Incidence and outcome of in-hospital cardiac arrest in Italy: a multicentre observational study in the Piedmont Region

Giulio Radeschi, Andrea Mina, Giacomo Berta, Andrea Fassiola, Agostino Roasio, Felice Urso, Roberto Penso, Ugo Zummo, Paola Berchialla, Giuseppe Ristagno, Claudio Sandroni, on behalf of the Piedmont IHCA Registry Initiative

Research output: Contribution to journalArticle

Abstract

Aims to report the incidence, characteristics, and outcome of in-hospital cardiac arrest (IHCA) in a large Italian region. Setting all hospitals participating in the IHCA Registry Initiative of Piedmont. Methods observational cohort study in adult (>18 year old) inpatients resuscitated from IHCA during three consecutive years (2012–2014). The main outcome measures were IHCA incidence and survival to hospital discharge. Results A total of1539 arrests in adult inpatients were recorded in the study period, yielding an overall incidence of 1.51 arrests/1000 admissions. The incidence was highest at day 1 after hospital admission and in the morning hours, with a peak at 9.00 a.m. Median age was 77 (interquartile range 68–83) years. The presenting rhythm was ventricular fibrillation/pulseless ventricular tachycardia in 291/1539 (18.9%) cases. A total of 549/1539 (35.7%) patients achieved recovery of spontaneous circulation (ROSC) and 228/1539(14.8%) survived hospital discharge, with 207 (90.8%) of the latter having good neurological outcome (Cerebral Performance Categories [CPC] 1 or 2).After adjustment for major confounders, a pre-arrest CPC = 1, a cardiac cause of arrest, a shockable presenting rhythm, and a shorter duration of resuscitation were independently associated with a higher likelihood of survival to discharge. Conclusions in this Italian registry the incidence of IHCA and its circadian distribution were comparable to those in the NCAA registry in the UK. Patients were older and had a lower ROSC rate than these observed in other large IHCA registries, but post-ROSC survival rate and factors affecting survival to discharge were similar.

Original languageEnglish
Pages (from-to)48-55
Number of pages8
JournalResuscitation
Volume119
DOIs
Publication statusPublished - Oct 1 2017

Keywords

  • Cardiopulmonary resuscitation
  • Epidemiology
  • In-hospital cardiac arrest
  • Outcome

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine

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