Life After Death
Paul S. Chan, MD, MSc; Brahmajee K. Nallamothu, MD, MPH. JAMA. 2012;307(18):1917-1918.
Approximately 200 000 US patients annually experience in-hospital cardiac arrest,1 yet clinicians continue to have poor understanding about how to improve patient survival after these events. In part, this is because cardiac arrest is an unexpected event that is difficult to predict with certainty. Moreover, cardiac arrest involves heterogeneous groups of patients necessitating the engagement of numerous physician specialties, hospital floors, and allied health care personnel to improve resuscitation outcomes.
Risk-adjusted survival after in-hospital cardiac arrest has significantly improved over the past decade.2 Several epidemiological studies have identified factors associated with lower survival, including delays in defibrillation,3 off-hours or unwitnessed arrests,4 and black race.5 Furthermore, substantial variation in survival outcomes exists across hospitals,6 suggesting that some facilities may be instituting better strategies for resuscitation care. These strategies may require better implementation of processes of care because enhanced technologies (eg, remote intensive care unit [ICU] monitoring, …
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Paul S. Chan, MD, MSc; Brahmajee K. Nallamothu, MD, MPH. JAMA. 2012;307(18):1917-1918.
Approximately 200 000 US patients annually experience in-hospital cardiac arrest,1 yet clinicians continue to have poor understanding about how to improve patient survival after these events. In part, this is because cardiac arrest is an unexpected event that is difficult to predict with certainty. Moreover, cardiac arrest involves heterogeneous groups of patients necessitating the engagement of numerous physician specialties, hospital floors, and allied health care personnel to improve resuscitation outcomes.
Risk-adjusted survival after in-hospital cardiac arrest has significantly improved over the past decade.2 Several epidemiological studies have identified factors associated with lower survival, including delays in defibrillation,3 off-hours or unwitnessed arrests,4 and black race.5 Furthermore, substantial variation in survival outcomes exists across hospitals,6 suggesting that some facilities may be instituting better strategies for resuscitation care. These strategies may require better implementation of processes of care because enhanced technologies (eg, remote intensive care unit [ICU] monitoring, …
Weblink here