Acute cardiac care & resuscitation
Cardiac Arrest During Delivery Hospitalization : A Cohort Study
Authors' conclusion
Cardiac arrest was observed in approximately 1 in 9000 delivery hospitalizations, among which nearly 7 in 10 women survived to hospital discharge. Survival was lowest during hospitalizations with co-occurring DIC.
Study context
- Population
- Delivery hospitalizations among women aged 12 to 55 years, US acute care hospitals (National Inpatient Sample), 2017–2019
- Participants
- 10,921,784 delivery hospitalizations
- Outcome
- Rate of cardiac arrest during delivery hospitalization and survival to hospital discharge
Main finding
As reported in the abstract
Cardiac arrest rate
13.4 per 100 000
Patients with cardiac arrest
1465
Survival to hospital discharge after cardiac arrest
68.6%
95% CI 63.2% to 74.0%
Observational data: associations, not effects.
Further findings
Characteristics associated with cardiac arrest
- More common among patients who were older, non-Hispanic Black, had Medicare or Medicaid, or had underlying medical conditions
Co-occurring diagnoses and procedures among cardiac arrests
- Acute respiratory distress syndrome (most common co-occurring diagnosis)
- 56.0% [CI, 50.2% to 61.7%]
- Mechanical ventilation (most common co-occurring procedure)
- 53.2% [CI, 47.5% to 59.0%]
Survival to hospital discharge with co-occurring disseminated intravascular coagulation (DIC)
- DIC without transfusion
- 50.0% [CI, 35.8% to 64.2%]
- DIC with transfusion
- 54.3% [CI, 39.2% to 69.5%]
Original publication
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