Cardiac arrest & resuscitation
Perioperative cardiac arrest requiring admission to intensive care units in Japan: epidemiological differences between emergency and elective surgery from a multicentre cohort study
Authors' conclusion
This nationwide study reveals significant differences in the incidence, surgical procedures, aetiologies, and clinical outcomes of perioperative cardiac arrest between emergency and elective surgery.
Study context
- Population
- Patients from the operating theatre with cardiac arrest before ICU admission, Japan, April 2015–March 2023
- Participants
- 214,303 surgical ICU admissions
- Exposure
- Emergency vs elective surgery
- Emergencyn = 32,408
- Electiven = 181,895reference
- Outcome
- Incidence of perioperative cardiac arrest
Methodological detailsmulticentre, nationwide ICU registry (JIPAD)
- Multicentre
- Nationwide ICU registry (JIPAD)
Main finding
As reported in the abstract
Perioperative cardiac arrest incidence
- Overall incidence
- 874/214 303 (0.41%)
Observational data: associations, not effects.
Further findings
In-hospital mortality · significantly higher in emergency surgeries
Transfer to other healthcare facilities · significantly higher in emergency surgeries
Most frequent surgical procedure
- Emergency: acute aortic dissection repair
- n=90, 16.0%
- Elective: gastrointestinal neoplasm resection
- n=39, 12.5%
Leading aetiology
- Emergency: acute aortic syndrome
- n=176, 31.3%
- Elective: valvular heart disease
- n=48, 15.4%
- Elective: acute coronary syndrome
- n=42, 13.5%
Original publication
Perioperative cardiac arrest requiring admission to intensive care units in Japan: epidemiological differences between emergency and elective surgery from a multicentre cohort study. Br J Anaesth. Published 25 July 2025. doi:10.
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