Mortality after in-hospital cardiopulmonary resuscitation: Multicenter analysis in Korea

Ho Cheol Kim, Jun Wan Yoo, So Yeon Lim, Gee Young Suh, Shin Ok Koh, Sungwon Na, Chae Man Lim, Younsuck Koh, Won Il Choi, Young Joo Lee, Seok Chan Kim, Chin Kook Rhee, Gyu Rak Chon, Je Hyeong Kim, Jae Yeol Kim, Jaemin Lim, Sunghoon Park, Jin Hwa Lee, Ji Hyun Lee

Research output: Contribution to journalArticle

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Abstract

Purpose: The purpose of this study is to evaluate factors associated with the mortality of patients admitted to intensive care units (ICUs) after in-hospital cardiopulmonary resuscitation (CPR) and the impact of a hospital rapid response system (RRS) on patient mortality in Korea. Materials and Methods: A prospective multicenter cohort study was done in 22 ICUs of 15 centers from July 1, 2010, to January 31, 2011. We only enrolled patients admitted to ICUs after in-hospital CPR and divided eligible patients into 2 groups-survivors and nonsurvivors. Results: Among 4617 patients, 150 patients were admitted post-CPR, 76 died, and 74 survived. At 24 hours, the Sequential Organ Failure Assessment score, Simplified Acute Physiology Score II, and the best Glasgow Coma Scale were significantly lower in the nonsurvivors than in the survivors. In multivariate analysis, the Simplified Acute Physiology Score II and presence of lower respiratory infection were both independently associated with mortality. At the first hour after admission, lowest serum potassium and highest heart rate were associated with mortality. At 24 hours after admission, lowest mean arterial pressure, HCO3 level, and venous oxygen saturation level; highest heart rate; and use of vasoactive drugs were associated with mortality. The mortality of patients in hospitals with an RRS was not significantly different from that of hospitals without an RRS. Conclusion: Various physiologic and laboratory parameters were associated with the mortality of post-CPR ICU admitted patients, and the presence of an RRS did not reduce mortality of these patients in our study.

Original languageEnglish
Pages (from-to)942-946
Number of pages5
JournalJournal of Critical Care
Volume28
Issue number6
DOIs
Publication statusPublished - 2013 Dec 1

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Cardiopulmonary Resuscitation
Korea
Hospital Mortality
Mortality
Intensive Care Units
Survivors
Heart Rate
Organ Dysfunction Scores
Glasgow Coma Scale
Respiratory Tract Infections
Multicenter Studies
Potassium
Arterial Pressure
Cohort Studies
Multivariate Analysis
Oxygen
Serum

Keywords

  • Cardiopulmonary resuscitation
  • Mortality
  • Parameters
  • Rapid response system

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Kim, H. C., Yoo, J. W., Lim, S. Y., Suh, G. Y., Koh, S. O., Na, S., ... Lee, J. H. (2013). Mortality after in-hospital cardiopulmonary resuscitation: Multicenter analysis in Korea. Journal of Critical Care, 28(6), 942-946. https://doi.org/10.1016/j.jcrc.2013.07.048

Mortality after in-hospital cardiopulmonary resuscitation : Multicenter analysis in Korea. / Kim, Ho Cheol; Yoo, Jun Wan; Lim, So Yeon; Suh, Gee Young; Koh, Shin Ok; Na, Sungwon; Lim, Chae Man; Koh, Younsuck; Choi, Won Il; Lee, Young Joo; Kim, Seok Chan; Rhee, Chin Kook; Chon, Gyu Rak; Kim, Je Hyeong; Kim, Jae Yeol; Lim, Jaemin; Park, Sunghoon; Lee, Jin Hwa; Lee, Ji Hyun.

In: Journal of Critical Care, Vol. 28, No. 6, 01.12.2013, p. 942-946.

Research output: Contribution to journalArticle

Kim, HC, Yoo, JW, Lim, SY, Suh, GY, Koh, SO, Na, S, Lim, CM, Koh, Y, Choi, WI, Lee, YJ, Kim, SC, Rhee, CK, Chon, GR, Kim, JH, Kim, JY, Lim, J, Park, S, Lee, JH & Lee, JH 2013, 'Mortality after in-hospital cardiopulmonary resuscitation: Multicenter analysis in Korea', Journal of Critical Care, vol. 28, no. 6, pp. 942-946. https://doi.org/10.1016/j.jcrc.2013.07.048
Kim, Ho Cheol ; Yoo, Jun Wan ; Lim, So Yeon ; Suh, Gee Young ; Koh, Shin Ok ; Na, Sungwon ; Lim, Chae Man ; Koh, Younsuck ; Choi, Won Il ; Lee, Young Joo ; Kim, Seok Chan ; Rhee, Chin Kook ; Chon, Gyu Rak ; Kim, Je Hyeong ; Kim, Jae Yeol ; Lim, Jaemin ; Park, Sunghoon ; Lee, Jin Hwa ; Lee, Ji Hyun. / Mortality after in-hospital cardiopulmonary resuscitation : Multicenter analysis in Korea. In: Journal of Critical Care. 2013 ; Vol. 28, No. 6. pp. 942-946.
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abstract = "Purpose: The purpose of this study is to evaluate factors associated with the mortality of patients admitted to intensive care units (ICUs) after in-hospital cardiopulmonary resuscitation (CPR) and the impact of a hospital rapid response system (RRS) on patient mortality in Korea. Materials and Methods: A prospective multicenter cohort study was done in 22 ICUs of 15 centers from July 1, 2010, to January 31, 2011. We only enrolled patients admitted to ICUs after in-hospital CPR and divided eligible patients into 2 groups-survivors and nonsurvivors. Results: Among 4617 patients, 150 patients were admitted post-CPR, 76 died, and 74 survived. At 24 hours, the Sequential Organ Failure Assessment score, Simplified Acute Physiology Score II, and the best Glasgow Coma Scale were significantly lower in the nonsurvivors than in the survivors. In multivariate analysis, the Simplified Acute Physiology Score II and presence of lower respiratory infection were both independently associated with mortality. At the first hour after admission, lowest serum potassium and highest heart rate were associated with mortality. At 24 hours after admission, lowest mean arterial pressure, HCO3 level, and venous oxygen saturation level; highest heart rate; and use of vasoactive drugs were associated with mortality. The mortality of patients in hospitals with an RRS was not significantly different from that of hospitals without an RRS. Conclusion: Various physiologic and laboratory parameters were associated with the mortality of post-CPR ICU admitted patients, and the presence of an RRS did not reduce mortality of these patients in our study.",
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AU - Kim, Ho Cheol

AU - Yoo, Jun Wan

AU - Lim, So Yeon

AU - Suh, Gee Young

AU - Koh, Shin Ok

AU - Na, Sungwon

AU - Lim, Chae Man

AU - Koh, Younsuck

AU - Choi, Won Il

AU - Lee, Young Joo

AU - Kim, Seok Chan

AU - Rhee, Chin Kook

AU - Chon, Gyu Rak

AU - Kim, Je Hyeong

AU - Kim, Jae Yeol

AU - Lim, Jaemin

AU - Park, Sunghoon

AU - Lee, Jin Hwa

AU - Lee, Ji Hyun

PY - 2013/12/1

Y1 - 2013/12/1

N2 - Purpose: The purpose of this study is to evaluate factors associated with the mortality of patients admitted to intensive care units (ICUs) after in-hospital cardiopulmonary resuscitation (CPR) and the impact of a hospital rapid response system (RRS) on patient mortality in Korea. Materials and Methods: A prospective multicenter cohort study was done in 22 ICUs of 15 centers from July 1, 2010, to January 31, 2011. We only enrolled patients admitted to ICUs after in-hospital CPR and divided eligible patients into 2 groups-survivors and nonsurvivors. Results: Among 4617 patients, 150 patients were admitted post-CPR, 76 died, and 74 survived. At 24 hours, the Sequential Organ Failure Assessment score, Simplified Acute Physiology Score II, and the best Glasgow Coma Scale were significantly lower in the nonsurvivors than in the survivors. In multivariate analysis, the Simplified Acute Physiology Score II and presence of lower respiratory infection were both independently associated with mortality. At the first hour after admission, lowest serum potassium and highest heart rate were associated with mortality. At 24 hours after admission, lowest mean arterial pressure, HCO3 level, and venous oxygen saturation level; highest heart rate; and use of vasoactive drugs were associated with mortality. The mortality of patients in hospitals with an RRS was not significantly different from that of hospitals without an RRS. Conclusion: Various physiologic and laboratory parameters were associated with the mortality of post-CPR ICU admitted patients, and the presence of an RRS did not reduce mortality of these patients in our study.

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KW - Mortality

KW - Parameters

KW - Rapid response system

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