Acute cardiac care & resuscitation

In-hospital cardiac arrest in neonates in the United States: a study of epidemiology, outcomes, and trends from 2003 to 2022

ResuscitationPublished Retrospective cohort study

Authors' conclusion

The incidence of IHCA in neonates in the US has increased from 2003 to 2022, with a decrease in mortality during index admission. While the odds of IHCA is highest among EP and VP neonates, the majority of IHCA occurred in MP, LP, and T neonates. Mortality for EP, VP, and LP neonates has remained unchanged.

Study context

Population
Neonates (birth to 28 days of life) in US hospitals, 2003–2022
Participants
24,877,754 discharges
Outcome
Incidence of and mortality after in-hospital cardiac arrest (IHCA)
Follow-up
Birth to 28 days of life
Methodological detailsKids' Inpatient Database, 7 one-year epochs
  • Kids' Inpatient Database
  • 7 one-year epochs

Main finding

As reported in the abstract

Neonates with IHCA
30,117
IHCA incidence per 1000 discharges
1.21
IHCA incidence per 1000 US births
1.08
Trend in IHCA incidence per 1000 discharges (increased)
0.8-1.58; p < 0.001
Trend in mortality during index admission (decreased)
46.3-40.8 %; p = 0.005

Observational data: associations, not effects.

Further findings

Odds of IHCA by race and socioeconomic status

Odds of IHCA higher in Black neonates and those at lower socioeconomic status

Original publication

In-hospital cardiac arrest in neonates in the United States: a study of epidemiology, outcomes, and trends from 2003 to 2022. Resuscitation. Published 11 September 2025. doi:10.1016/j.resuscitation.2025.110817

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