Functional outcomes following an in-hospital cardiac arrest: A retrospective cohort study |
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| Affiliation: | 1. School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Bendigo, Victoria, Australia;2. Alfred Health, Melbourne, Victoria, Australia;3. Bendigo Health, Bendigo, Victoria, Australia;4. Rural Clinical School, Faculty of Medicine, University of Queensland, Herston, Queensland, Australia;5. Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia;6. St Vincent''s Hospital Melbourne, Melbourne, Victoria, Australia;1. Department of Nursing, Physiotherapy and Medicine, Universidad de Almería, Spain;2. Research Group for Health Center CTS-451, Health Research Center, Universidad de Almería, Spain;1. Intensive Care Unit, Redcliffe Hospital, 4020, Redcliffe, Queensland, Australia;2. Faculty of Medicine, University of Queensland, 4029, Brisbane, Queensland, Australia;3. Intensive Care Units, Caboolture and Prince Charles Hospitals, Queensland, Australia;4. The George Institute for Global Health, Sydney, New South Wales, Australia;5. University of New South Wales, Sydney, New South Wales, Australia;6. Intensive Care Outreach, Caboolture Hospital, Caboolture, Queensland, Australia;7. ANZICS Centre for Outcome and Resource Evaluation, Camberwell, Victoria, Australia;8. Department of Intensive Care, The Alfred Hospital, Prahran, Victoria, Australia;9. The Australian and New Zealand Intensive Care - Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia;10. Intensive Care Unit, St John of God Hospital, Perth, Western Australia, Australia;11. School of Medicine, University of Western Australia, Perth, Western Australia, Australia;1. Istanbul Medeniyet University Goztepe Training and Research Hospital, Department of Paediatrics, Turkey;2. Istanbul Medeniyet University Goztepe Training and Research Hospital, Department of Paediatrics, Pediatric Intensive Care Unit, Istanbul, Turkey |
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| Abstract: | Background/PurposeWhilst much is known about the survival outcomes of patients that suffer an in-hospital cardiac arrest (IHCA) in Australia very little is known about the functional outcomes of survivors. This study aimed to describe the functional outcomes of a cohort of patients that suffered an in-hospital cardiac arrest (IHCA) and survived to hospital discharge in a regional Australian hospital.MethodsThis is a single-centre retrospective observational cohort study conducted in a regional Australian hospital. All adult patients that had an IHCA in the study hospital between 1 Jan 2017 and 31 Dec 2019 and survived to hospital discharge were included in the study. Functional outcomes were reported using the Modified Rankin Scale (mRS), a six-point scale for which increasing scores represent increasing disability. Scores were assigned through a retrospective review of medical notes.ResultsOverall, 102 adult patients had an IHCA during the study period, of whom 50 survived to hospital discharge. The median age of survivors was 68 years, and a third had a shockable initial arrest rhythm. Of survivors, 47 were able to be assigned both mRS scores. At discharge, 81% of patients achieved a favourable functional outcome (mRS 0–3 or equivalent function at discharge equal to admission).ConclusionsMost survivors to hospital discharge following an IHCA have a favourable functional outcome and are discharged home. Although these results are promising, larger studies across multiple hospitals are required to further inform what is known about functional outcomes in Australian IHCA survivors. |
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| Keywords: | Cardiac arrest Functional outcomes Resuscitation Survival |
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