• Journal of critical care · Dec 2018

    One-year mortality of patients admitted to the intensive care unit after in-hospital cardiac arrest: a retrospective study.

    • Marc Schluep, Saskia Rijkenberg, Robert Jan Stolker, Sanne Hoeks, and Henrik Endeman.
    • Department of Intensive Care Medicine, OLVG, Amsterdam, the Netherlands; Department of Anesthesiology, Erasmus University Medical Centre, Rotterdam, Netherlands. Electronic address: m.schluep@erasmusmc.nl.
    • J Crit Care. 2018 Dec 1; 48: 345-351.

    PurposeLittle is known about long-term survival after In-Hospital Cardiac Arrest (IHCA). The purpose of this study is to report the one-year survival of patients after IHCA and to identify predicting factors.MethodsSingle-center retrospective study of all adult in-hospital CPR attempts conducted between 2003 and 2014 in a tertiary teaching hospital. Demographic and clinical variables of patients were obtained at 24 h pre-arrest, during CPR and post-CPR. All patients were tracked one year after discharge from hospital.ResultsCPR was performed for IHCA on 417 patients. Return of spontaneous circulation (ROSC) was achieved in 283 (68%) patients, 234 were admitted to ICU. Overall, 95 (23%) patients survived one year after discharge, The survival rate of patients who were admitted to ICU after IHCA was 38% (89/234) at hospital discharge and 26% (61/234) at one year. Univariate analysis showed numerous variables are associated with one-year survival, for example comorbidity index and time to ROSC.DiscussionOne-year survival of patients admitted to the ICU after IHCA was 26%. Severity of disease pre-arrest and at ICU-admission could prove useful in prognostication. No multivariate model could be constructed and large prospective studies are needed to elicit the role of pre-arrest factors on survival.Copyright © 2018 Elsevier Inc. All rights reserved.

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