Outcomes of patients with subarachnoid haemorrhage admitted to Australian and New Zealand intensive care units following a cardiac arrest. Heaney, J., Paul, E., Pilcher, D., Lin, C., Udy, A., & Young, P. J. Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine, 22(3):237–244, September, 2020. abstract bibtex OBJECTIVES: To describe the characteristics and outcomes of adults with a subarachnoid haemorrhage (SAH) admitted to Australian and New Zealand intensive care units (ICUs) with a cardiac arrest in the preceding 24 hours. DESIGN: Retrospective cohort study. SETTING: Study data from 144 Australian and New Zealand ICUs were obtained from the Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation Adult Patient Database. PARTICIPANTS: A total of 439 of 11 047 (3.9%) patients admitted to an ICU with a SAH had a documented cardiac arrest in the 24 hours preceding their ICU admission. The mean age of patients with SAH and a preceding cardiac arrest was 55.3 years (SD, 13.7) and 251 of 439 (57.2%) were female. MAIN OUTCOME MEASURES: The primary outcome of interest was in-hospital mortality. Key secondary outcomes were ICU mortality, ICU and hospital lengths of stay, the proportion of patients discharged home. RESULTS: SAH patients with a history of cardiac arrest preceding ICU admission had a higher mortality rate (81.5% v 23.3%; P \textless 0.0001) and a lower rate of discharge home (4.6% v 37.0%; P \textless 0.0001) compared with patients with SAH who did not have a cardiac arrest. Among patients with SAH who had a cardiac arrest and survived, 20 of 81 (24.7%) were discharged home. In SAH patients with cardiac arrest, having a GCS of 3, the Australian and New Zealand Risk of Death score, and being admitted to ICU for palliative care or organ donation were significant predictors of in-hospital death. CONCLUSIONS: Almost one in five SAH patients who had a documented cardiac arrest in the 24 hours preceding ICU admission to an Australian and New Zealand ICU survived to hospital discharge, with around a quarter of these survivors discharged home. The neurological outcomes of these patients are uncertain, and understanding the burden of disability in survivors is an important area for further research.
@article{heaney_outcomes_2020,
title = {Outcomes of patients with subarachnoid haemorrhage admitted to {Australian} and {New} {Zealand} intensive care units following a cardiac arrest},
volume = {22},
issn = {1441-2772},
abstract = {OBJECTIVES: To describe the characteristics and outcomes of adults with a subarachnoid haemorrhage (SAH) admitted to Australian and New Zealand intensive care units (ICUs) with a cardiac arrest in the preceding 24 hours.
DESIGN: Retrospective cohort study.
SETTING: Study data from 144 Australian and New Zealand ICUs were obtained from the Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation Adult Patient Database.
PARTICIPANTS: A total of 439 of 11 047 (3.9\%) patients admitted to an ICU with a SAH had a documented cardiac arrest in the 24 hours preceding their ICU admission. The mean age of patients with SAH and a preceding cardiac arrest was 55.3 years (SD, 13.7) and 251 of 439 (57.2\%) were female.
MAIN OUTCOME MEASURES: The primary outcome of interest was in-hospital mortality. Key secondary outcomes were ICU mortality, ICU and hospital lengths of stay, the proportion of patients discharged home.
RESULTS: SAH patients with a history of cardiac arrest preceding ICU admission had a higher mortality rate (81.5\% v 23.3\%; P {\textless} 0.0001) and a lower rate of discharge home (4.6\% v 37.0\%; P {\textless} 0.0001) compared with patients with SAH who did not have a cardiac arrest. Among patients with SAH who had a cardiac arrest and survived, 20 of 81 (24.7\%) were discharged home. In SAH patients with cardiac arrest, having a GCS of 3, the Australian and New Zealand Risk of Death score, and being admitted to ICU for palliative care or organ donation were significant predictors of in-hospital death.
CONCLUSIONS: Almost one in five SAH patients who had a documented cardiac arrest in the 24 hours preceding ICU admission to an Australian and New Zealand ICU survived to hospital discharge, with around a quarter of these survivors discharged home. The neurological outcomes of these patients are uncertain, and understanding the burden of disability in survivors is an important area for further research.},
language = {eng},
number = {3},
journal = {Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine},
author = {Heaney, Jonathan and Paul, Eldho and Pilcher, David and Lin, Caleb and Udy, Andrew and Young, Paul J.},
month = sep,
year = {2020},
pmid = {32900330},
keywords = {Adult, Australia, Databases, Factual, Female, Heart Arrest, Hospital Mortality, Humans, Intensive Care Units, Length of Stay, Male, Middle Aged, New Zealand, Retrospective Studies, Subarachnoid Hemorrhage},
pages = {237--244},
}
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{"_id":"XHJ9eiq3xb9zZY4S3","bibbaseid":"heaney-paul-pilcher-lin-udy-young-outcomesofpatientswithsubarachnoidhaemorrhageadmittedtoaustralianandnewzealandintensivecareunitsfollowingacardiacarrest-2020","author_short":["Heaney, J.","Paul, E.","Pilcher, D.","Lin, C.","Udy, A.","Young, P. J."],"bibdata":{"bibtype":"article","type":"article","title":"Outcomes of patients with subarachnoid haemorrhage admitted to Australian and New Zealand intensive care units following a cardiac arrest","volume":"22","issn":"1441-2772","abstract":"OBJECTIVES: To describe the characteristics and outcomes of adults with a subarachnoid haemorrhage (SAH) admitted to Australian and New Zealand intensive care units (ICUs) with a cardiac arrest in the preceding 24 hours. DESIGN: Retrospective cohort study. SETTING: Study data from 144 Australian and New Zealand ICUs were obtained from the Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation Adult Patient Database. PARTICIPANTS: A total of 439 of 11 047 (3.9%) patients admitted to an ICU with a SAH had a documented cardiac arrest in the 24 hours preceding their ICU admission. The mean age of patients with SAH and a preceding cardiac arrest was 55.3 years (SD, 13.7) and 251 of 439 (57.2%) were female. MAIN OUTCOME MEASURES: The primary outcome of interest was in-hospital mortality. Key secondary outcomes were ICU mortality, ICU and hospital lengths of stay, the proportion of patients discharged home. RESULTS: SAH patients with a history of cardiac arrest preceding ICU admission had a higher mortality rate (81.5% v 23.3%; P \\textless 0.0001) and a lower rate of discharge home (4.6% v 37.0%; P \\textless 0.0001) compared with patients with SAH who did not have a cardiac arrest. Among patients with SAH who had a cardiac arrest and survived, 20 of 81 (24.7%) were discharged home. In SAH patients with cardiac arrest, having a GCS of 3, the Australian and New Zealand Risk of Death score, and being admitted to ICU for palliative care or organ donation were significant predictors of in-hospital death. CONCLUSIONS: Almost one in five SAH patients who had a documented cardiac arrest in the 24 hours preceding ICU admission to an Australian and New Zealand ICU survived to hospital discharge, with around a quarter of these survivors discharged home. The neurological outcomes of these patients are uncertain, and understanding the burden of disability in survivors is an important area for further research.","language":"eng","number":"3","journal":"Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine","author":[{"propositions":[],"lastnames":["Heaney"],"firstnames":["Jonathan"],"suffixes":[]},{"propositions":[],"lastnames":["Paul"],"firstnames":["Eldho"],"suffixes":[]},{"propositions":[],"lastnames":["Pilcher"],"firstnames":["David"],"suffixes":[]},{"propositions":[],"lastnames":["Lin"],"firstnames":["Caleb"],"suffixes":[]},{"propositions":[],"lastnames":["Udy"],"firstnames":["Andrew"],"suffixes":[]},{"propositions":[],"lastnames":["Young"],"firstnames":["Paul","J."],"suffixes":[]}],"month":"September","year":"2020","pmid":"32900330","keywords":"Adult, Australia, Databases, Factual, Female, Heart Arrest, Hospital Mortality, Humans, Intensive Care Units, Length of Stay, Male, Middle Aged, New Zealand, Retrospective Studies, Subarachnoid Hemorrhage","pages":"237–244","bibtex":"@article{heaney_outcomes_2020,\n\ttitle = {Outcomes of patients with subarachnoid haemorrhage admitted to {Australian} and {New} {Zealand} intensive care units following a cardiac arrest},\n\tvolume = {22},\n\tissn = {1441-2772},\n\tabstract = {OBJECTIVES: To describe the characteristics and outcomes of adults with a subarachnoid haemorrhage (SAH) admitted to Australian and New Zealand intensive care units (ICUs) with a cardiac arrest in the preceding 24 hours.\nDESIGN: Retrospective cohort study.\nSETTING: Study data from 144 Australian and New Zealand ICUs were obtained from the Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation Adult Patient Database.\nPARTICIPANTS: A total of 439 of 11 047 (3.9\\%) patients admitted to an ICU with a SAH had a documented cardiac arrest in the 24 hours preceding their ICU admission. The mean age of patients with SAH and a preceding cardiac arrest was 55.3 years (SD, 13.7) and 251 of 439 (57.2\\%) were female.\nMAIN OUTCOME MEASURES: The primary outcome of interest was in-hospital mortality. Key secondary outcomes were ICU mortality, ICU and hospital lengths of stay, the proportion of patients discharged home.\nRESULTS: SAH patients with a history of cardiac arrest preceding ICU admission had a higher mortality rate (81.5\\% v 23.3\\%; P {\\textless} 0.0001) and a lower rate of discharge home (4.6\\% v 37.0\\%; P {\\textless} 0.0001) compared with patients with SAH who did not have a cardiac arrest. Among patients with SAH who had a cardiac arrest and survived, 20 of 81 (24.7\\%) were discharged home. In SAH patients with cardiac arrest, having a GCS of 3, the Australian and New Zealand Risk of Death score, and being admitted to ICU for palliative care or organ donation were significant predictors of in-hospital death.\nCONCLUSIONS: Almost one in five SAH patients who had a documented cardiac arrest in the 24 hours preceding ICU admission to an Australian and New Zealand ICU survived to hospital discharge, with around a quarter of these survivors discharged home. The neurological outcomes of these patients are uncertain, and understanding the burden of disability in survivors is an important area for further research.},\n\tlanguage = {eng},\n\tnumber = {3},\n\tjournal = {Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine},\n\tauthor = {Heaney, Jonathan and Paul, Eldho and Pilcher, David and Lin, Caleb and Udy, Andrew and Young, Paul J.},\n\tmonth = sep,\n\tyear = {2020},\n\tpmid = {32900330},\n\tkeywords = {Adult, Australia, Databases, Factual, Female, Heart Arrest, Hospital Mortality, Humans, Intensive Care Units, Length of Stay, Male, Middle Aged, New Zealand, Retrospective Studies, Subarachnoid Hemorrhage},\n\tpages = {237--244},\n}\n\n","author_short":["Heaney, J.","Paul, E.","Pilcher, D.","Lin, C.","Udy, A.","Young, P. 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