Acute cardiac care & resuscitation
Incidence, Process of Care, and Outcomes of In-Hospital Cardiac Arrest in China: A Multicenter Prospective Registry Study
Authors' conclusion
This multicenter registry highlights a substantial burden of IHCA in China, with markedly low survival rates. Despite prompt initial resuscitation, critical gaps persist in postresuscitation care. Systemic and cultural factors, including the infrequent use of do not attempt cardiopulmonary resuscitation orders, may further contribute to survival disparities. These findings suggest several system-level opportunities to improve IHCA outcomes, including structured response systems, optimized critical care resource allocation, and greater integration of advanced care planning.
Study context
- Population
- Adult patients (≥18 years) who experienced in-hospital cardiac arrest (IHCA) and received cardiopulmonary resuscitation between July 1, 2019, and December 31, 2020, at 37 hospitals across 29 provinces in Chinamedian age, 66 years, 65.5% male
- Participants
- 17,602 patients
- Outcome
- Survival to 30 days or hospital discharge
Methodological detailsBASIC-IHCA (Baseline Investigation of In-Hospital Cardiac Arrest) registry, 37 hospitals across 29 provinces in China
- BASIC-IHCA (Baseline Investigation of In-Hospital Cardiac Arrest) registry
- 37 hospitals across 29 provinces in China
Main finding
As reported in the abstract
Survival to 30 days or hospital discharge
1610
9.1%
Observational data: associations, not effects.
Secondary outcomes
Annual incidence of adult IHCA
- Annual incidence of adult IHCA
- 4.1 per 1000 admissions
Cardiac etiology and initial shockable rhythm
- Cardiac etiology
- 6569 (37.3%)
- Initial shockable rhythm
- 2380 (13.5%)
Process measures
- Cardiopulmonary resuscitation within 1 minute
- 16 872 (95.9%)
- Timely defibrillation, initial shockable rhythm
- 71.4%
- Timely epinephrine, initial nonshockable rhythm
- 84.4%
Postresuscitation care
- Sustained return of spontaneous circulation
- 6200 (35.2%)
- Temperature control therapy, of those with sustained return of spontaneous circulation
- 222 (3.6%)
- Coronary angiography, of those with sustained return of spontaneous circulation
- 320 (5.2%)
Favorable neurological outcome (Cerebral Performance Category score 1-2) · 30 days or discharge
- Favorable neurological outcome (Cerebral Performance Category score 1-2)
- 1241 (7.1%)
Outcomes · 12 months
- Alive
- 1075 (6.1%)
- Favorable neurological outcome
- 986 (5.6%)
Original publication
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