Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes

doi:10.1161/CIRCOUTCOMES.123.010491

Review

. 2023 Nov;16(11):e010491.

doi: 10.1161/CIRCOUTCOMES.123.010491. Epub 2023 Nov 10.

Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes

Brahmajee K Nallamothu¹, Robert Greif², Theresa Anderson¹, Huba Atiq³, Thomaz Bittencourt Couto⁴, Julie Considine⁵, Allan R De Caen⁶, Therese Djärv⁷, Ann Doll⁸, Matthew J Douma⁹, Dana P Edelson¹⁰, Feng Xu¹¹, Judith C Finn¹², Grace Firestone¹³, Saket Girotra¹⁴, Kasper G Lauridsen¹⁵, Carrie Kah-Lai Leong¹⁶, Swee Han Lim¹⁶, Peter T Morley¹⁷, Laurie J Morrison¹⁸, Ari Moskowitz¹⁹, Ajit Mullasari Sankardas¹⁹, Mahmoud Tageldin Mustafa Mohamed²⁰, Michelle Christy Myburgh²¹, Vinay M Nadkarni²², Robert W Neumar²³, Jerry P Nolan²⁴, Justine Athieno Odakha²⁵, Theresa M Olasveengen²⁶, Judit Orosz²⁷, Gavin D Perkins²⁴, Jeanette K Previdi²⁷, Christian Vaillancourt²⁸, William H Montgomery²⁹, Comilla Sasson³⁰, Paul S Chan³¹; International Liaison Committee on Resuscitation

Affiliations

¹ Department of Internal Medicine, University of Michigan Medical, Ann Arbor (B.K.N., T.A.).
² Department of Anesthesiology and Pain Medicine, University of Bern, Switzerland (R.G.).
³ Centre of Excellence for Trauma and Emergencies, Aga Khan University Hospital, Pakistan (H.A.).
⁴ Institution as Hospital Israelita Albert Einstein, São Paulo, Brazil (T.B.C.).
⁵ Deakin University, Geelong, Australia (J.C.).
⁶ Division of Pediatric Critical Care, Stollery Children's Hospital, Edmonton, Canada (A.R.D.C.).
⁷ Department of Medicine, Karolinska Institute, Stockholm, Sweden (T.D.).
⁸ Global Resuscitation Alliance, Seattle, WA (A.D.).
⁹ Department of Critical Care Medicine, University of Alberta, Canada (M.J.D.).
¹⁰ Department of Medicine, University of Chicago Medicine, IL (D.P.E.).
¹¹ Department of Emergency Medicine, Qilu Hospital of Shandong University, China (F.X.).
¹² School of Nursing, Curtin University, Perth, Australia (J.F.).
¹³ Department of Family Medicine, University of California Los Angeles Health, Santa Monica (G.F.).
¹⁴ Department of Medicine, University of Texas Southwestern Medical Center, Dallas (S.G.).
¹⁵ Department of Medicine, Randers Regional Hospital, Denmark (K.G.L.).
¹⁶ Department of Emergency Medicine, Singapore General Hospital (C.K.-L.L., S.H.L.).
¹⁷ Department of Intensive Care, The University of Melbourne, Australia (P.T.M.).
¹⁸ Division of Emergency Medicine, University of Toronto, Ontario, Canada (L.J.M.).
¹⁹ Department of Medicine, Montefiore Medical Center, The Bronx, NY (A.M.).
²⁰ Burjeel Hospital, Abu Dhabi, United Arab Emirates (M.T.M.M.).
²¹ Department of Pediatric Emergency Medicine, University of the Free State, South Africa (M.C.M.).
²² Department of Anesthesiology and Critical Care, Childrens Hospital of Philadelphia, PA (V.N.).
²³ Department of Emergency Medicine, University of Michigan, Ann Arbor (R.W.N.).
²⁴ University of Warwick, Coventry, United Kingdom (J.P.N., G.D.P.).
²⁵ Mbarara University of Science and Technology, Uganda (J.A.O.).
²⁶ Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Norway (T.M.O.).
²⁷ American Heart Association, Dallas, Texas (J.K.P.).
²⁸ Department of Emergency Medicine, University of Ottawa, Canada (C.V.).
²⁹ Straub Clinic and Hospital, Honolulu, Hawaii (W.M.).
³⁰ American Heart Association, Denver, CO (C.S.).
³¹ Mid-America Heart Institute, Kansas City, MO (P.S.C.).

PMID: 37947100
PMCID: PMC10659256
DOI: 10.1161/CIRCOUTCOMES.123.010491

Review

Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes

Brahmajee K Nallamothu et al. Circ Cardiovasc Qual Outcomes. 2023 Nov.

. 2023 Nov;16(11):e010491.

doi: 10.1161/CIRCOUTCOMES.123.010491. Epub 2023 Nov 10.

Authors

Affiliations

¹ Department of Internal Medicine, University of Michigan Medical, Ann Arbor (B.K.N., T.A.).
² Department of Anesthesiology and Pain Medicine, University of Bern, Switzerland (R.G.).
³ Centre of Excellence for Trauma and Emergencies, Aga Khan University Hospital, Pakistan (H.A.).
⁴ Institution as Hospital Israelita Albert Einstein, São Paulo, Brazil (T.B.C.).
⁵ Deakin University, Geelong, Australia (J.C.).
⁶ Division of Pediatric Critical Care, Stollery Children's Hospital, Edmonton, Canada (A.R.D.C.).
⁷ Department of Medicine, Karolinska Institute, Stockholm, Sweden (T.D.).
⁸ Global Resuscitation Alliance, Seattle, WA (A.D.).
⁹ Department of Critical Care Medicine, University of Alberta, Canada (M.J.D.).
¹⁰ Department of Medicine, University of Chicago Medicine, IL (D.P.E.).
¹¹ Department of Emergency Medicine, Qilu Hospital of Shandong University, China (F.X.).
¹² School of Nursing, Curtin University, Perth, Australia (J.F.).
¹³ Department of Family Medicine, University of California Los Angeles Health, Santa Monica (G.F.).
¹⁴ Department of Medicine, University of Texas Southwestern Medical Center, Dallas (S.G.).
¹⁵ Department of Medicine, Randers Regional Hospital, Denmark (K.G.L.).
¹⁶ Department of Emergency Medicine, Singapore General Hospital (C.K.-L.L., S.H.L.).
¹⁷ Department of Intensive Care, The University of Melbourne, Australia (P.T.M.).
¹⁸ Division of Emergency Medicine, University of Toronto, Ontario, Canada (L.J.M.).
¹⁹ Department of Medicine, Montefiore Medical Center, The Bronx, NY (A.M.).
²⁰ Burjeel Hospital, Abu Dhabi, United Arab Emirates (M.T.M.M.).
²¹ Department of Pediatric Emergency Medicine, University of the Free State, South Africa (M.C.M.).
²² Department of Anesthesiology and Critical Care, Childrens Hospital of Philadelphia, PA (V.N.).
²³ Department of Emergency Medicine, University of Michigan, Ann Arbor (R.W.N.).
²⁴ University of Warwick, Coventry, United Kingdom (J.P.N., G.D.P.).
²⁵ Mbarara University of Science and Technology, Uganda (J.A.O.).
²⁶ Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Norway (T.M.O.).
²⁷ American Heart Association, Dallas, Texas (J.K.P.).
²⁸ Department of Emergency Medicine, University of Ottawa, Canada (C.V.).
²⁹ Straub Clinic and Hospital, Honolulu, Hawaii (W.M.).
³⁰ American Heart Association, Denver, CO (C.S.).
³¹ Mid-America Heart Institute, Kansas City, MO (P.S.C.).

PMID: 37947100
PMCID: PMC10659256
DOI: 10.1161/CIRCOUTCOMES.123.010491

No abstract available

Keywords: adult; cardiopulmonary resuscitation; child; humans; incidence; sudden cardiac arrest; survival rate.

PubMed Disclaimer

Conflict of interest statement

Disclosures Dr Chan has received research funding from the American Heart Association (AHA) and the National Heart, Lung, and Blood Institute (NHLBI). Dr Djärv is the chair of Swedish Resuscitation Council and the International Liaison Committee on Resuscitation (ILCOR) First Aid Task Force. A. Doll is employed by the Resuscitation Academy. Dr Edelson has equity interest and employment in AgileMD. Dr Girotra receives funding from the National Institutes of Health (R01HL160734, R56HL158803, and R01HL166305). He also receives a stipend from AHA for editorial work. Dr Greif is chair of ILCOR Education, Implementation and Team Task Force and the European Resuscitation Council board birector of guidelines. Dr Lauridsen serves as an ERC Science and Education Committee member and member of the ILCOR EIT Task Force. Dr Moskowitz receives funding from NHLBI (R33HL162980). M.C. Myburgh serves on the ILCOR Pediatric Task Force. Dr Neumar is the ILCOR cochair. J.P. Nolan is the editor in chief of Resuscitation and receives National Institute for Health and Care Research (NIHR) grant funding. Dr Olasveengen is a board member of the Laerdal Foundation. Dr Perkins receives grant funding from the NIHR Applied Research Collaboration West Midlands, Resuscitation Council United Kingdom, Laerdal Foundation, and the British Heart Foundation and serves on the boards for the European Resuscitation Council, Resuscitation Council UK, ILCOR, and University Hospitals Coventry and Warwickshire. He also serves as an editor for Resuscitation and Resuscitation Plus. J.K. Previdi serves as the AHA Emergency Cardiovascular Care Committee chair and is an AHA product consultant. Dr Vaillancourt is a member of the Heart and Stroke Foundation of Canada Resuscitation Advisory Committee and receives funding from The Ottawa Hospital Academic Medical Organization. Dr Montgomery serves as the ILCOR consultant. Dr Sasson is employed by AHA. Dr Nallamothu has been a principal investigator or coinvestigator on research grants from the NIH, AHA, Janssen, and Apple, Inc. He also receives compensation as an editor in chief of Circulation: Cardiovascular Quality and Outcomes. Finally, he is a coinventor on the US Utility Patent Number US15/356012 (US20170148158A1) entitled “Automated Analysis of Vasculature in Coronary Angiograms” that uses software technology with signal processing and machine learning to automate the reading of coronary angiograms, held by the University of Michigan. The patent is licensed to AngioInsight, Inc, in which he holds ownership shares and receives consultancy fees. Dr Nadkarni receives research funding to his institution from the National Institutes of Health, Agency for Healthcare Research and Quality, US Department of Defense, American Heart Association, Zoll Medical, RQI Partners, and Laerdal Foundation; he also serves as the President of the Society of Critical Care Medicine (SCCM) 2023-2024. The views expressed in the manuscript are his, and not intended to represent the views of the SCCM. The other authors report no conflicts.

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References

1. Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-hospital cardiac arrest: a review. JAMA. 2019;321:1200–1210. doi: 10.1001/jama.2019.1696 - PMC - PubMed
1. Nolan JP, Soar J, Smith GB, Gwinnutt C, Parrott F, Power S, Harrison DA, Nixon E, Rowan K; National Cardiac Arrest Audit. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2014;85:987–992. doi: 10.1016/j.resuscitation.2014.04.002 - PubMed
1. Andersen LW, Holmberg MJ, Lofgren B, Kirkegaard H, Granfeldt A. Adult in-hospital cardiac arrest in Denmark. Resuscitation. 2019;140:31–36. doi: 10.1016/j.resuscitation.2019.04.046 - PubMed
1. Ohbe H, Tagami T, Uda K, Matsui H, Yasunaga H. Incidence and outcomes of in-hospital cardiac arrest in Japan 2011-2017: a nationwide inpatient database study. J Intensive Care. 2022;10:10. doi: 10.1186/s40560-022-00601-y - PMC - PubMed
1. Holmberg MJ, Ross CE, Fitzmaurice GM, Chan PS, Duval-Arnould J, Grossestreuer AV, Yankama T, Donnino MW, Andersen LW; American Heart Association’s Get With The Guidelines–Resuscitation Investigators. Annual incidence of adult and pediatric in-hospital cardiac arrest in the United States. Circ Cardiovasc Qual Outcomes. 2019;12:e005580. doi: 10.1161/CIRCOUTCOMES.119.005580 - PMC - PubMed

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[1] Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-hospital cardiac arrest: a review. JAMA. 2019;321:1200–1210. doi: 10.1001/jama.2019.1696 - PMC - PubMed

[2] Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-hospital cardiac arrest: a review. JAMA. 2019;321:1200–1210. doi: 10.1001/jama.2019.1696 - PMC - PubMed

[3] Nolan JP, Soar J, Smith GB, Gwinnutt C, Parrott F, Power S, Harrison DA, Nixon E, Rowan K; National Cardiac Arrest Audit. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2014;85:987–992. doi: 10.1016/j.resuscitation.2014.04.002 - PubMed

[4] Nolan JP, Soar J, Smith GB, Gwinnutt C, Parrott F, Power S, Harrison DA, Nixon E, Rowan K; National Cardiac Arrest Audit. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2014;85:987–992. doi: 10.1016/j.resuscitation.2014.04.002 - PubMed

[5] Andersen LW, Holmberg MJ, Lofgren B, Kirkegaard H, Granfeldt A. Adult in-hospital cardiac arrest in Denmark. Resuscitation. 2019;140:31–36. doi: 10.1016/j.resuscitation.2019.04.046 - PubMed

[6] Andersen LW, Holmberg MJ, Lofgren B, Kirkegaard H, Granfeldt A. Adult in-hospital cardiac arrest in Denmark. Resuscitation. 2019;140:31–36. doi: 10.1016/j.resuscitation.2019.04.046 - PubMed

[7] Ohbe H, Tagami T, Uda K, Matsui H, Yasunaga H. Incidence and outcomes of in-hospital cardiac arrest in Japan 2011-2017: a nationwide inpatient database study. J Intensive Care. 2022;10:10. doi: 10.1186/s40560-022-00601-y - PMC - PubMed

[8] Ohbe H, Tagami T, Uda K, Matsui H, Yasunaga H. Incidence and outcomes of in-hospital cardiac arrest in Japan 2011-2017: a nationwide inpatient database study. J Intensive Care. 2022;10:10. doi: 10.1186/s40560-022-00601-y - PMC - PubMed

[9] Holmberg MJ, Ross CE, Fitzmaurice GM, Chan PS, Duval-Arnould J, Grossestreuer AV, Yankama T, Donnino MW, Andersen LW; American Heart Association’s Get With The Guidelines–Resuscitation Investigators. Annual incidence of adult and pediatric in-hospital cardiac arrest in the United States. Circ Cardiovasc Qual Outcomes. 2019;12:e005580. doi: 10.1161/CIRCOUTCOMES.119.005580 - PMC - PubMed

[10] Holmberg MJ, Ross CE, Fitzmaurice GM, Chan PS, Duval-Arnould J, Grossestreuer AV, Yankama T, Donnino MW, Andersen LW; American Heart Association’s Get With The Guidelines–Resuscitation Investigators. Annual incidence of adult and pediatric in-hospital cardiac arrest in the United States. Circ Cardiovasc Qual Outcomes. 2019;12:e005580. doi: 10.1161/CIRCOUTCOMES.119.005580 - PMC - PubMed

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Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes

Affiliations

Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes

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Affiliations

Conflict of interest statement

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