Acute cardiac care & resuscitation
Incidence and case ascertainment of treated in-hospital cardiac arrest events in a national quality registry – A comparison of reported and non-reported events
Authors' conclusion
IHCA case completeness in the SRCR was 77% and IHCA incidence was 2.9/1000 hospital admissions. The retrospectively reported IHCA events were found in monitored areas where the rapid response team was not alerted, which might have affected regular reporting procedures.
Study context
- Population
- Treated in-hospital cardiac arrests in 2018–2019 at six Swedish hospitals of varying sizes and resources1,109 in-hospital cardiac arrest (IHCA) events
- Participants
- 999 arrests
- Comparison
- Non-reported vs prospectively reported IHCA events
- Retrospectively reportedn = 254
- Outcome
- Case completeness of IHCA reporting to the SRCR, and IHCA incidence
Methodological detailssix hospitals, medical record review, cross-check against national registry
- Six hospitals
- Medical record review
- Cross-check against national registry
Performance
As reported in the abstract
Case completeness and IHCA incidence
Case completeness
77%
range 55–94%
IHCA incidence per hospital admissions
2.9/1000
IHCA incidence per ICU admissions
12.4/1000
Events not found in the Swedish Registry of Cardiopulmonary Resuscitation (SRCR)
254
Further findings
Characteristics of retrospectively vs prospectively reported events
- Retrospectively reported events more often on monitored wards, in younger patients with less comorbidity, more often in shockable rhythm and more often achieved sustained spontaneous circulation
Original publication
Incidence and case ascertainment of treated in-hospital cardiac arrest events in a national quality registry – A comparison of reported and non-reported events. Resuscitation. Published 18 January 2024. doi:10.
Summarised from the published abstract; every number is checked against it