Introduction:
Sudden cardiac arrest (SCA) is a prevalent entity in patients with end stage renal disease (ESRD). Nearly one quarter of deaths in this patient population is attributed to SCA (1). The mortality rate after a SCA event exceeds 52% in ESRD patients (2). ESRD patients are uniquely prone to the development of SCA. Majority of these patients have left ventricular hypertrophy (LVH) which provides an underlying substrate for SCA perpetuation in settings of rapid fluid and electrolyte fluctuations during dialysis sessions (3,4,5,6). ESRD patients also require frequent hospitalizations due to associated co-morbid conditions (7). Recent evidence points to improved outcomes in patients with in-hospital SCA over the past two decades (8). Limited data, however, exit in the context of ESRD patients after in-hospital SCA and whether these improved outcomes have also been witnessed in this patient population are currently unknown. In this paper, we aimed to study baseline characteristics, trends and outcomes of ESRD patients after they sustained in-hospital SCA from a nationally representative contemporary cohort of US population.