title: In-hospital cardiac arrest: characteristics and outcome after implementation of systematic practice-oriented training.
abstract: Survival after in-hospital cardiac arrest (CA) has been reported to be surprisingly low without any major improvement during the last decade. Cardiopulmonary resuscitation (CPR) quality affects survival after CA, and specific education is necessary for health care professionals participating in CPR. Decisions regarding CPR and do not attempt resuscitation (DNAR) orders remain demanding, as does including patients in the process. Addressed training regarding CPR/DNAR orders is necessary to improve the CPR/DNAR decision process used by physicians. The aim of this retrospective study is to evaluate the clinical impact (return of spontaneous circulation and 21-day survival after CA) of an intervention within one single hospital, including a systematic education of all health care professionals in CPR. In total, there were 33 in-hospital CAs before (12 months) and 176 after (36 months) the intervention. No significant difference was found between the 2 calendar periods.
authors.affiliation: Intensive Care Unit, Holbæk Hospital, Holbæk, Denmark. Electronic address: eram12@live.dk.
authors.forename: Emilie
authors.initials: E
authors.lastname: Ramberg
authors.affiliation: Department of Cardiology, Holbæk Hospital, Holbæk, Denmark.
authors.forename: Emil
authors.initials: E
authors.lastname: Wolsk
authors.affiliation: Intensive Care Unit, Holbæk Hospital, Holbæk, Denmark.
authors.forename: Jeanie McAleer
authors.initials: JM
authors.lastname: Elkjær
authors.affiliation: Intensive Care Unit, Holbæk Sygehus, Denmark.
authors.forename: Hans Henrik
authors.initials: HH
authors.lastname: Bülow
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007223:Infant; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016414:Resuscitation Orders; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome; D055815:Young Adult