Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, South Korea.
Medicine (Baltimore). 2022 Sep 9;101(36):e30445. doi: 10.1097/MD.0000000000030445.
We aimed to examine the clinical trends of in-hospital cardiopulmonary resuscitation (ICPR) and factors associated with live discharge following ICPR. As a national population-based cohort study, data were extracted from the South Korean National Inpatient Database. This study included 8992 pediatric patients under 18 years of age who underwent ICPR due to in-hospital cardiac arrest during hospitalization in South Korea between 2010 and 2019 (10 years). The annual prevalence, survival, duration of hospitalization, and total cost of hospitalization at ICPR were examined as clinical trends. In 2010, 7.94 per 100,000 pediatric patients received ICPR; the prevalence increased to 11.51 per 100,000 pediatric patients in 2019. The 10-year survival rates were similar, and the in-hospital, 6-month, and 1-year survival rates over 10 years were 44.0%, 34.0%, and 32.4%, respectively. The mean length of hospital stay at ICPR in 2010 was 20.7 (95% confidence interval [CI]: 19.3-22.2) days; this decreased to 16.6 (95% CI: 15.2-18.0) days in 2019. The mean total cost at ICPR was 11,081.1 (95% CI: 10,216.2-11,946.1) United States Dollars (USD) in 2010; this increased to 22,629.4 (95% CI: 20,588.3-24,670.5) USD in 2019. The prevalence of ICPR increased among pediatric patients in South Korea between 2010 and 2019; however, the survival rates were similar for the 10 years. The length of hospital stay at ICPR gradually decreased from 2010 through 2019, while the total cost of hospitalization at ICPR has gradually increased between 2010 and 2019.
我们旨在研究院内心肺复苏术（ICPR）的临床趋势，以及与 ICPR 后存活出院相关的因素。本研究为一项全国性基于人群的队列研究，数据来自韩国国家住院患者数据库。该研究纳入了 2010 年至 2019 年期间（10 年）在韩国因院内心脏骤停而在住院期间接受 ICPR 的 8992 名 18 岁以下儿科患者。检查了 ICPR 的临床趋势，包括每年的患病率、存活率、住院时间和住院总费用。2010 年，每 10 万名儿科患者中有 7.94 人接受了 ICPR；到 2019 年，这一比例增加到每 10 万名儿科患者中有 11.51 人。10 年来的 10 年生存率相似，10 年来的院内、6 个月和 1 年生存率分别为 44.0%、34.0%和 32.4%。2010 年 ICPR 的平均住院时间为 20.7 天（95%置信区间[CI]：19.3-22.2）；到 2019 年，这一数字降至 16.6 天（95% CI：15.2-18.0）。2010 年 ICPR 的平均总费用为 11081.1 美元（95% CI：10216.2-11946.1）；到 2019 年，这一数字增加到 22629.4 美元（95% CI：20588.3-24670.5）。2010 年至 2019 年期间，韩国儿科患者的 ICPR 患病率有所增加；然而，10 年来的生存率相似。2010 年至 2019 年期间，ICPR 的住院时间逐渐减少，而 ICPR 的住院总费用在 2010 年至 2019 年期间逐渐增加。
