Temporal trends in the incidence and outcomes of cardiopulmonary arrest events treated in the emergency department at a tertiary hospital in Jordan
Objective: This study aimed to estimate the incidence and outcomes of cardiac arrest treated in the emergency department (ED), and identify factors associated with survival to hospital discharge. Methods: This was a single-center observational study of all adult cardiac arrest patients treated in th...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-03-01
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| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266652042500044X |
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| Summary: | Objective: This study aimed to estimate the incidence and outcomes of cardiac arrest treated in the emergency department (ED), and identify factors associated with survival to hospital discharge. Methods: This was a single-center observational study of all adult cardiac arrest patients treated in the ED between 2015 and 2022. Patients were categorized into out-of-hospital cardiac arrest (OHCA) and in-ED events based on whether the patients arrived at the ED in cardiac arrest or developed during the ED visit. Annual incidence rates were calculated per 10,000 ED visits. Changes in the temporal trend for incidence were assessed using Poisson regression and factors associated with survival to hospital discharge among admitted patients were identified using logistic regression models. Results: A total of 613 patients received cardiopulmonary resuscitation in the ED, resulting in an incidence rate of 9.3 per 10,000 visits with an annual incidence decreasing by 3.9% (95% CI: 0.7%─7.1%). Compared to OHCA events (n = 373), in-ED events (n = 240) had a lower and decreasing incidence rate (6.1 vs. 3.2 per 10,000 visits) and had higher rates of return of spontaneous circulation (19.3% vs. 47.1%), survived to hospital admission (17.2% vs. 37.5%), and survived to hospital discharge (1.9% vs. 7.9%). Among admitted patients, predictors of survival to hospital discharge included in-ED event, younger age, cardiac etiology, receiving defibrillation, and fewer epinephrine doses. Conclusions: Clinical outcomes following OHCA and in-ED cardiac arrests were poor in Jordan. Efforts should be directed toward improving the performance of community and healthcare practitioners with significant emphasis on prehospital emergency care. |
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| ISSN: | 2666-5204 |