Servicio de Anestesiología y Reanimación, Médico Adjunto Servicio de Anestesiología y Reanimación del Hospital Clínico San Carlos, Hospital Universitario de La Princesa, Madrid, Spain.
Servicio de Anestesiología y Reanimación, Médico Adjunto Servicio de Anestesiología y Reanimación del Hospital Universitario de La Princesa, Hospital Universitario de La Princesa, Madrid, Spain.
Rev Esp Anestesiol Reanim (Engl Ed). 2023 Aug-Sep;70(7):373-380. doi: 10.1016/j.redare.2022.06.006. Epub 2023 Mar 20.
In-hospital cardiac arrest (CA) is a clinical entity with high morbidity and mortality that occurs in up to 2% of hospitalized patients. It is a public health problem with important economic, social, and medical repercussions, and as such its incidence needs to be reviewed and improved. The aim of this study was to determine the incidence of in-hospital CA, return of spontaneous circulation (ROSC), and survival rates at Hospital de la Princesa, and to define the clinical and demographic characteristics of patients with in-hospital CA.
Retrospective observational chart review of patients presenting in-hospital CA and treated by anaesthesiologists from the hospital's rapid intervention team. Data were collected over 1 year.
Forty four patients were included in the study, of which 22 (50%) were women. Mean age was 75.7 years (±15.78 years), and incidence of in-hospital CA was 2.88 per 100,000 hospital admissions. Twenty two patients (50%) achieved ROSC and 11 patients (25%) survived until discharge home. The most prevalent comorbidity was arterial hypertension (63.64%); 66.7% of cases were not witnessed, and only 15.9% presented a shockable rhythm.
These results are similar to those reported in other larger studies. We recommend introducing immediate intervention teams and devoting time to training hospital staff in in-hospital CA.
院内心搏骤停（CA）是一种发病率和死亡率都很高的临床实体，高达 2%的住院患者会发生这种情况。这是一个具有重要经济、社会和医疗影响的公共卫生问题，因此需要对其发病率进行审查和改善。本研究的目的是确定在 Hospital de la Princesa 医院发生院内 CA、自主循环恢复（ROSC）和存活率的情况，并确定院内 CA 患者的临床和人口统计学特征。
对医院快速干预小组的麻醉师治疗的院内 CA 患者进行回顾性观察性图表审查。数据收集时间为 1 年。
共纳入 44 名患者，其中 22 名（50%）为女性。平均年龄为 75.7 岁（±15.78 岁），院内 CA 的发病率为每 100,000 例住院患者 2.88 例。22 名（50%）患者实现 ROSC，11 名（25%）患者存活至出院回家。最常见的合并症是动脉高血压（63.64%）；66.7%的病例未被目击，只有 15.9%的患者出现可除颤节律。
这些结果与其他更大规模的研究报告相似。我们建议引入即时干预团队，并投入时间培训医院员工处理院内 CA。
