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Outcomes of in-hospital cardiac arrest managed with and without a specialized code team: A retrospective observational study.

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Title: Outcomes of in-hospital cardiac arrest managed with and without a specialized code team: A retrospective observational study.
Authors: Abu Fraiha, Yasmeen1 (AUTHOR) Yasmeenaf23@gmail.com, Shafat, Tali2 (AUTHOR), Codish, Shlomi3 (AUTHOR), Frenkel, Amit4 (AUTHOR), Dolfin, Dror3 (AUTHOR), Dreiher, Jacob3 (AUTHOR), Konstantino, Yuval5 (AUTHOR), Abu Abed, Said6 (AUTHOR), Schwartz, Doron3 (AUTHOR), Fichman, Alexander4 (AUTHOR), Kvich, Luba3 (AUTHOR), Galante, Ori7 (AUTHOR)
Source: PLoS ONE. 9/20/2024, Vol. 19 Issue 9, p1-16. 16p.
Subject Terms: *RETURN of spontaneous circulation, *ADVANCED cardiac life support, *RAPID response teams, *MEDICAL personnel, *ACADEMIC medical centers
Abstract: Background: In-hospital cardiac arrest (IHCA) still has a poor prognosis despite medical advancements in recent decades. Early and high-quality cardiopulmonary resuscitation (CPR), as well as good teamwork, are important prognostic factors. There are no clear guidelines regarding the composition of a dedicated hospital CPR team. We compared outcomes of IHCA treated by a dedicated hospital CPR team compared to ward medical staff with advanced cardiac life support (ACLS) training. Methods: A single-center retrospective observational study based on the cardiopulmonary resuscitation database of Soroka University Medical Center from January 2016 until December 2019. We compared the results of resuscitations conducted by regular ward medical staff, certified in ACLS, versus those conducted by the dedicated hospital's CPR team. Results: Of the 360 CPR events analyzed, 141 (39.1%) ended in return of spontaneous circulation, 70 (19.4%) patients were alive after 24 hours, 23 (6.4%) survived for 30 days, and 18 (5%) survived to discharge. Of those who survived to discharge, 11 (61.1%) had a cerebral performance category (CPC) score of 1–2, and 7 (38.9%) had a score of 3–4 (mean 2.09). Survival-to-discharge was significantly higher in the CPR-team group compared to the ward-team group (7.6% vs. 1.9%, p = 0.013). However, with propensity score analysis the difference in survival became insignificant (RR = 1.97, 95% CI: 0.40–9.63, p = 0.40). Conclusion: We found no difference in survival between IHCA treated by a dedicated hospital CPR team compared to a standard ward team, both trained with biennial ACLS training. Nevertheless, crude survival-to-discharge was significantly higher in the CPR-team group. [ABSTRACT FROM AUTHOR]
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  Data: Outcomes of in-hospital cardiac arrest managed with and without a specialized code team: A retrospective observational study.
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  Data: <searchLink fieldCode="AR" term="%22Abu+Fraiha%2C+Yasmeen%22">Abu Fraiha, Yasmeen</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> Yasmeenaf23@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Shafat%2C+Tali%22">Shafat, Tali</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Codish%2C+Shlomi%22">Codish, Shlomi</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Frenkel%2C+Amit%22">Frenkel, Amit</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dolfin%2C+Dror%22">Dolfin, Dror</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dreiher%2C+Jacob%22">Dreiher, Jacob</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Konstantino%2C+Yuval%22">Konstantino, Yuval</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Abu+Abed%2C+Said%22">Abu Abed, Said</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schwartz%2C+Doron%22">Schwartz, Doron</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fichman%2C+Alexander%22">Fichman, Alexander</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kvich%2C+Luba%22">Kvich, Luba</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Galante%2C+Ori%22">Galante, Ori</searchLink><relatesTo>7</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22PLoS+ONE%22">PLoS ONE</searchLink>. 9/20/2024, Vol. 19 Issue 9, p1-16. 16p.
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  Data: *<searchLink fieldCode="DE" term="%22RETURN+of+spontaneous+circulation%22">RETURN of spontaneous circulation</searchLink><br />*<searchLink fieldCode="DE" term="%22ADVANCED+cardiac+life+support%22">ADVANCED cardiac life support</searchLink><br />*<searchLink fieldCode="DE" term="%22RAPID+response+teams%22">RAPID response teams</searchLink><br />*<searchLink fieldCode="DE" term="%22MEDICAL+personnel%22">MEDICAL personnel</searchLink><br />*<searchLink fieldCode="DE" term="%22ACADEMIC+medical+centers%22">ACADEMIC medical centers</searchLink>
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  Data: Background: In-hospital cardiac arrest (IHCA) still has a poor prognosis despite medical advancements in recent decades. Early and high-quality cardiopulmonary resuscitation (CPR), as well as good teamwork, are important prognostic factors. There are no clear guidelines regarding the composition of a dedicated hospital CPR team. We compared outcomes of IHCA treated by a dedicated hospital CPR team compared to ward medical staff with advanced cardiac life support (ACLS) training. Methods: A single-center retrospective observational study based on the cardiopulmonary resuscitation database of Soroka University Medical Center from January 2016 until December 2019. We compared the results of resuscitations conducted by regular ward medical staff, certified in ACLS, versus those conducted by the dedicated hospital's CPR team. Results: Of the 360 CPR events analyzed, 141 (39.1%) ended in return of spontaneous circulation, 70 (19.4%) patients were alive after 24 hours, 23 (6.4%) survived for 30 days, and 18 (5%) survived to discharge. Of those who survived to discharge, 11 (61.1%) had a cerebral performance category (CPC) score of 1–2, and 7 (38.9%) had a score of 3–4 (mean 2.09). Survival-to-discharge was significantly higher in the CPR-team group compared to the ward-team group (7.6% vs. 1.9%, p = 0.013). However, with propensity score analysis the difference in survival became insignificant (RR = 1.97, 95% CI: 0.40–9.63, p = 0.40). Conclusion: We found no difference in survival between IHCA treated by a dedicated hospital CPR team compared to a standard ward team, both trained with biennial ACLS training. Nevertheless, crude survival-to-discharge was significantly higher in the CPR-team group. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of PLoS ONE is the property of Public Library of Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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