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Goharani R, Vahedian-Azimi A, Pourhoseingholi MA, et al. Survival to intensive care unit discharge among in-hospital cardiac arrest patients by applying audiovisual feedback device. ESC Heart Fail. 2021;8(6):4652-4660doi: 10.1002/ehf2.13628.
Goharani, R., Vahedian-Azimi, A., Pourhoseingholi, M. A., Amanpour, F., Rosano, G. M. C., & Sahebkar, A. (2021). Survival to intensive care unit discharge among in-hospital cardiac arrest patients by applying audiovisual feedback device. ESC heart failure, 8(6), 4652-4660. https://doi.org/10.1002/ehf2.13628
Goharani, Reza, et al. "Survival to intensive care unit discharge among in-hospital cardiac arrest patients by applying audiovisual feedback device." ESC heart failure vol. 8,6 (2021): 4652-4660. doi: https://doi.org/10.1002/ehf2.13628
Goharani R, Vahedian-Azimi A, Pourhoseingholi MA, Amanpour F, Rosano GMC, Sahebkar A. Survival to intensive care unit discharge among in-hospital cardiac arrest patients by applying audiovisual feedback device. ESC Heart Fail. 2021 Dec;8(6):4652-4660. doi: 10.1002/ehf2.13628. Epub 2021 Oct 30. PMID: 34716684; PMCID: PMC8712865.
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ESC Heart Fail. 2021 Dec;8(6):4652-4660. doi: 10.1002/ehf2.13628. Epub 2021 Oct 30.

Survival to intensive care unit discharge among in-hospital cardiac arrest patients by applying audiovisual feedback device.

ESC heart failure

Reza Goharani, Amir Vahedian-Azimi, Mohamad Amin Pourhoseingholi, Farzaneh Amanpour, Giuseppe M C Rosano, Amirhossein Sahebkar

Affiliations

  1. Anesthesiology Research Center, Anesthesia and Critical Care Department, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  2. Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
  3. Department of Health System Research, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  4. Centre for Clinical and Basic Research, Department of Medical Sciences, IRCCS San Raffaele Pisana, via della Pisana, 235, Rome, 00163, Italy.
  5. Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.
  6. Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
  7. Polish Mother's Memorial Hospital Research Institute (PMMHRI), Lodz, Poland.
  8. School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

PMID: 34716684 PMCID: PMC8712865 DOI: 10.1002/ehf2.13628

Abstract

AIMS: Survival rates after in-hospital cardiac arrest remain very low. Although there is evidence that the use of audiovisual feedback devices can improve compression components, there are no data on patient survival. Therefore, we conducted this study to analyse the survival rate of patients with in-hospital cardiac arrest after discharge from the intensive care unit.

METHODS AND RESULTS: This study was a secondary analysis of a prospective, randomized, controlled, parallel study of patients who received either standard manual chest compression or a real-time feedback device. Parametric and semi-parametric models were fitted to the data. Different survival time of length of stay was investigated by univariate and multiple analyses. Pearson's correlation between length of stay and hospital length of stay was obtained. A total of 900 patients with a mean survival time of 35 days were included. Intervention was associated with a higher length of stay. Relative time was significant in adjusted fitted log-normal regression for intervention group, female gender, and cardiopulmonary resuscitation in the night shift. A positive correlation between length of stay and hospital length of stay was found.

CONCLUSIONS: Implementation of feedback device improved survival and length of stay. Cardiopulmonary resuscitation performance during the night shift decreased the survival time, which could be due to the inexperienced staff available outside working hours.

© 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.

Keywords: Cardio First Angel™; ICU length of stay; In-hospital cardiac arrest; Survival

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