Timing of In-Hospital Cardiac Arrest Still Matters

Despite improved survival overall in a 15-year study, patients with arrests occurring during daytime on weekdays still have a better chance for survival.

Surviving a cardiac arrest depends on its prompt recognition and the implementation of resuscitative efforts. Using data on 470 U.S. hospitals from the Get with the Guidelines Resuscitation registry, researchers examined temporal trends and survival after in-hospital cardiac arrest (IHCA), including differences between ICHA during on-hours (Monday–Friday, 7:00 am–10:59 pm) and off-hours (Monday–Friday, 11:00 pm–6:59 am and throughout the weekend).

Of 151,071 patients with IHCA in 2000–2014 (mean age, 66; 21% black; 42% women), 62% of patients survived acute resuscitation, and 19% survived to hospital discharge. Survival was significantly lower in the 79,091 patients who arrested during off-hours than in the 71,980 patients with IHCA during o…

Reviewing Author

Joel M. Gore, MD

Disclosures

Grant/Research SupportNIH–National Heart, Lung, and Blood Institute

Joel M. Gore, MD

Disclosures

Grant/Research SupportNIH–National Heart, Lung, and Blood Institute

Timing of In-Hospital Cardiac Arrest Still Matters

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Reviewing Author