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Updated: Aug 2, 2025
07:02
Utilizing the Modified T-Maze to Assess Functional Memory Outcomes After Cardiac Arrest
Published on: January 5, 2018
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In-hospital cardiac arrest
1Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Current Opinion in Critical Care
|April 20, 2023
Summary
In-hospital cardiac arrest (IHCA) survival trends have stalled since the COVID-19 pandemic. Addressing care disparities and implementing system-wide strategies are crucial for improving IHCA outcomes globally.
Area of Science:
- Cardiology
- Critical Care Medicine
- Public Health
Background:
- In-hospital cardiac arrest (IHCA) remains a significant global health challenge.
- While survival rates in high-income settings approach 25%, substantial opportunities exist for improvement.
- Recent trends indicate a potential stall or reversal in IHCA outcome improvements post-COVID-19 pandemic.
Approach:
- Review of current knowledge and recent developments in IHCA management.
- Analysis of factors influencing IHCA incidence and outcomes.
- Exploration of strategies to enhance patient survival and care quality.
Key Points:
- Disparities in IHCA care based on sex, ethnicity, and socioeconomic status require urgent attention.
- The implementation of emergency treatment plans, including do-not attempt cardiopulmonary resuscitation (DNACPR) orders, can reduce resuscitation attempts.
- System-level approaches and dedicated leadership, such as resuscitation champions, are vital for improving patient outcomes.
Conclusions:
- Improving IHCA outcomes necessitates tackling existing care disparities.
- Strategic interventions, including advanced treatment planning and robust system support, are key to enhancing survival rates.
- Continued research and implementation science are needed to optimize IHCA care globally.
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