title: Mayo registry for telemetry efficacy in arrest (MR TEA) study: An assessment of the effect of admission diagnosis on outcomes from in-hospital cardiopulmonary arrest.
abstract: BACKGROUND
  Little data exists evaluating how different risk factors influence outcomes following in-hospital arrests.
  
  
  METHODS
  A retrospective review of patients that suffered a cardiopulmonary arrest between 1 May 2008 and 30 June 2014 was performed. Patients were stratified into subsets based on cardiac versus non-cardiac reasons for admission.
  
  
  RESULTS
  199 patients met inclusion criteria, of which 138 (69.3%) had a non-cardiac reason for admission and 61 (30.7%) a cardiac etiology. No difference in demographics and non-cardiac comorbidities were present. Cardiac-related comorbidities were more prevalent in the cardiac etiology subset. Arrests with a shockable rhythm were more common in the cardiac group (P < 0.0001), yet return of spontaneous circulation from the index event was similar (P = 0.254). More patients in the cardiac group were alive at 24-h post resuscitation (n = 34, 55.7% versus n = 49, 35.5%; P = 0.0085), discharge (n = 21, 34.4% versus n = 19, 13.8%; P = 0.0018), and at last follow-up (n = 13, 21.3% versus n = 14, 10.1%; P = 0.0434).
  
  
  CONCLUSIONS
  Although patients with cardiac and non-cardiac etiologies for admission have similar rates of return of spontaneous circulation, those with cardiac etiologies are more likely to survive to hospital discharge and outpatient follow-up.
authors.affiliation: a Department of Medicine , Division of Cardiovascular Diseases, Mayo Clinic , Rochester , MN , USA.
authors.forename: David
authors.initials: D
authors.lastname: Snipelisky
authors.affiliation: b Department of Medicine , Division of Internal Medicine, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Jordan
authors.initials: J
authors.lastname: Ray
authors.affiliation: b Department of Medicine , Division of Internal Medicine, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Gautam
authors.initials: G
authors.lastname: Matcha
authors.affiliation: c Department of Medicine , Division of Hospital Medicine, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Archana
authors.initials: A
authors.lastname: Roy
authors.affiliation: c Department of Medicine , Division of Hospital Medicine, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Brooke
authors.initials: B
authors.lastname: Clark
authors.affiliation: c Department of Medicine , Division of Hospital Medicine, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Adrian
authors.initials: A
authors.lastname: Dumitrascu
authors.affiliation: c Department of Medicine , Division of Hospital Medicine, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Veronica
authors.initials: V
authors.lastname: Bosworth
authors.affiliation: c Department of Medicine , Division of Hospital Medicine, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Anastasia
authors.initials: A
authors.lastname: Whitman
authors.affiliation: c Department of Medicine , Division of Hospital Medicine, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Lewis
authors.affiliation: d Department of Emergency Medicine , Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Tyler
authors.initials: T
authors.lastname: Vadeboncoeur
authors.affiliation: e Department of Medicine , Division of Cardiovascular Diseases, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: Fred
authors.initials: F
authors.lastname: Kusumoto
authors.affiliation: c Department of Medicine , Division of Hospital Medicine, Mayo Clinic , Jacksonville , FL , USA.
authors.forename: M Caroline
authors.initials: MC
authors.lastname: Burton
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006323:Heart Arrest / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D007297:Inpatients; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012042:Registries; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D013686:Telemetry / Q000379:methods*; D013997:Time Factors
keywords: Cardiopulmonary arrest; outcomes; resuscitation