Cardiac arrest & resuscitation
Rapid response team activation prior to in-hospital cardiac arrest: Areas for improvements based on a national cohort study
Main finding · 30-day survivalResult — go to the resultOdds ratio 0.92 95% CI 0.90–0.94Authors' conclusion
IHCA preceded by RRT review is associated with a lower 30-day survival rate and a greater likelihood of a respiratory cause of cardiac arrest.
Study context
- Population
- In-hospital cardiac arrest patients, Swedish Registry of Cardiopulmonary Resuscitation, 2014–2021
- Participants
- 12,915 patients
- Exposure
- RRT review within 24 hours before in-hospital cardiac arrest (IHCA) vs no RRT review
- RRT-reviewedn = 2,058
- Outcome
- 30-day survival
- Follow-up
- 30 days
Methodological detailsregistry-based, propensity score based analysis
- Registry-based
- Propensity score based analysis
Main finding
As reported in the abstract
Odds ratio
0.92
95% CI 0.90–0.94
P < 0.001
By group
RRT-reviewed vs Not RRT-reviewed
OR 0.92 (95% CI 0.90–0.94); P < 0.001
Observational data: associations, not effects.
Further findings
Respiratory cause of IHCA
- RRT-reviewed vs not RRT-reviewed: more likely respiratory cause of IHCA
- 22% vs 15%, p < 0.001
RRT trigger and timing (explorative subgroup of general ward RRT-reviewed patients, n = 82)
- RRT reviews delayed
- 24%
- Respiratory distress was the most common RRT trigger
- Explorative, hypothesis-generating
30-day survival by transfer to higher level of care (explorative subgroup, n = 82)
- Transfer to a higher level of care vs no transfer: higher 30-day survival
- 20% vs 2%, p < 0.001
- Explorative, hypothesis-generating
Original publication
Rapid response team activation prior to in-hospital cardiac arrest: Areas for improvements based on a national cohort study. Resuscitation. Published 22 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →