Author + information
- P. Cokkinos,
- E. Papadopoulou,
- A. Gkouziouta,
- K. Farsalinos,
- A. Tasouli and
- V. Voudris
To assess survival from inpatient cardiac arrest at our Institution.
We recorded arrests over 60 months using the Utstein format for cardiac and surgical inpatients (pts). Telemetry monitoring recorded the arrest rhythm. Our Cardiac Arrest Teams (CAT) are trained in Advanced Life Support. Biphasic defibrillators are on every floor.
Of 107,895 admissions, we recorded 198 arrests (55 women, age 69.9 ± 13.9 years): 86 (43%) Cardiology and 112 (57%) Surgery. Of those, 121 presented with Asystole, 75 with VF or pulseless VT, and 2 in PEA. Adrenaline was administered to 43% of VF/VT and 83% of asystole cases. In total, 149 pts (75%) survived the initial resuscitation attempt (IRA) and 85 (43%) survived to discharge (34% Cardiology and 50% Surgery). We intubated 144 pts: 74% survived IRA and 35% to discharge. Survival from IRA and to discharge was 66% and 26% for asystole and 87% and 66% for VF/VT. Both PEA pts survived to discharge.
Survival from inpatient arrest to discharge in our institution was 43%. Telemetry, defibrillator availability, and trained CAT contributed to successful resuscitation.