Cardiac arrest & resuscitation

The impact of comorbidity burden on cardiac arrest mortality: A population-based cohort study

ResuscitationPublished Population-based cohort study

Authors' conclusion

Comorbidity burden interacted with cardiac arrest to increase mortality beyond that explained by their separate effects.

Study context

Population
Adults hospitalised for cardiac arrest in Denmark, 1996–2021matched cohort
Exposure
Cardiac arrest vs matched general population, by comorbidity burden
Outcome
Mortality by comorbidity burden (none, low, moderate, severe) and biological interaction (interaction contrast)
Follow-up
30 days
Methodological detailsnationwide, 5:1 matched comparison cohort
  • Nationwide
  • 5:1 matched comparison cohort

Main finding

As reported in the abstract

30-day mortality rate per 1,000 person-years, by comorbidity burden

Hazard ratio

1,435

no comorbidity burden

Hazard ratio

504

low comorbidity burden

Interaction contrast

2,145

low comorbidity burden

Mortality rate explained by interaction, low comorbidity burden
11%
Mortality rate explained by interaction, moderate comorbidity burden
20%
Mortality rate explained by interaction, severe comorbidity burden
28%

Observational data: associations, not effects.

Further findings

Mortality rate explained by interaction, 31-365-day follow-up

Low comorbidity burden
28%
Moderate comorbidity burden
38%
Severe comorbidity burden
41%

Interaction by cardiac arrest setting (OHCA and in-hospital)

Interaction effect present for both OHCA and in-hospital cardiac arrest

Original publication

The impact of comorbidity burden on cardiac arrest mortality: A population-based cohort study. Resuscitation. Published 3 August 2024. doi:10.1016/j.resuscitation.2024.110352

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