In this video, we will look at some in hospital cardiac arrest otherwise known as IHCA, facts from data in the UK Resuscitation Council guidelines 2021. Information on the epidemiology and outcomes of IHCA are provided by the National Cardiac Arrest Audit (NCAA).
This is a joint initiative between Resuscitation Council UK and the Intensive Care National Audit and Research Centre. NCAA receive data from 197 hospitals across England, Wales, Scotland and Northern Ireland. The annual incidence of in-hospital cardiac arrest (IHCA) is 1 to 1.5 per 1,000 hospital admissions. The average age of those sustaining an IHCA is 70 years and about a quarter or 26.7% are aged 16-64 years. 85% of cardiac arrests occur on hospital wards and in patients admitted to hospital for medical reasons. The initial rhythm is shockable in 17% of cardiac arrests, pulseless electrical activity 52%, asystole 20% and the remainder are unknown or undetermined.
The Return Of Spontaneous Circulation is achieved in just over a half or 53% of those who are treated by a hospital’s resuscitation team for IHCA. 23.6% of those who are treated by a hospital’s resuscitation team for IHCA survive to hospital discharge. And finally, More than four out of five or 83% who survive to hospital discharge have a favourable neurological outcome.
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