Outcome after cardiac arrest in adults in UK hospitals: effect of the 1997 guidelines
Abstract
Aim To assess the effectiveness of the ILCOR Advisory Statements on Advanced Life Support adopted by the Resuscitation Council (UK), as the standard for resuscitation following cardiac arrest.Method Over the period May to November 1997, data on the process and outcome of cardiopulmonary resuscitation following in-hospital cardiac arrest were collected from 49 hospitals throughout the UK.Results Of 2074 audit forms submitted, 1368 were included in the final analysis. The initial rhythm monitored was ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) in 429 patients, of whom 181 (42.2%) were discharged alive, compared to 6. 2% when the initial rhythm was non-VF/VT. Overall, 240 (17.6%) patients were discharged alive. At 6 months after discharge 195 (82. 3%) of 237 patients were still alive. Successful initial resuscitation, defined as return of spontaneous circulation lasting longer than 20 min (ROSC>20 min), was significantly associated with VF/VT as the initial arrest rhythm, return of circulation in less than 3 min, age less than 70 years and the use of an advanced airway (P<0.01). There was a significant increased likelihood of survival to discharge when the circulation was restored in less than 3 min and age was less than 70 years (P<0.05). The administration of any adrenaline (epinephrine) was significantly associated with a reduced likelihood of ROSC>20 min or alive discharge (P<0.0001).Conclusion Compared to the last major multiple hospital study published in 1992, the results of this study suggest that there appears to have been an improvement in survival of in-hospital patients in the UK who have a VF/VT cardiac arrest. How much of this is directly attributable to the adoption of the latest guidelines is uncertain.
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There are no reliable national data to enable accurate determination of the incidence and outcome of in-hospital cardiac arrest in the UK.
“Despite this, there are no reliable national data to enable accurate determination of the incidence and outcome of in-hospital cardiac arrest in the UK.”
From Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit (2014) · cites this paper as [2]
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- Authors
- Gwinnutt, C. L., Columb, M., & Harris, R.
- Affiliations
- Salford Royal Hospital (GB)
- University of Manchester (GB)
- Venue
- Resuscitation
- Publisher
- Elsevier BV
- Published
- 2000-10
- Volume
- 47
- Issue
- 2
- Pages
- 125-135
- ISSN
- 0300-9572 (ISSN-L)
- OpenAlex
- W1976303805
- Cited by
- 191
- References
- 44
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 1 · 2019: 7 · 2018: 2 · 2017: 7 · 2016: 3 · 2015: 4 · 2014: 5 · 2013: 7 · 2012: 5
- FWCI
- 12.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Resuscitation (publishedVersion)
- PubMed (publishedVersion)
- Resuscitation
- Topics
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Physical Sciences › Engineering › Biomedical Engineering › Mechanical Circulatory Support Devices
- Keywords
- in-hospital cardiac arrest, cardiopulmonary resuscitation, return of spontaneous circulation, ventricular fibrillation, pulseless ventricular tachycardia, adrenaline administration, advanced airway, survival to hospital discharge, guideline effectiveness
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, United Kingdom, Heart Arrest, Humans, Inpatients, Male, Medical Audit, Middle Aged, Survival Rate, Cardiopulmonary Resuscitation, Treatment Outcome, Hospital Mortality, Practice Guidelines as Topic
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