Does a Transition to Single-Occupancy Patient Rooms Affect the Incidence and Outcome of In-Hospital Cardiac Arrests?
HERD
; : 19375867241226600, 2024 Feb 23.
Article
in En
| MEDLINE
| ID: mdl-38390921
ABSTRACT
BACKGROUND:
It is proposed that patients in single-occupancy patient rooms (SPRs) carry a risk of less surveillance by nursing and medical staff and that resuscitation teams need longer to arrive in case of in-hospital cardiac arrest (IHCA). Higher incidences of IHCA and worse outcomes after cardiopulmonary resuscitation (CPR) may be the result.OBJECTIVES:
Our study examines whether there is a difference in incidence and outcomes of IHCA before and after the transition from a hospital with multibedded rooms to solely SPRs.METHODS:
In this prospective observational study in a Dutch university hospital, as a part of the Resuscitation Outcomes in the Netherlands study, we reviewed all cases of IHCA on general adult wards in a period of 16.5 months before to 16.5 months after the transition to SPRs.RESULTS:
During the study period, 102 CPR attempts were performed 51 in the former hospital and 51 in the new hospital. Median time between last-seen-well and start basic life support did not differ significantly, nor did median time to arrival of the CPR team. Survival rates to hospital discharge were 30.0% versus 29.4% of resuscitated patients (p = 1.00), with comparable neurologicaloutcomes:
86.7% of discharged patients in the new hospital had Cerebral Performance Category 1 (good cerebral performance) versus 46.7% in the former hospital (p = .067). When corrected for telemetry monitoring, these differences were still nonsignificant.CONCLUSIONS:
The transition to a 100% SPR hospital had no negative impact on incidence, survival rates, and neurological outcomes of IHCAs on general adult wards.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
HERD
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Year:
2024
Document type:
Article
Affiliation country:
Netherlands