TY - JOUR
T1 - In-hospital cardiac arrest
T2 - Are we overlooking a key distinction?
AU - Moskowitz, Ari
AU - Holmberg, Mathias J.
AU - Donnino, Michael W.
AU - Berg, Katherine M.
N1 - Publisher Copyright:
© Copyright 2018 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Purpose of review To review the epidemiology, peri-arrest management, and research priorities related to in-hospital cardiac arrest (IHCA) and explore key distinctions between IHCA and out-of-hospital cardiac arrest (OHCA) as they pertain to the clinician and resuscitation scientist. Recent findings IHCA is a common and highly morbid event amongst hospitalized patients in the United States. As compared with patients who experience an OHCA, patients who experience an IHCA tend to have more medical comorbidities, have a witnessed arrest, and be attended to by professional first responders. Further, providers resuscitating patients from IHCA commonly have access to tools and information not readily available to the OHCA responders. Despite these differences, society guidelines for the peri-arrest management of patients with IHCA are often based on data extrapolated from the OHCA population. To advance the care of patients with IHCA, clinicians and investigators should recognize the many important distinctions between OHCA and IHCA. Summary IHCA is a unique disease entity with an epidemiology and natural history that are distinct from OHCA. In both research and clinical practice, physicians should recognize these distinctions so as to advance the care of IHCA victims.
AB - Purpose of review To review the epidemiology, peri-arrest management, and research priorities related to in-hospital cardiac arrest (IHCA) and explore key distinctions between IHCA and out-of-hospital cardiac arrest (OHCA) as they pertain to the clinician and resuscitation scientist. Recent findings IHCA is a common and highly morbid event amongst hospitalized patients in the United States. As compared with patients who experience an OHCA, patients who experience an IHCA tend to have more medical comorbidities, have a witnessed arrest, and be attended to by professional first responders. Further, providers resuscitating patients from IHCA commonly have access to tools and information not readily available to the OHCA responders. Despite these differences, society guidelines for the peri-arrest management of patients with IHCA are often based on data extrapolated from the OHCA population. To advance the care of patients with IHCA, clinicians and investigators should recognize the many important distinctions between OHCA and IHCA. Summary IHCA is a unique disease entity with an epidemiology and natural history that are distinct from OHCA. In both research and clinical practice, physicians should recognize these distinctions so as to advance the care of IHCA victims.
KW - cardiac arrest
KW - extracorporeal membrane oxygenation
KW - induced hypothermia
KW - practice guideline
KW - ultrasound
UR - http://www.scopus.com/inward/record.url?scp=85046730333&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85046730333&partnerID=8YFLogxK
U2 - 10.1097/MCC.0000000000000505
DO - 10.1097/MCC.0000000000000505
M3 - Review article
C2 - 29688939
AN - SCOPUS:85046730333
SN - 1070-5295
VL - 24
SP - 151
EP - 157
JO - Current Opinion in Critical Care
JF - Current Opinion in Critical Care
IS - 3
ER -