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The Discover In-Hospital Cardiac Arrest (Discover IHCA) Study: An Investigation of Hospital Practices After In-Hospital Cardiac Arrest.
Crit Care Explor
September 2024
Bronx Center for Critical Care Outcomes and Resuscitation Research, Division of Critical Care Medicine, Montefiore Medical Center, Bronx, NY.
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.
View Article and Find Full Text PDFAge, sex, and pre-arrest comorbidities shape the risk trajectory of sudden cardiac death- Patterns highlighted by population data in Taiwan.
Prev Med
October 2024
Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan. Electronic address:
Objectives: Few reports have indicated the secular trend in the sudden cardiac death (SCD) incidence and pre-arrest comorbidities. This study aimed to comprehensively analyze the trend of SCD incidence and its association with pre-arrest comorbidities.
Methods: This population-based cohort study analyzed Taiwan's National Health Insurance (NHI) research database and identified SCD incidents by inspecting data from all emergency department visits from 2011 to 2018.
Pericardiocentesis, Chest Tube Insertion, and Needle Thoracostomy During Resuscitation of Nontraumatic Adult In-Hospital Cardiac Arrest: A Retrospective Cohort Study.
Crit Care Explor
August 2024
All authors: Department of Critical Care Medicine, Montefiore Medical Center, Bronx, NY.
Article Synopsis
- * The Discover IHCA study aims to collect detailed data on current post-IHCA treatment practices, particularly focusing on temperature control and prognostication, to highlight variations in care across hospitals.
- * Conducted across 24 hospitals (mostly in the U.S.), the study includes standard data collection methods beginning in October 2023, with a goal of enrolling around 1,000 patients to better understand post-IHCA practices in line with established guidelines.
Law enforcement-led, pre-arrest diversion-to-treatment may reduce crime recidivism, incarceration, and overdose deaths: Program evaluation outcomes.
J Subst Use Addict Treat
October 2024
Penn State College of Medicine, Departments of Family & Community Medicine, Public Health Sciences, and Anesthesiology and Perioperative Medicine, Hershey, PA, USA.
Article Synopsis
- Substance use disorder (SUD) and drug-related crime are rising in the U.S., and a program that helps people get treatment instead of being arrested could help reduce crime and overdose deaths.
- The study looked at how a program that provides treatment to people caught doing low-level drug crimes affected their chances of getting arrested again, with three groups being compared: those who didn’t join, those who started but didn’t finish, and those who completed the program.
- The results showed that people who completed the program were much less likely to get arrested again compared to those who didn’t engage or didn’t finish it.
Social determinants and pre-arrest care patterns associated with cardiac arrest and mortality.
Resuscitation
September 2024
Department of Emergency Medicine, MetroHealth Campus, Case Western Reserve University, Cleveland, OH, USA.
Article Synopsis
- The study examined the impact of social determinants of health (SDOH) on cardiac arrest (CA) incidence and mortality using data from the Epic Cosmos database, which includes 227 million patients.
- It found that male patients and those from certain racial/ethnic groups, including Black and Indigenous populations, had a higher incidence of CA, while Asian and Hispanic patients had lower rates.
- Additionally, patients in the highest social vulnerability index (SVI) quartile experienced more CA events, suggesting significant disparities in pre-arrest care across different demographics.
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