Trends of in-hospital cardiac arrests in a single tertiary hospital with a mature rapid response system

Most studies on rapid response system (RRS) have simply focused on its role and effectiveness in reducing in-hospital cardiac arrests (IHCAs) or hospital mortality, regardless of the predictability of IHCA. This study aimed to identify the characteristics of IHCAs including predictability of the IHC...

Full description

Saved in:
Bibliographic Details
Published in:PloS one 2022-01, Vol.17 (1), p.e0262541-e0262541
Main Authors: Jung, Hohyung, Ko, Ryoung-Eun, Ko, Myeong Gyun, Jeon, Kyeongman
Format: Article
Language:English
Subjects:
Aged
Automation
Biology and Life Sciences
Cardiac arrest
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - adverse effects
Care and treatment
CPR
Critical care
Decision making
Female
Heart
Heart Arrest - epidemiology
Heart Arrest - mortality
Hospital Mortality - trends
Hospital patients
Hospital Rapid Response Team - statistics & numerical data
Hospital Rapid Response Team - trends
Hospitalization
Humans
Illnesses
Incidence
Intensive care
Male
Medical records
Medicine
Medicine and Health Sciences
Middle Aged
Mortality
Palliative care
Patient outcomes
Patients
People and Places
Physicians
Physiology
Regression analysis
Regression models
Resuscitation
South Korea
Tertiary
Tertiary Care Centers - trends
Vital signs
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Most studies on rapid response system (RRS) have simply focused on its role and effectiveness in reducing in-hospital cardiac arrests (IHCAs) or hospital mortality, regardless of the predictability of IHCA. This study aimed to identify the characteristics of IHCAs including predictability of the IHCAs as our RRS matures for 10 years, to determine the best measure for RRS evaluation. Data on all consecutive adult patients who experienced IHCA and received cardiopulmonary resuscitation in general wards between January 2010 and December 2019 were reviewed. IHCAs were classified into three groups: preventable IHCA (P-IHCA), non-preventable IHCA (NP-IHCA), and inevitable IHCA (I-IHCA). The annual changes of three groups of IHCAs were analyzed with Poisson regression models. Of a total of 800 IHCA patients, 149 (18.6%) had P-IHCA, 465 (58.1%) had NP-IHCA, and 186 (23.2%) had I-IHCA. The number of the RRS activations increased significantly from 1,164 in 2010 to 1,560 in 2019 (P = 0.009), and in-hospital mortality rate was significantly decreased from 9.20/1,000 patients in 2010 to 7.23/1000 patients in 2019 (P = 0.009). The trend for the overall IHCA rate was stable, from 0.77/1,000 patients in 2010 to 1.06/1,000 patients in 2019 (P = 0.929). However, while the incidence of NP-IHCA (P = 0.927) and I-IHCA (P = 0.421) was relatively unchanged over time, the incidence of P-IHCA decreased from 0.19/1,000 patients in 2010 to 0.12/1,000 patients in 2019 (P = 0.025). The incidence of P-IHCA could be a quality metric to measure the clinical outcomes of RRS implementation and maturation than overall IHCAs.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0262541