Unexpected cardiac arrests occurring inside the ICU: outcomes of a French prospective multicenter study.

Intensive Care Medicine
Maxime LeloupACIR study group

Abstract

Cardiac arrest may occur unexpectedly in intensive care units (ICU). We hypothesize that certain patient characteristics and treatments are associated with survival and long-term functional outcome following in-ICU cardiac arrest. Over a 12-month period, cardiac arrests with resuscitation attempts were prospectively investigated in 45 French ICUs. Survivors were followed for 6 months. In total, 677 (2.16%) of 31,399 admitted patients had at least one in-ICU cardiac arrest with resuscitation attempt, 42% of which occurred on the day of admission. In 79% cases, one or more condition(s) likely to promote the occurrence of cardiac arrest was/were identified, including hypoxia (179 patients), metabolic disorders (122), hypovolemia (94), and adverse events linked to the life-sustaining devices in place (98). Return of spontaneous circulation was achieved in 478 patients, of whom 163 were discharged alive from ICU and 146 from hospital. Six-month survival with no or moderate functional sequel (118 of 125 patients alive) correlated with a number of organ failures ≤ 2 when cardiac arrest occurred (OR 4.17 [1.92-9.09]), resuscitation time ≤ 5 min (3.32 [2.01-5.47]), shockable rhythm cardiac arrests (2.13 [1.26-3.45]) or related to the li...Continue Reading

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Citations

Feb 10, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Kevin RoedlDominik Jarczak
Jun 2, 2021·Deutsche medizinische Wochenschrift·Kevin Roedl, Stefan Kluge
Sep 15, 2021·The Cochrane Database of Systematic Reviews·Yasushi TsujimotoTomoko Fujii
Nov 5, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·A D KriegE A Hunt

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