Cardiac arrest & resuscitation
The association between time of in hospital cardiac arrest and mortality; a retrospective analysis of two UK databases
Authors' conclusion
We observed higher rates of IHCA, and poorer outcomes at night. However, in those admitted to ICU, this variation was absent.
Study context
- Population
- Patients with in-hospital cardiac arrest in the UK National Cardiac Arrest Audit, 1st April 2011 to 31st December 201913,858 with linked ICU admissions
- Participants
- 115,690 patients
- Exposure
- Hour of day of IHCA
- Outcome
- Incidence of IHCA, presenting rhythm and outcome by hour of IHCA
Methodological detailslinked analysis of two UK databases (National Cardiac Arrest Audit (NCAA) and intensive care Case Mix Programme)
- Linked analysis of two UK databases (NCAA and intensive care Case Mix Programme)
Main finding
As reported in the abstract
Incidence and outcome of IHCA by hour of day
Overall hospital survival, NCAA cohort
21.3%
PEA commonest presenting rhythm
54.8%
Died in immediate post-resuscitation period
66,885
Observational data: associations, not effects.
Further findings
Hospital survival in patients admitted to ICU after IHCA (subgroup)
- Survived to hospital discharge
- 37.0%
- No clear diurnal variation in hospital survival in unadjusted or adjusted analysis; consistent across all presenting rhythms
Original publication
The association between time of in hospital cardiac arrest and mortality; a retrospective analysis of two UK databases. Resuscitation. Published 25 February 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →