Characteristics and outcome among patients suffering in-hospital cardiac arrest in monitored and non-monitored areas.

摘要: Aim: To describe the characteristics and outcome among patients suffering in-hospital cardiac arrest in relation to whether took place a ward with monitoring facilities. Methods: All who suffered an during 4-year period Sahlgrenska Hospital, Goteborg, Sweden whom resuscitative efforts were attempted, prospectively recorded described terms of outcome. Results: Among 557 patients, 292 (53%) had wards Those monitored location more frequently confirmed or possible acute myocardial infarction (AMI) as judged be cause (P<0.0001), was witnessed (96 vs. 79%; P<0.0001). Ventricular fibrillation/tachycardia observed often initial arrhythmia (56 44%; P=0.006). The median interval between collapse first defibrillation 1 min 5 non-monitored (P<0.0001). 43.2% discharged alive compared 31.1% (P=0.004). Cerebral performance category (CPC-score) at discharge somewhat better survivors wards. Conclusion: In Swedish University Hospital 47% arrests which resuscitation attempted without These differed markedly from those having facilities characteristics, A shortening these might increase survival even further.