Characteristics and outcomes of maternal cardiac arrest: A descriptive analysis of Get with the guidelines data

Resuscitation
Carolyn M ZelopAmerican Heart Association’s Get With the Guidelines-Resuscitation Investigators

Abstract

Maternal mortality has risen in the United States in the twenty-first century, yet large cohort data of maternal cardiac arrest (MCA) are limited. We sought to describe contemporary characteristics and outcomes of in-hospital MCA. We queried the American Heart Association's Get with the Guidelines Resuscitation voluntary registry from 2000 to 2016 to identify cases of maternal cardiac arrest. All index cardiac arrests occurring in women aged 18-50 with a patient illness category designated as obstetric or location of arrest occurring in a delivery suite were included. Institutional review deemed that this research was exempt from ethical approval. A total of 462 index events met criteria for MCA, with a mean age of 31 ± 7 years and a racial distribution of: 49.4% White, 35.3% Black and 15.3% Other/Unknown. While 32% had no pre-existing conditions or physiologic disorders, respiratory insufficiency (36.1%) and hypotension/hypoperfusion (33.3%) were the most common antecedent conditions. In most cases, the first documented pulseless rhythm was non-shockable; pulseless electrical activity (50.8%) or asystole (25.6%). Only 11.7% presented with a shockable rhythm; ventricular fibrillation (6.5%) or pulseless ventricular tachycardia ...Continue Reading

Citations

May 3, 2019·Current Opinion in Anaesthesiology·Yigal Helviz, Sharon Einav
Mar 10, 2020·Anesthesia and Analgesia·Carolyn F Weiniger
May 19, 2021·Resuscitation·Carolyn M ZelopUNKNOWN American Heart Association’s Get With The Guidelines®-Resuscitation Investigators
Aug 30, 2021·Lancet·Jasmeet SoarMichael J A Parr
Oct 25, 2021·American Journal of Obstetrics and Gynecology·Merrill ThomasUNKNOWN American Heart Association’s Get With The Guidelines-Resuscitation Investigators

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