• J Herlitz, L Ekström, B Wennerblom, A Axelsson, A Bång, and S Holmberg.
• Division of Cardiology, Sahlgrenska Hospital, Göteborg, Sweden.
• Coron. Artery Dis. 1994 May 1; 5 (5): 407-14.

BackgroundAn increasing proportion of patients who have an out-of-hospital cardiac arrest are initially successfully resuscitated and thus hospitalized.AimsTo define risk indicators for, and to describe the mode of, in-hospital death among patients hospitalized after an out-of-hospital cardiac arrest.SettingGöteborg, Sweden.PatientsAll patients hospitalized after out-of-hospital cardiac arrest between 1980 and 1992.ResultsA total of 707 out of 3434 patients were hospitalized after out-of-hospital cardiac arrest, of whom 278 (39%) were discharged alive. Independent risk indicators for in-hospital death were: type of initial arrhythmia on the scene, age, interval between cardiac arrest and arrival of first ambulance, bystander-initiated cardiopulmonary resuscitation and history of diabetes mellitus. Of the patients who died in hospital, 88% had brain damage and 43% myocardial damage.ConclusionRisk indicators for hospital death can be defined. The majority of in-hospital deaths were associated with brain damage.

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