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The Discover In-Hospital Cardiac Arrest (Discover IHCA) Study: An Investigation of Hospital Practices After In-Hospital Cardiac Arrest.
Andrea, Luke; Herman, Nathaniel S; Vine, Jacob; Berg, Katherine M; Choudhury, Saiara; Vaena, Mariana; Nogle, Jordan E; Halablab, Saleem M; Kaviyarasu, Aarthi; Elmer, Jonathan; Wardi, Gabriel; Pearce, Alex K; Crowley, Conor; Long, Micah T; Herbert, J Taylor; Shipley, Kipp; Bissell Turpin, Brittany D; Lanspa, Michael J; Green, Adam; Ghamande, Shekhar A; Khan, Akram; Dugar, Siddharth; Joffe, Aaron M; Baram, Michael; March, Cooper; Johnson, Nicholas J; Reyes, Alexander; Denchev, Krassimir; Loewe, Michael; Moskowitz, Ari.
Afiliação
  • Andrea L; Bronx Center for Critical Care Outcomes and Resuscitation Research, Division of Critical Care Medicine, Montefiore Medical Center, Bronx, NY.
  • Herman NS; Bronx Center for Critical Care Outcomes and Resuscitation Research, Division of Critical Care Medicine, Montefiore Medical Center, Bronx, NY.
  • Vine J; Center for Resuscitation Science, Beth Israel Deaconess Medical Center, Boston, MA.
  • Berg KM; Center for Resuscitation Science, Beth Israel Deaconess Medical Center, Boston, MA.
  • Choudhury S; Division of Pulmonary and Critical Care, Beth Israel Deaconess Medical Center, Boston, MA.
  • Vaena M; Division of Pulmonary, Allergy, and Critical Care Medicine, Hennepin County Medical Center, Minneapolis, MN.
  • Nogle JE; Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
  • Halablab SM; Department of Emergency Medicine, Wake Forest School of Medicine, Winston-Salem, NC.
  • Kaviyarasu A; Center for Resuscitation Science, Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA.
  • Elmer J; Center for Resuscitation Science, Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA.
  • Wardi G; Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
  • Pearce AK; Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
  • Crowley C; Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA.
  • Long MT; Department of Emergency Medicine, University of California San Diego, La Jolla, CA.
  • Herbert JT; Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, University of California San Diego, La Jolla, CA.
  • Shipley K; Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, University of California San Diego, La Jolla, CA.
  • Bissell Turpin BD; Division of Pulmonary and Critical Care Medicine, Lahey Hospital and Medical Center, Burlington, MA.
  • Lanspa MJ; Department of Anesthesiology, Division of Critical Care, University of Wisconsin School of Medicine & Public Health, Madison, WI.
  • Green A; Division of Critical Care Medicine, Department of Anesthesiology, Duke University School of Medicine, Durham, NC.
  • Ghamande SA; Critical Care Outreach Team, Vanderbilt University Medical Center, Nashville, TN.
  • Khan A; Department of Pharmacy, University of Kentucky, Lexington, KY.
  • Dugar S; Department of Pharmacy, Ephraim McDowell Regional Medical Center, Danville, KY.
  • Joffe AM; Pulmonary Division, Department of Medicine, Intermountain Medical Center, Murray, UT.
  • Baram M; Division of Critical Care, Cooper University Health Care, Camden, NJ.
  • March C; Cooper Medical School of Rowan University, Camden, NJ.
  • Johnson NJ; Division of Pulmonary, Critical Care and Sleep Medicine, Baylor Scott and White Medical Center, Baylor College of Medicine, Temple, TX.
  • Reyes A; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Oregon Health and Science University School of Medicine, Portland, OR.
  • Denchev K; Department of Critical Care, Respiratory Institute, Cleveland Clinic, Cleveland, OH.
  • Loewe M; Department of Anesthesiology, Valleywise Health Medical Center, Creighton University School of Medicine, Phoenix, AZ.
  • Moskowitz A; Korman Lung Center, Thomas Jefferson University, Philadelphia, PA.
Crit Care Explor ; 6(9): e1149, 2024 Sep 01.
Article em En | MEDLINE | ID: mdl-39258957
ABSTRACT
IMPORTANCE In-hospital cardiac arrest (IHCA) is a significant public health burden. Rates of return of spontaneous circulation (ROSC) have been improving, but the best way to care for patients after the initial resuscitation remains poorly understood, and improvements in survival to discharge are stagnant. Existing North American cardiac arrest databases lack comprehensive data on the post-resuscitation period, and we do not know current post-IHCA practice patterns. To address this gap, we developed the Discover In-Hospital Cardiac Arrest (Discover IHCA) study, which will thoroughly evaluate current post-IHCA care practices across a diverse cohort.

OBJECTIVES:

Our study collects granular data on post-IHCA treatment practices, focusing on temperature control and prognostication, with the objective of describing variation in current post-IHCA practice. DESIGN, SETTING, AND

PARTICIPANTS:

This is a multicenter, prospectively collected, observational cohort study of patients who have suffered IHCA and have been successfully resuscitated (achieved ROSC). There are 24 enrolling hospital systems (23 in the United States) with 69 individual enrolling hospitals (39 in the United States). We developed a standardized data dictionary, and data collection began in October 2023, with a projected 1000 total enrollments. Discover IHCA is endorsed by the Society of Critical Care Medicine. INTERVENTIONS, OUTCOMES, AND

ANALYSIS:

The study collects data on patient characteristics including pre-arrest frailty, arrest characteristics, and detailed information on post-arrest practices and outcomes. Data collection on post-IHCA practice was structured around current American Heart Association and European Resuscitation Council guidelines. Among other data elements, the study captures post-arrest temperature control interventions and post-arrest prognostication methods. Analysis will evaluate variations in practice and their association with mortality and neurologic function.

CONCLUSIONS:

We expect this study, Discover IHCA, to identify variability in practice and outcomes following IHCA, and be a vital resource for future investigations into best-practice for managing patients after IHCA.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reanimação Cardiopulmonar / Parada Cardíaca Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reanimação Cardiopulmonar / Parada Cardíaca Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Ano de publicação: 2024 Tipo de documento: Article