Strategies for Improving Survival After In-Hospital Cardiac Arrest in the United States: 2013 Consensus Recommendations: A Consensus Statement From the American Heart Association Review article
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Published:
Mar 31, 2014
Keywords:
cardiac arrest, resuscitation, post-resuscitation syndrome
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Abstract
Article discusses strategies for improving survival after in-hospital cardiac arrest (IHCA) in United States that were published as a consensus by American Heart Association in order to assess and optimize results of in-hospital cardiac arrest. Presented document pays attention to the need for optimalization of actions taken in case of IHCA, suggests several details that should be taken into account during organization of in-hospital IHCA system of action. One of the important elements of the consensus are different aspects and results of taking the decision about not resuscitating the patient. Additional, practical element of the document is the characteristic of post-resuscitation syndrome: its pathophysiology, clinical picture and proposed treatment.
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Laszuk , M., Możeńska , O., Strzelecka , I., & Kosior , D. A. (2014). Strategies for Improving Survival After In-Hospital Cardiac Arrest in the United States: 2013 Consensus Recommendations: A Consensus Statement From the American Heart Association. Cardiology in Practice, 8(1), 19-25. Retrieved from https://journalsmededu.pl/index.php/kwp/article/view/1541
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References
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3. Chan P.S., Jain R., Nallmothu B.K. et al.: Rapid Response Teams: A Systematic Review and Meta-analysis. Arch. Intern. Med. 2010; 170(1): 18-26.
4. Aufderheide T.P., Kudenchuk P.J., Hedges J.R. et al.: Resuscitation Outcomes Consortium (ROC) PRIMED cardiac arrest trial methods part 1: rationale and methodology for the impedance threshold device (ITD) protocol. Resuscitation 2008; 78(2): 179-185.
5. Atkins D.L., Everson-Stewart S., Sears G.K. et al.: Resuscitation Outcomes Consortium I: Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest. Circulation 2009; 119(11): 1484-1491.
6. Carr B.G., Goyal M., Band R.A. et al.: A national analysis of the relationship between hospital factors and post-cardiac arrest mortality. Intensive Care Medicine 2009; 35(3): 505-511.
7. Aufderheide T., Hazinski M.F., Nichol G. et al.: Community lay rescuer automated external defibrillation programs: key state legislative components and implementation strategies: a summary of a decade of experience for healthcare providers, policymakers, legislators, employers, and community leaders from the American Heart Association Emergency Cardiovascular Care Committee, Council on Clinical Cardiology, and Office of State Advocacy. Circulation 2006; 113(9): 1260-1270.
8. Neumar R.W., Otto C.W., Link M.S. et al.: Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl. 3): S729-767.
9. Edelson D.P., Litzinger B., Arora V. et al.: Improving in-hospital cardiac arrest process and outcomes with performance debriefing. Arch. Intern. Med. 2008; 168(10): 1063-1069.
10. Bellomo R., Goldsmith D., Uchino S. et al.: A prospective before-and-after trial of a medical emergency team. Med. J. Australia 2003; 179(6): 283-287.
11. Hillman K., Chen J., Cretikos M. et al.; MERIT study investigators: Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet 2005, 365(9477):2091-2097.
12. Chan P.S., Khalid A., Longmore L.S. et al.: Hospital-wide code rates and mortality before and after implementation of a rapid response team. JAMA 2008; 300(21): 2506-2513.
13. Edelson D.P.: A weak link in the rapid response system. Arch. Intern. Med. 2010; 170(1): 12-13.
14. Fuhrmann L., Lippert A., Perner A. et al.: Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation 2008; 77(3): 325-330.
15. Jones-Crawford J.L., Parish D.C., Smith B.E. et al.: Resuscitation in the hospital: circadian variation of cardiopulmonary arrest. Am. J. Med. 2007; 120(2): 158-164.
16. Peberdy M.A., Ornato J.P., Larkin G.L. et al.: Survival from in-hospital cardiac arrest during nights and weekends. JAMA 2008; 299(7): 785-792.
17. Morrison L.J., Kierzek G., Diekema D.S. et al.: Part 3: ethics: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl. 3): S665-5675.
18. Christenson J., Andrusiek D., Everson-Stewart S. et al.: Chest compression fraction determines survival in patients with out-of-hospital ventricular fibrillation. Circulation 2009; 120(13): 1241-1247.
19. Abella B.S., Sandbo N., Vassilatos P. et al.: Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest. Circulation 2005; 111(4): 428-434.
20. Abella B.S., Alvarado J.P., Myklebust H. et al.: Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA 2005; 293(3): 305-310.
21. Nishisaki A., Nysaether J., Sutton R. et al.: Effect of mattress deflection on CPR quality assessment for older children and adolescents. Resuscitation 2009; 80(5): 540-545.
22. Perkins G.D., Kocierz L., Smith S.C. et al.: Compression feedback devices over estimate chest compression depth when performed on a bed. Resuscitation 2009; 80(1): 79-82.
23. Bonnemeier H., Olivecrona G., Simonis G. et al.: Automated continuous chest compression for in-hospital cardiopulmonary resuscitation of patients with pulseless electrical activity: a report of five cases. Int. J. Cardiol. 2009; 136(2): e39-50.
24. Larsen A.I., Hjornevik A.S., Ellingsen C.L. et al.: Cardiac arrest with continuous mechanical chest compression during percutaneous coronary intervention. A report on the use of the LUCAS device. Resuscitation 2007; 75(3): 454-459.
25. Peberdy M.A., Kaye W., Ornato J.P. et al.: Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation 2003; 58(3): 297-308.
26. Chan P.S., Nichol G., Krumholz H.M. et al.; American Heart Association National Registry of Cardiopulmonary Resuscitation I: Hospital variation in time to defibrillation after in-hospital cardiac arrest. Arch. Intern. Med. 2009; 169(14): 1265-1273.
27. Chan P.S., Krumholz H.M., Nichol G., Nallamothu B.K.; American Heart Association National Registry of Cardiopulmonary Resuscitation I: Delayed time to defibrillation after in-hospital cardiac arrest. N. Engl. J. Med. 2008; 358(1): 9-17.
28. Friedman F.D., Dowler K., Link M.S.: A public access defibrillation programme in non-inpatient hospital areas. Resuscitation 2006; 69(3): 407-411.
29. Gombotz H., Weh B., Mitterndorfer W. et al.: In-hospital cardiac resuscitation outside the ICU by nursing staff equipped with automated external defibrillators – the first 500 cases. Resuscitation 2006; 70(3): 416-422.
30. Ali B., Bloom H., Veledar E. et al.: Automated external cardioversion defibrillation monitoring in cardiac arrest: a randomized trial. Trials 2008; 9: 36.
31. Nadkarni V.M., Larkin G.L., Peberdy M.A. et al.: First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults. JAMA 2006; 295(1): 50-57.
32. Carr B.G., Kahn J.M., Merchant R.M. et al.: Inter-hospital variability in post-cardiac arrest mortality. Resuscitation 2009; 80(1): 30-34.
33. Neumar R.W., Nolan J.P., Adrie C. et al.: Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A consensus statement from the International Liaison Committee on Resuscitation (American Heart Association, Australian and New Zealand Council on Resuscitation, European Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Asia, and the Resuscitation Council of Southern Africa); the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; and the Stroke Council. Circulation 2008; 118(23): 2452-2483.
34. Laver S., Farrow C., Turner D. et al.: Mode of death after admission to an intensive care unit following cardiac arrest. Intensive Care Medicine 2004; 30(11): 2126-2128.
35. Bernard S.A., Gray T.W., Buist M.D. et al.: Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N. Engl. J. Med. 2002; 346(8): 557-563.
36. Peberdy M.A., Callaway C.W., Neumar R.W. et al.: Part 9: post-cardiac arrest care: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl. 3): S768-786.
37. Laurent I., Monchi M., Chiche J.D. et al.: Reversible myocardial dysfunction in survivors of out-of-hospital cardiac arrest. JACC 2002; 40(12): 2110-2116.
38. Krumholz A., Stern B.J., Weiss H.D.: Outcome from coma after cardiopulmonary resuscitation: relation to seizures and myoclonus. Neurology 1988; 38(3): 401-405.
39. Wijdicks E.F., Parisi J.E., Sharbrough F.W.: Prognostic value of myoclonus status in comatose survivors of cardiac arrest. Annals of Neurology 1994; 35(2): 239-243.
40. Hui A.C., Cheng C., Lam A. et al.: Prognosis following Postanoxic Myoclonus Status epilepticus. European Neurology 2005; 54(1): 10-13.
2. Field J.M., Hazinski M.F., Sayre M.R. et al.: Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl. 3): S640-656.
3. Chan P.S., Jain R., Nallmothu B.K. et al.: Rapid Response Teams: A Systematic Review and Meta-analysis. Arch. Intern. Med. 2010; 170(1): 18-26.
4. Aufderheide T.P., Kudenchuk P.J., Hedges J.R. et al.: Resuscitation Outcomes Consortium (ROC) PRIMED cardiac arrest trial methods part 1: rationale and methodology for the impedance threshold device (ITD) protocol. Resuscitation 2008; 78(2): 179-185.
5. Atkins D.L., Everson-Stewart S., Sears G.K. et al.: Resuscitation Outcomes Consortium I: Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest. Circulation 2009; 119(11): 1484-1491.
6. Carr B.G., Goyal M., Band R.A. et al.: A national analysis of the relationship between hospital factors and post-cardiac arrest mortality. Intensive Care Medicine 2009; 35(3): 505-511.
7. Aufderheide T., Hazinski M.F., Nichol G. et al.: Community lay rescuer automated external defibrillation programs: key state legislative components and implementation strategies: a summary of a decade of experience for healthcare providers, policymakers, legislators, employers, and community leaders from the American Heart Association Emergency Cardiovascular Care Committee, Council on Clinical Cardiology, and Office of State Advocacy. Circulation 2006; 113(9): 1260-1270.
8. Neumar R.W., Otto C.W., Link M.S. et al.: Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl. 3): S729-767.
9. Edelson D.P., Litzinger B., Arora V. et al.: Improving in-hospital cardiac arrest process and outcomes with performance debriefing. Arch. Intern. Med. 2008; 168(10): 1063-1069.
10. Bellomo R., Goldsmith D., Uchino S. et al.: A prospective before-and-after trial of a medical emergency team. Med. J. Australia 2003; 179(6): 283-287.
11. Hillman K., Chen J., Cretikos M. et al.; MERIT study investigators: Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet 2005, 365(9477):2091-2097.
12. Chan P.S., Khalid A., Longmore L.S. et al.: Hospital-wide code rates and mortality before and after implementation of a rapid response team. JAMA 2008; 300(21): 2506-2513.
13. Edelson D.P.: A weak link in the rapid response system. Arch. Intern. Med. 2010; 170(1): 12-13.
14. Fuhrmann L., Lippert A., Perner A. et al.: Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation 2008; 77(3): 325-330.
15. Jones-Crawford J.L., Parish D.C., Smith B.E. et al.: Resuscitation in the hospital: circadian variation of cardiopulmonary arrest. Am. J. Med. 2007; 120(2): 158-164.
16. Peberdy M.A., Ornato J.P., Larkin G.L. et al.: Survival from in-hospital cardiac arrest during nights and weekends. JAMA 2008; 299(7): 785-792.
17. Morrison L.J., Kierzek G., Diekema D.S. et al.: Part 3: ethics: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl. 3): S665-5675.
18. Christenson J., Andrusiek D., Everson-Stewart S. et al.: Chest compression fraction determines survival in patients with out-of-hospital ventricular fibrillation. Circulation 2009; 120(13): 1241-1247.
19. Abella B.S., Sandbo N., Vassilatos P. et al.: Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest. Circulation 2005; 111(4): 428-434.
20. Abella B.S., Alvarado J.P., Myklebust H. et al.: Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA 2005; 293(3): 305-310.
21. Nishisaki A., Nysaether J., Sutton R. et al.: Effect of mattress deflection on CPR quality assessment for older children and adolescents. Resuscitation 2009; 80(5): 540-545.
22. Perkins G.D., Kocierz L., Smith S.C. et al.: Compression feedback devices over estimate chest compression depth when performed on a bed. Resuscitation 2009; 80(1): 79-82.
23. Bonnemeier H., Olivecrona G., Simonis G. et al.: Automated continuous chest compression for in-hospital cardiopulmonary resuscitation of patients with pulseless electrical activity: a report of five cases. Int. J. Cardiol. 2009; 136(2): e39-50.
24. Larsen A.I., Hjornevik A.S., Ellingsen C.L. et al.: Cardiac arrest with continuous mechanical chest compression during percutaneous coronary intervention. A report on the use of the LUCAS device. Resuscitation 2007; 75(3): 454-459.
25. Peberdy M.A., Kaye W., Ornato J.P. et al.: Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation 2003; 58(3): 297-308.
26. Chan P.S., Nichol G., Krumholz H.M. et al.; American Heart Association National Registry of Cardiopulmonary Resuscitation I: Hospital variation in time to defibrillation after in-hospital cardiac arrest. Arch. Intern. Med. 2009; 169(14): 1265-1273.
27. Chan P.S., Krumholz H.M., Nichol G., Nallamothu B.K.; American Heart Association National Registry of Cardiopulmonary Resuscitation I: Delayed time to defibrillation after in-hospital cardiac arrest. N. Engl. J. Med. 2008; 358(1): 9-17.
28. Friedman F.D., Dowler K., Link M.S.: A public access defibrillation programme in non-inpatient hospital areas. Resuscitation 2006; 69(3): 407-411.
29. Gombotz H., Weh B., Mitterndorfer W. et al.: In-hospital cardiac resuscitation outside the ICU by nursing staff equipped with automated external defibrillators – the first 500 cases. Resuscitation 2006; 70(3): 416-422.
30. Ali B., Bloom H., Veledar E. et al.: Automated external cardioversion defibrillation monitoring in cardiac arrest: a randomized trial. Trials 2008; 9: 36.
31. Nadkarni V.M., Larkin G.L., Peberdy M.A. et al.: First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults. JAMA 2006; 295(1): 50-57.
32. Carr B.G., Kahn J.M., Merchant R.M. et al.: Inter-hospital variability in post-cardiac arrest mortality. Resuscitation 2009; 80(1): 30-34.
33. Neumar R.W., Nolan J.P., Adrie C. et al.: Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A consensus statement from the International Liaison Committee on Resuscitation (American Heart Association, Australian and New Zealand Council on Resuscitation, European Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Asia, and the Resuscitation Council of Southern Africa); the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; and the Stroke Council. Circulation 2008; 118(23): 2452-2483.
34. Laver S., Farrow C., Turner D. et al.: Mode of death after admission to an intensive care unit following cardiac arrest. Intensive Care Medicine 2004; 30(11): 2126-2128.
35. Bernard S.A., Gray T.W., Buist M.D. et al.: Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N. Engl. J. Med. 2002; 346(8): 557-563.
36. Peberdy M.A., Callaway C.W., Neumar R.W. et al.: Part 9: post-cardiac arrest care: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl. 3): S768-786.
37. Laurent I., Monchi M., Chiche J.D. et al.: Reversible myocardial dysfunction in survivors of out-of-hospital cardiac arrest. JACC 2002; 40(12): 2110-2116.
38. Krumholz A., Stern B.J., Weiss H.D.: Outcome from coma after cardiopulmonary resuscitation: relation to seizures and myoclonus. Neurology 1988; 38(3): 401-405.
39. Wijdicks E.F., Parisi J.E., Sharbrough F.W.: Prognostic value of myoclonus status in comatose survivors of cardiac arrest. Annals of Neurology 1994; 35(2): 239-243.
40. Hui A.C., Cheng C., Lam A. et al.: Prognosis following Postanoxic Myoclonus Status epilepticus. European Neurology 2005; 54(1): 10-13.