The incidence of cardiac arrest in the intensive care unit: A systematic review and meta-analysis

Citations Over TimeTop 10% of 2018 papers

Abstract

The incidence of cardiac arrest in the intensive care unit (ICU-CA) has not been widely reported. We undertook a systematic review and meta-analysis of studies reporting the incidence of cardiac arrest in adult, general intensive care units. The review was prospectively registered with PROSPERO (CRD42017079717). The search identified 7550 records, which included 20 relevant studies for qualitative analysis and 16 of these were included for quantitative analyses. The reported incidence of ICU-CA was 22.7 per 1000 admissions (95% CI: 17.4-29.6) with survival to hospital discharge of 17% (95% CI: 9.5-28.5%). We estimate that at least 5446 patients in the UK have a cardiac arrest after ICU admission. There are limited data and significant variation in the incidence of ICU-CA and efforts to synthesise these are limited by inconsistent reporting. Further prospective studies with standardised process and incidence measures are required to define this important patient group.

Related Papers

• → Systematic reviews are rarely used to contextualise new results—a systematic review and meta-analysis of meta-research studies(2022)19 cited
• → Factors influencing the initiation of intensive care in elderly patients and their families: A retrospective cohort study(2016)15 cited
• → Evaluation of predicted and actual length of stay in 22 Scottish intensive care units using the APACHE III system(2000)36 cited
• → Aerosplenism in the intensive care unit(2017)1 cited
• [Risk factors of prolonged intensive care after early activation of cardiosurgical patients].(2008)