Acute cardiac care & resuscitation
Sudden cardiac arrest in patients with cancer in the general population: insights from the Paris-SDEC registry
Authors' conclusion
One in 20 SCA occurs in patients with a history of cancer, yet with fewer cardiac causes than in patients who are cancer-free. Still, in-hospital outcomes remain similar even in patients with known cancer.
Study context
- Population
- Adults with out-of-hospital sudden cardiac arrest (SCA) admitted alive in hospital, Paris and suburbs, 2011–2019207 (5.1%) with cancer
- Participants
- 4,069 adults
- Exposure
- Patients with cancer vs patients without cancer
- Cancern = 207
- Outcome
- In-hospital survival after SCA
Main finding
As reported in the abstract
In-hospital survival
P = 0.27
Observational data: associations, not effects.
Further findings
Non-shockable rhythm
P < 0.001
- Baseline characteristics: age, women, underlying CVD · age 69.2 vs 59.3 years
- P < 0.001
- Baseline characteristics: age, women, underlying CVD · women 37.2% vs 28.0%
- P = 0.006
- Baseline characteristics: age, women, underlying CVD · underlying CVD 41.1% vs 32.5%
- P = 0.01
- Cause of SCA: cardiac (mostly ACS) and respiratory (PE and hypoxaemia) · cardiac causes 25.5% vs 46.8%
- P < 0.001
- Cause of SCA: cardiac (mostly ACS) and respiratory (PE and hypoxaemia) · respiratory causes 34.2% vs 10.8%
- P < 0.001
Non-shockable rhythm
- No significant difference in witness presence and cardiopulmonary resuscitation (CPR) performed
Predictors of in-hospital survival in the cancer group
- Public location, CPR by witness and shockable rhythm were independent predictors of in-hospital survival
Original publication
Sudden cardiac arrest in patients with cancer in the general population: insights from the Paris-SDEC registry. Heart. Published 2 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →