In-hospital cardiac arrest in middle-income settings: A comprehensive analysis of clinical profiles and outcomes of both adults and pediatrics

Authors

Muhammad Faisal Khan, Aga Khan UniversityFollow
Omer Shafiq, Aga Khan UniversityFollow
Sana Hirani, Aga Khan UniversityFollow
Amber Sabeen, Aga Khan UniversityFollow
Sijal Akhtar Sheikh, Aga Khan UniversityFollow
Qalab Abbas, Aga Khan UniversityFollow
Tahir Munir, Aga Khan UniversityFollow
Huba Atiq, Aga Khan UniversityFollow
Yasmin Hashwani, Aga Khan UniversityFollow
Asad Latif, Aga Khan UniversityFollow

Document Type

Article

Department

Anaesthesia; Medicine; Paediatrics and Child Health; Center of Excellence for Trauma and Emergencies

Abstract

Background: In hospital cardiac arrest is associated with poor survival despite basic and advanced life support measures. This study aimed to identify the clinical characteristics and outcomes of cardiac arrests occurring during in-hospital admission to the tertiary care center in Pakistan.
Method: A retrospective, cross-sectional study at Aga Khan University Hospital from 2021 to 2023 analyzed 230 cardiac arrest cases. Data included demographics, arrest type, timing, initial rhythm, resuscitation duration, and arrest location. American Heart Association guidelines were adhered to for life support. The main outcomes focused on the return of spontaneous circulation survival to hospital discharge.
Results: During the study, 230 cardiac arrests were observed: 152 in adults (mean age 57.8, 142 shockable cases, ROSC 52.6 %, alive at discharge 28.3 %) and 78 in pediatric patients (mean age 4.99, non-shockable rhythm 85.9 %, ROSC 51.3 %, alive at discharge 17.9 %). Adult Charles comorbidity index: 2.88 (SD±2.08), pediatric index: 0.610 (SD±0.88). Survival rates were lower with a high comorbidity index and code duration > 20 min.
Conclusion: The study provides valuable observational data that challenges global survival rates for in-hospital cardiac arrest. It highlights how factors like being in monitored units and the presence of rapid response teams can lead to higher survival rates. The research underscores the influence of comorbidities, initial rhythms, and the duration of resuscitation efforts on patient outcomes, emphasizing the need for more research, especially in settings with limited resources.

Comments

Issue and pagination are not provided by the author/publisher.

Publication (Name of Journal)

Resuscitation Plus

DOI

10.1016/j.resplu.2024.100775

Recommended Citation

Khan, M. F., Shafiq, O., Hirani, S., Sabeen, A., Sheikh, S. A., Abbas, Q., Munir, T., Atiq, H., Hashwani, Y., Latif, A. (2024). In-hospital cardiac arrest in middle-income settings: A comprehensive analysis of clinical profiles and outcomes of both adults and pediatrics. Resuscitation Plus, 20.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_anaesth/565