Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Aarhus, Denmark; Department of Intensive Care Medicine, Randers Regional Hospital, Randers, Denmark.
Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
Resuscitation. 2019 Jul;140:31-36. doi: 10.1016/j.resuscitation.2019.04.046. Epub 2019 May 7.
The aim of this study was to describe patient characteristics, event characteristics, and outcomes for patients with in-hospital cardiac arrest in Denmark.
Data was obtained from DANARREST. DANARREST is a nationwide registry that covers all in-hospital cardiac arrests in Denmark with a clinical indication for cardiopulmonary resuscitation (i.e. without a prior "do-not-resuscitate" order).
A total of 4069 adult in-hospital cardiac arrests were registered between January 1st, 2017 and December 31st, 2018. The median age was 74 years (quartiles: 65, 81) and 37% were female. 71% had a non-shockable rhythm and the presumed etiology was primarily non-cardiac (57%). A total of 2180 patients (53.8%) achieved ROSC, with an additional 36 patients (0.9%) receiving extracorporeal cardiopulmonary resuscitation. At 30-days 1124 patients (27.8%) were alive. Of cardiac arrests from 2017, 404 patients (20.0%) survived to 1 year after the cardiac arrest. The incidence of adult in-hospital cardiac arrest in Denmark was estimated at 1.8 per 1000 admissions or 0.6 per 1000 in-patient days.
In-hospital cardiac arrest occurs in at least 2000 patients each year in Denmark with a 30-day survival of approximately 28%. The establishment of a national registry for in-hospital cardiac arrest in Denmark will allow for quality improvement and research projects.
本研究旨在描述丹麦院内心搏骤停患者的患者特征、事件特征和转归。
数据来自 DANARREST。DANARREST 是一个覆盖丹麦所有院内心搏骤停的全国性登记处，其纳入标准为临床需要心肺复苏（即无事先“不复苏”医嘱）。
2017 年 1 月 1 日至 2018 年 12 月 31 日期间共登记了 4069 例成人院内心搏骤停。中位年龄为 74 岁（四分位数间距：65，81），37%为女性。71%为非可除颤节律，推测病因主要为非心源性（57%）。共有 2180 例患者（53.8%）实现了自主循环恢复，另有 36 例患者（0.9%）接受了体外心肺复苏。30 天时，1124 例患者（27.8%）存活。2017 年心搏骤停患者中，有 404 例（20.0%）在心搏骤停后 1 年存活。丹麦成人院内心搏骤停的发病率估计为每 1000 例入院患者中有 1.8 例，每 1000 例住院患者中有 0.6 例。
丹麦每年至少有 2000 例成人院内心搏骤停，30 天生存率约为 28%。丹麦建立院内心搏骤停全国性登记处将有助于质量改进和研究项目。
