Skip to content
Research Article Open access CC BY 4.0

Predictors and Outcome of in-Hospital Cardiac Arrest Patients in Emergency Department Suez Canal University Hospitals

Mohamed Ragab Elnaggar, Ahmed El Sayed Abou Zeid, Ghada Kamal Elhadary, Rasha Mahmoud Ahmed

Cardiology and Angiology: An International Journal · pp. 282–294 · Published 19 Sep 2022

10.9734/ca/2022/v11i4284

Abstract

Background: In-hospital cardiac arrest (IHCA) is defined as cessation of cardiac activity, confirmed by the absence of signs of circulation, in a hospitalized patient who had a pulse at the time of admission. The purpose of the present study was to record the definitive predictors of IHCA, focusing on the relation between cause and outcome as well as the influence of location on survival. Subjects and Methods: This prospective observational study (cross sectional) was carried out in Emergency Department at Suez Canal University Hospital and included 223 patients experiencing IHCA at the Emergency Department (ED). Results: Our study showed return of spontanous circulation (ROSC) rate of 27.4%, which is lower than those reported in other studies from the region. In our study, we found that the overall mean duration for comprehensive cardiopulmonary resuscitation (CPR) was 21 min (SD ± 10).We found that Pulse, RR, BP, Witnessed and advanced life support (ALS) interventions at time of event were significant positive predictors to ROSC with patients while age, modified early warning score (MEWS), Interval between collapse to start CPR and CPR duration were negative predictors to cognitive impairment with diabetic patients. Conclusions: IHCA can be predicted using different variable related to patients vital data, laboratories, radiological investigations and patient demographic data which helps in predicting and modifying the outcome in limited situations.

Cardiac arrest mortality prediction outcome cardio pulmonary resuscitation

References (44)

  1. 1 European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support [DOI]
  2. 2 Thromboembolism is a leading cause of death in cancer patients receiving outpatient chemotherapy [DOI]
  3. 3 Cancer cachexia: understanding the molecular basis [DOI]
  4. 4 Predictors of mortality for patients with COVID-19 pneumonia caused by SARS-CoV-2: a prospective cohort study [DOI]
  5. 5 Trends in Survival after In-Hospital Cardiac Arrest [DOI]
  6. 6 Implementation of a standardised treatment protocol for post resuscitation care after out-of-hospital cardiac arrest [DOI]
  7. 7 Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit [DOI]
  8. 8 Effects of Interrupting Precordial Compressions on the Calculated Probability of Defibrillation Success During Out-of-Hospital Cardiac Arrest [DOI]
  9. 9 Severe acute respiratory syndrome vs. the Middle East respiratory syndrome [DOI]
  10. 10 The National Study on Costs and Outcomes of Trauma [DOI]
  11. 11 How to define severely injured patients?—An Injury Severity Score (ISS) based approach alone is not sufficient [DOI]
  12. 12 Complications and in-hospital mortality in trauma patients treated in intensive care units in the United States, 2013 [DOI]
  13. 13 Aetiology of in-hospital cardiac arrest on general wards [DOI]
  14. 14 Outcome after cardiac arrest in adults in UK hospitals: effect of the 1997 guidelines [DOI]
  15. 15 Cardiac Arrest Resuscitation Evaluation in Los Angeles: CARE-LA [DOI]
  16. 16 Bystander CPR, Ventricular Fibrillation, and Survival in Witnessed, Unmonitored Out-of-Hospital Cardiac Arrest [DOI]
  17. 17 Bystander CPR, ventricular fibrillation, and survival in witnessed, unmonitored out-of-hospital cardiac arrest [DOI]
  18. 18 Quality of Survival After Cardiopulmonary Resuscitation [DOI]
  19. 19 Survival from prehospital cardiac arrest is critically dependent upon response time [DOI]
  20. 20 Predictors of Mortality in Trauma Patients [DOI]
  21. 21 The impact of prehospital transport interval on survival in out-of-hospital cardiac arrest: Implications for regionalization of post-resuscitation care [DOI]
  22. 22 The association of lactate and vasopressor need for mortality prediction in survivors of cardiac arrest.
  23. 23 The effect of transport on quality of cardiopulmonary resuscitation in out-of-hospital cardiac arrest [DOI]
  24. 24 School children training for basic life support. [DOI]
  25. 25 Improving Survival After In-Hospital Cardiac Arrest: The Australian Experience [DOI]
  26. 26 Development and validation of risk models to predict outcomes following in-hospital cardiac arrest attended by a hospital-based resuscitation team [DOI]
  27. 27 Causes and Predictors of Death in Patients With Coronary Heart Disease (from the Heart and Soul Study) [DOI]
  28. 28 Survival after cardiopulmonary resuscitation in an urban Indian hospital.
  29. 29 Outcomes following cardiopulmonary resuscitation in an emergency department of a low- and middle-income country [DOI]
  30. 30 SOPs and the right hospitals to improve outcome after cardiac arrest [DOI]
  31. 31 Early defibrillation and the chain of survival in ‘in-hospital’ adult cardiac arrest; minutes count [DOI]
  32. 32 Monitoring intervention programmes for out-of-hospital cardiac arrest in a mixed urban and rural setting [DOI]
  33. 33 Analysis of Prehospital Care for Cardiac Arrest in an Urban Setting in Japan [DOI]
  34. 34 The need for improving access to emergency care through community involvement in low‐ and middle‐income countries: A case study of cardiac arrest in Hanoi, Vietnam [DOI]
  35. 35 Survival rate and factors associated with 1-month survival of witnessed out-of-hospital cardiac arrest of cardiac origin with ventricular fibrillation and pulseless ventricular tachycardia: The Utstein Osaka project [DOI]
  36. 36 Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital [DOI]
  37. 37 Causes of variation in reported in-hospital CPR survival: a critical review [DOI]
  38. 38 Admission Base Deficit Predicts Transfusion Requirements and Risk of Complications [DOI]
  39. 39 Factors Analysis of Cardiopulmonary Resuscitation Outcomes in the Elderly in Taiwan [DOI]
  40. 40 Outcome and Prognostic Factors of Patients in Out‐Of‐Hospital Cardiac Arrests Presenting with Non‐Shockable Rhythm in Hong Kong [DOI]
  41. 41 National Data of CPR Procedures Performed on Hospitalized Thai Older Population Patients [DOI]
  42. 42 Clinical outcomes of 3-year experience of targeted temperature management in patients with out-of-hospital cardiac arrest at Songklanagarind Hospital in Southern Thailand: an analysis of the MICU-TTM registry [DOI]
  43. 43 Effects of interrupting precordial compressions on the calculated probability of defibrillation success during out-of-hospital cardiac arrest [DOI]
  44. 44 Incidence of Infection-related mortality in cancer patients: Trend and survival analysis. [DOI]

Cited by 1

Adverse Events of the Use of SGLT2 Inhibitors in Patients with Heart Failure: A Systematic Review and Meta-analysis

Mariana Feldner de Britto, Ana Luiza Miranda de Oliveira, Ricardo Simões · Journal of Advances in Medicine and Medical Research · 2024

Article metrics

Real usage data collected on this platform.

63

Page views

0

PDF downloads

37

Outbound clicks

1

Citations

Views over time

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

Traffic sources

Referring site, by host.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.