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Characteristics and outcome among patients with a suspected in hospital cardiac arrest
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. [external].
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. [external].
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1998 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 39, no 1-2, 23-31 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To describe the characteristics and outcome among patients with a suspected in-hospital cardiac arrest. METHODS: All the patients who suffered from a suspected in-hospital cardiac arrest during a 14-months period, where the cardiopulmonary resuscitation (CPR) team was called, were recorded and described prospectively in terms of characteristics and outcome. RESULTS: There were 278 calls for the CPR team. Of these, 216 suffered a true cardiac arrest, 16 a respiratory arrest and 46 neither. The percentage of patients who were discharged alive from hospital was 42% for cardiac arrest patients, 62% for respiratory arrest and 87% for the remaining patients. Among patients with a cardiac arrest, those found in ventricular fibrillation/ventricular tachycardia had a survival rate of 64%, those found in asystole 24% and those found in pulseless electrical activity 10%. Among patients who were being monitored at the time of arrest, the survival rate was 52%, as compared with 27% for non-monitored patients (P= 0.001). Among survivors of cardiac arrest, a cerebral performance category (CPC) of 1 (no major deficit) was observed in 81% at discharge and in 82% on admission to hospital prior to the arrest. CONCLUSION: We conclude that, during a 14-month period at Sahlgrenska University Hospital in Göteborg, almost half the patients with a cardiac arrest in which the CPR team was called were discharged from hospital. Among survivors, 81% had a CPC score of 1 at hospital discharge. Survival seems to be closely related to the relative effectiveness of the resuscitation organisation in different parts of the hospital.

Place, publisher, year, edition, pages
Elsevier Ireland Ltd , 1998. Vol. 39, no 1-2, 23-31 p.
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Medical and Health Sciences
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URN: urn:nbn:se:hb:diva-7881Local ID: 2320/8812OAI: oai:DiVA.org:hb-7881DiVA: diva2:888763
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-02-09Bibliographically approved

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CiteExportLink to record
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