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Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit
Author(s):
Jerry P. Nolan
,
Jasmeet Soar
,
Gary B. Smith
,
Carl Gwinnutt
,
Francesca Parrott
,
Sarah Power
,
David A. Harrison
,
Edel Nixon
,
Kathryn Rowan
Publication date
Created:
August 2014
Publication date
(Print):
August 2014
Journal:
Resuscitation
Publisher:
Elsevier BV
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PubMed
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Abstract
To report the incidence, characteristics and outcome of adult in-hospital cardiac arrest in the United Kingdom (UK) National Cardiac Arrest Audit database. A prospectively defined analysis of the UK National Cardiac Arrest Audit (NCAA) database. 144 acute hospitals contributed data relating to 22,628 patients aged 16 years or over receiving chest compressions and/or defibrillation and attended by a hospital-based resuscitation team in response to a 2222 call. The main outcome measures were incidence of adult in-hospital cardiac arrest and survival to hospital discharge. The overall incidence of adult in-hospital cardiac arrest was 1.6 per 1000 hospital admissions with a median across hospitals of 1.5 (interquartile range 1.2-2.2). Incidence varied seasonally, peaking in winter. Overall unadjusted survival to hospital discharge was 18.4%. The presenting rhythm was shockable (ventricular fibrillation or pulseless ventricular tachycardia) in 16.9% and non-shockable (asystole or pulseless electrical activity) in 72.3%; rates of survival to hospital discharge associated with these rhythms were 49.0% and 10.5%, respectively, but varied substantially across hospitals. These first results from the NCAA database describing the current incidence and outcome of adult in-hospital cardiac arrest in UK hospitals will serve as a benchmark from which to assess the future impact of changes in service delivery, organisation and treatment for in-hospital cardiac arrest. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
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Special issue: Negotiating the Nation: Young people, national narratives and history education
Author and article information
Journal
Title:
Resuscitation
Abbreviated Title:
Resuscitation
Publisher:
Elsevier BV
ISSN (Print):
03009572
Publication date Created:
August 2014
Publication date (Print):
August 2014
Volume
: 85
Issue
: 8
Pages
: 987-992
Article
DOI:
10.1016/j.resuscitation.2014.04.002
PubMed ID:
24746785
SO-VID:
bd95615b-d55e-4fa4-95ef-da14e3fb8618
Copyright ©
© 2014
License:
https://www.elsevier.com/tdm/userlicense/1.0/
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