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Fugate JE, Brinjikji W, Mandrekar JN, Cloft HJ, White RD, Wijdicks EF, Rabinstein AA. Post–Cardiac Arrest Mortality Is Declining. Circulation 2012; 126:546-50. [DOI: 10.1161/circulationaha.111.088807] [Citation(s) in RCA: 107] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background—
Despite several advances in postresuscitation care over the past decade, population-based mortality rates for patients hospitalized with cardiac arrest in the United States have not been studied over this time period. The aim of this study was to determine the annual in-hospital mortality rates of patients with cardiac arrest from 2001 to 2009.
Methods and Results—
The US mortality rates for hospitalized patients with cardiac arrest were determined using the 2001 to 2009 US National Inpatient Sample, a national hospital discharge database. Using the
International Classification of Diseases
, 9
th
Edition, code 427.5, we identified patients hospitalized in the United States with cardiac arrest from 2001 to 2009. The main outcome measure was in-hospital mortality. A total of 1 190 860 patients were hospitalized with a diagnosis of cardiac arrest in the United States from 2001 to 2009. The in-hospital mortality rate decreased each year from 69.6% in 2001 to 57.8% in 2009. In multivariable analysis, when controlling for age, sex, race, and comorbidities, earlier year was a strong independent predictor of in-hospital death. The mortality rate declined across all analyzed subgroups, including sex, age, race, and stratification by comorbidity.
Conclusions—
The in-hospital mortality rate of patients hospitalized with cardiac arrest in the United States decreased by 11.8% from 2001 to 2009.
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Affiliation(s)
- Jennifer E. Fugate
- From the Division of Critical Care Neurology (J.E.F., E.F.M.W., A.A.R.), Department of Biomedical Statistics and Informatics (J.N.M.), Department of Radiology (H.J.C.), and Division of Cardiovascular Diseases, Department of Internal Medicine and Department of Anesthesiology (R.D.W.), Mayo Clinic, Rochester, MN; and the Department of Medical Education, Oakwood Hospital, Dearborn, MI (W.B.)
| | - Waleed Brinjikji
- From the Division of Critical Care Neurology (J.E.F., E.F.M.W., A.A.R.), Department of Biomedical Statistics and Informatics (J.N.M.), Department of Radiology (H.J.C.), and Division of Cardiovascular Diseases, Department of Internal Medicine and Department of Anesthesiology (R.D.W.), Mayo Clinic, Rochester, MN; and the Department of Medical Education, Oakwood Hospital, Dearborn, MI (W.B.)
| | - Jay N. Mandrekar
- From the Division of Critical Care Neurology (J.E.F., E.F.M.W., A.A.R.), Department of Biomedical Statistics and Informatics (J.N.M.), Department of Radiology (H.J.C.), and Division of Cardiovascular Diseases, Department of Internal Medicine and Department of Anesthesiology (R.D.W.), Mayo Clinic, Rochester, MN; and the Department of Medical Education, Oakwood Hospital, Dearborn, MI (W.B.)
| | - Harry J. Cloft
- From the Division of Critical Care Neurology (J.E.F., E.F.M.W., A.A.R.), Department of Biomedical Statistics and Informatics (J.N.M.), Department of Radiology (H.J.C.), and Division of Cardiovascular Diseases, Department of Internal Medicine and Department of Anesthesiology (R.D.W.), Mayo Clinic, Rochester, MN; and the Department of Medical Education, Oakwood Hospital, Dearborn, MI (W.B.)
| | - Roger D. White
- From the Division of Critical Care Neurology (J.E.F., E.F.M.W., A.A.R.), Department of Biomedical Statistics and Informatics (J.N.M.), Department of Radiology (H.J.C.), and Division of Cardiovascular Diseases, Department of Internal Medicine and Department of Anesthesiology (R.D.W.), Mayo Clinic, Rochester, MN; and the Department of Medical Education, Oakwood Hospital, Dearborn, MI (W.B.)
| | - Eelco F.M. Wijdicks
- From the Division of Critical Care Neurology (J.E.F., E.F.M.W., A.A.R.), Department of Biomedical Statistics and Informatics (J.N.M.), Department of Radiology (H.J.C.), and Division of Cardiovascular Diseases, Department of Internal Medicine and Department of Anesthesiology (R.D.W.), Mayo Clinic, Rochester, MN; and the Department of Medical Education, Oakwood Hospital, Dearborn, MI (W.B.)
| | - Alejandro A. Rabinstein
- From the Division of Critical Care Neurology (J.E.F., E.F.M.W., A.A.R.), Department of Biomedical Statistics and Informatics (J.N.M.), Department of Radiology (H.J.C.), and Division of Cardiovascular Diseases, Department of Internal Medicine and Department of Anesthesiology (R.D.W.), Mayo Clinic, Rochester, MN; and the Department of Medical Education, Oakwood Hospital, Dearborn, MI (W.B.)
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