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DALLAS, July 9, 2019 – Significantly, the number of cardiac arrest patients each year in US hospitals is higher than estimated Circulation: quality and cardiovascular outcomes, a journal of the American Heart Association.
Heart failure, which occurs when the heart stops functioning and stops beating, is not the same as a heart attack, which occurs when blood flow to the heart is blocked .
Researchers have developed a model for estimating the incidence of cardiac arrest with the help of data from the annual survey facilities of the American Hospital Association, which included hospitals badociated with GWTG-R (Get With The Guidelines®). In 2011, the last badysis of cardiac arrest data from the two registries showed an estimated annual incidence of 211,000 adults and 6,000 children.
The new study estimates that there are approximately 292,000 adult cardiac arrests at the hospital and 15,200 pediatric events at the hospital (of which 7,100 cases were heartless arrests and 8,100 cases in the hospital). which had a pulse but still required CPR) in the United States. year. Compared to previous reports, the public health burden of hospital cardiac arrest in adults and children without heart rate is about 38% and 18% higher than previously estimated.
"Our findings illustrate a worrying trend in US hospitals and show that cardiac arrest is a major public health problem," said Lars W. Andersen, MD, MPH, PhD, DMSc., author of the study and badociate professor. at the University of Aarhus in Denmark, who supervised the study as a visiting scholar in the Department of Emergency Medicine at the Beth Israel Deaconess Medical Center in Boston. "Previous impact estimates may no longer reflect the current burden of cardiac arrest on the public health of hospitalized patients in the US Unfortunately, the data do not allow for an explanation of the increase in the number of Cardiac arrest in the adult hospital, but this is likely due to many factors, and may reflect an increase in actual events or the number of cases reported over time. "
Andersen said the findings could suggest that life-support programs and advanced cardiac life training – which were traditionally focused on resuscitation outside the hospital – may have to be expanded to include potential responders at the hospital.
The researchers found no indication of an increase in the number of pediatric events. Instead, current estimates are based on a larger database and currently provide the most reliable estimate of pediatric cardiac arrest cases in the United States.
In 2015, the prevention of cardiac arrest at the hospital was added to the American Heart Association's Update of Recommendations for Cardiopulmonary Resuscitation and Cardiovascular Emergency Care. Although the prevention of cardiac arrest is complex, it is possible to reduce the number of hospitalized cases, including by informing more medical staff, identifying deteriorating patients with early warning signs and rapid intervention by teams. rapid intervention and emergency.
"It is also important to note that end-of-life discussions and decisions are crucial to avoiding patient resuscitation attempts where this is probably unnecessary or against the patient's wishes," said Andersen.
He also noted that the results should be interpreted with caution as data was limited to GWTG-R hospital data.
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The co-authors are Mathias Johan Holmberg, M.D., M.P.H; Catherine Ross, M.D .; Garrett Fitzmaurice, Sc.D .; Paul Chan, M.D .; Jordan Duval-Arnould, Ph.D .; Anne Grossestreuer, Ph.D .; and Michael Donnino, M.D. The revelations are on the manuscript.
There was no specific funding for the study.
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