In-Hospital Cardiac Arrest Survival Differs With Time of Day

Share this content:
In-Hospital Cardiac Arrest Survival Differs With Time of Day
In-Hospital Cardiac Arrest Survival Differs With Time of Day

WEDNESDAY, Jan. 24, 2018 (HealthDay News) -- Survival after in-hospital cardiac arrest (IHCA) that occurs during off-hours remains lower versus on-hours IHCA, according to a study published in the Jan. 30 issue of the Journal of the American College of Cardiology.

Uchenna R. Ofoma, M.D., from Geisinger Health System in Danville, Pa., and colleagues examined trends in survival differences between on-hours and off-hours IHCA based upon data from the Get with the Guidelines-Resuscitation registry (2000 to 2014; 151,071 adults at 470 U.S. hospitals). On-hours was defined as Monday to Friday 7:00 AM to 10:59 PM, while off-hours included Monday to Friday 11:00 PM to 6:59 AM, and Saturday to Sunday, all day).

The researchers found that 52.4 percent of IHCAs happened during off-hours. Risk-adjusted survival improved over the study period in both groups (on-hours, 16.0 to 25.2 percent; off-hours, 11.9 to 21.9 percent; P for trend = 0.001 for both). Yet, the survival difference over time between on-hours and off-hours did not significantly change, either on an absolute (P = 0.75) or a relative scale (P = 0.059). The difference between on-hours and off-hours survival for acute resuscitation narrowed over time (P = 0.02 absolute scale; P < 0.001 relative scale). However, the absolute and relative difference for post-resuscitation survival remained.

"Despite an overall improvement in survival, lower survival in IHCA during off-hours compared with on-hours persists," the authors write.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease



Sign up for myCME e-newsletters




More in Home

High Success Rates for Mitral Valve Repair With Robotic Surgery

High Success Rates for Mitral Valve Repair With ...

Minimally invasive surgery linked to fewer discharges to facility, one day less in hospital vs conservative sx

Tattoo-Linked Complications ID'd in Immunosuppressed Female

Tattoo-Linked Complications ID'd in Immunosuppressed Female

Inflammatory myopathy identified in woman with cystic fibrosis on long-term immunosuppressants

Rates of Cardiac Stress Testing Down but Still Higher in CKD

Rates of Cardiac Stress Testing Down but Still ...

Decline in rates of cardiac stress testing in Medicare beneficiaries aged ≥66 years from 2008 to 2012

is free, fast, and customized just for you!




Already a member?

Sign In Now »