharge
384
52%
Favourable functional outcome (modified Rankin Scale) among survivors
249
88%
Observational data: associations, not effects.
Further findings
Survival by arrest rhythm
- Bradycardic arrest: survived initial event
- 111 (86%)
- Bradycardic arrest: survived hospital episode
- 77 (60%)
- Pulseless electrical activity: survived initial episode
- 312 (68%)
- Pulseless electrical activity: survived to hospital discharge
- 156 (34%)
Survival to hospital discharge by age
- Aged > 75 y
- 76 (40%)
- Neonates
- 9 (45%)
Survival to hospital discharge by surgical priority
- Elective
- 175 (88%)
- Non-elective
- 176 (37%)
Survival by cause of cardiac arrest
- Initial survival, PE
- 5, 31%
- Initial survival, bone cement implantation syndrome
- 9, 45%
- Hospital survival, PE
- 0
- Hospital survival, septic shock
- 13, 24%
- Hospital survival, significant hyperkalaemia
- 1, 20%
Quality of care
- Overall care rated good
- 464 (53%)
- Overall care rated poor
- 18 (2%)
- Poor care elements present in further cases
- 245 (28%)
- Care before arrest rated poor
- 92, 11%
- Elements of poor care before arrest in further cases
- 186 (21%)
Original publication
Peri‐operative cardiac arrest: management and outcomes of patients analysed in the 7th National Audit Project of the Royal College of Anaesthetists. Anaesthesia. Published 16 November 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →