Clinical Medicine
A retrospective analysis of 2 601 cases of in-hospital cardiac arrest
Hu Niandan, Wei Jie
Published 2023-11-10
Cite as Chin J Emerg Med, 2023, 32(11): 1506-1510. DOI: 10.3760/cma.j.issn.1671-0282.2023.11.014
Abstract
ObjectiveTo study the epidemiological data of 2601 in-hospital cardiac arrest (IHCA) patients in Renmin Hospital of Wuhan University from October 2019 to December 2021, describe the characteristics of IHCA, and discuss the early warning and prevention of IHCA.
MethodsThe patients were divided into cardiopulmonary resuscitation (CPR) group and DNAR group according to resuscitation implementation, and ROSC group and non- ROSC group according to resuscitation results. The characteristics of IHCA were retrospectively analyzed.
ResultsThe male to female ratio of IHCA was 1.9, and the age was (67.05±16.23) years old. Acid-base imbalance/electrolyte disturbance, pulmonary infection, respiratory failure, and hypertension were the top four pre-cardiac arrest conditions, which occured in more than half of patients. The ROSC rate of all IHCA patients undergoing CPR was 24.3%, and the success rate of resuscitation in ICU patients was significantly higher than that in the general ward. The ROSC rate decreased significantly when IHCA occurred between 0 and 7 o 'clock.
ConclusionsIHCA occurs mostly in elderly men. Early identification of risk factors before cardiac arrest is beneficial to early warning of cardiac arrest and improve the treatment rate of IHCA.
Key words:
In-hospital cardiac arres; Cardiopulmonary resuscitation; Retrospective analysis; Early warning; Prevention
Contributor Information
Hu Niandan
Department of Emergency, Renmin Hospital of Wuhan University, Wuhan 430060, China
Wei Jie
Department of Emergency, Renmin Hospital of Wuhan University, Wuhan 430060, China
