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Normothermic Cardiac Arrest and Cardiopulmonary Resuscitation: A Mouse Model of Ischemia-Reperfusion Injury
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Normothermic Cardiac Arrest and Cardiopulmonary Resuscitation: A Mouse Model of Ischemia-Reperfusion Injury

Published on: August 30, 2011

In-hospital Cardiac Arrest at Cork University Hospital

E O'Sullivan, C Deasy

    Irish Medical Journal
    |February 25, 2016
    PubMed

    Insights

    In-hospital cardiac arrest (IHCA) survival was 27% at Cork University Hospital in 2011. Survival was lower on wards, but survivors had excellent neurological outcomes.

    Area of Science:

    • Cardiology
    • Critical Care Medicine
    • Hospital Quality Improvement

    Background:

    • In-hospital cardiac arrest (IHCA) remains a critical event impacting patient outcomes.
    • Understanding IHCA incidence and survival is crucial for improving hospital care.
    • Cork University Hospital (CUH) data from 2011 provides a pre-National Early Warning Score (NEWS) implementation baseline.

    Purpose of the Study:

    • To determine the incidence and outcomes of IHCA at CUH in 2011.
    • To identify factors influencing IHCA survival within the hospital setting.
    • To establish a benchmark for future quality improvement initiatives.

    Main Methods:

    • Retrospective analysis of adult admissions (>/= 18 years) at CUH in 2011.
    • Utilized the Hospital In-Patient Enquiry Database to identify IHCA cases.
    • Collected Utstein variables for 63 identified IHCA patients, excluding 52 incorrectly coded cases.

    Main Results:

    • Overall IHCA survival to discharge was 27.0% (17 of 63 patients).
    • Survival rates were significantly higher for IHCA with a shockable rhythm.
    • IHCA survival was significantly lower on hospital wards compared to other locations.
    • Survivors demonstrated excellent neurological outcomes, with good one-year survival.

    Conclusions:

    • IHCA outcomes at CUH in 2011 were poorest on hospital wards.
    • Prompt identification and intervention are critical for improving IHCA survival.
    • The study highlights the need for standardized early warning systems to enhance patient care.

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