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Epidemiology,etiology,and outcomes of in-hospital cardiac arrest in Lebanon

Journal of Geriatric Cardiology 2021年第6期18卷 416-425页

作者： ahmed eltarras Youssef Jalloul Ola Assaad Michael Bejjani Yara Yammine Nina Khatib Abdallah Rebeiz Mazen El Sayed Marwan Refaat Geriatric Medicine Division Saint Louis University School of MedicineMissouriUSA Department of Internal Medicine American University of Beirut Medical CenterBeirutLebanon Faculty of Medicine American University of BeirutBeirutLebanon School of Nursing American University of BeirutBeirutLebanon Department of Emergency Medicine American University of Beirut Medical CenterBeirutLebanon

BACKGROUND In-hospital cardiac arrest(IHCA)constitutes a significant cause of morbidity and *** data is scarce in the Middle East and Lebanon,we devised this study to shed some light on it to better inform both hospitals and policymakers about the magnitude and quality of IHCA care in *** We analyzed retrospective data from 680 IHCA events at the American University of Beirut Medical Center between July 1,2016 and May 2,*** variables included age and sex,in addition to the comorbidities listed in the Charlson comorbidity *** event variables were day,event location,time from activation to arrival,initial cardiac rhythm,and the total number of IHCA *** also looked at the months and *** considered the return of spontaneous circulation(ROSC)and survival to discharge(StD)to be our outcomes of *** The incidence of IHCA was 6.58 per 1,000 hospital admissions(95%CI:6.09−7.08).Non-shockable rhythms were 90.7%of *** IHCA cases occurred in the closed units(87.9%)(intensive care unit,respiratory care unit,neurology care unit,and cardiology care unit)and on weekdays(76.5%).ROSC followed more than half the IHCA events(56%).However,only 5.4%of IHCA events achieved *** ROSC and StD were higher in cases with a shockable *** outcomes were not significantly different between day,evening,and *** was not significantly different between weekdays and weekends;however,StD was higher in events that happened during weekdays than weekends(6.7%vs.1.9%,P=0.002).CONCLUSIONS The incidence of IHCA was high,and its outcomes were lower compared to other developed *** outcomes were better for patients who had a shockable rhythm and were similar between the time of day and days of the *** findings may help inform hospitals and policymakers about the magnitude and quality of IHCA care in Lebanon.

关键词： policy return listed

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