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Epidemiology and Etiology of In-Hospital Cardiac Arrest at The American University of Beirut Medical Center (AUBMC)
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  • Ahmed Eltarras,
  • Youssef Jalloul,
  • Ola Assaad,
  • Yara Yammine,
  • Nina Khatib,
  • Abdallah Rebeiz,
  • Mazen El Sayed,
  • Marwan Refaat
Ahmed Eltarras
American University of Beirut Medical Center
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Youssef Jalloul
American University of Beirut Medical Center
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Ola Assaad
American University of Beirut Medical Center
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Yara Yammine
American University of Beirut
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Nina Khatib
American University of Beirut
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Abdallah Rebeiz
American University of Beirut Medical Center
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Mazen El Sayed
American University of Beirut Medical Center
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Marwan Refaat
American University of Beirut Medical Center
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Peer review status:UNDER REVIEW

12 Jul 2020Submitted to Journal of Cardiovascular Electrophysiology
13 Jul 2020Assigned to Editor
13 Jul 2020Submission Checks Completed
16 Jul 2020Reviewer(s) Assigned

Abstract

Introduction: In-hospital cardiac arrest(IHCA) constitutes a significant cause of morbidity and mortality. we devised this study to shed some light on it to better inform both hospitals and policymakers. Methods: We analyzed retrospective data from 680 IHCAs at the American University of Beirut Medical Center between July 1st, 2016, and May 2nd, 2019. Sociodemographic variables included age, sex, and comorbidities in the Charlson Comorbidity Index(CCI). IHCA variables were the day of the week, time from activation to arrival, event location, initial cardiac rhythm, the total number of IHCA events, and the months and years of the IHCAs. We considered the return of spontaneous circulation(ROSC) and survival to discharge(StD) to be our outcomes of interest. Results: The incidence of IHCA was 6.58 per 1000 hospital admissions. Non-shockable rhythms were 90.7% of IHCAs. Most IHCAs occurred in the Closed care units(87.9%) and on weekdays(76.5%). ROSC followed 56% of the IHCAs. Only 5.4% achieved StD. Survival outcomes were not significantly different between the time of the day and were higher in cases with a shockable rhythm. ROSC wasn’t significantly different between weekdays and weekends. however, StD was higher on weekdays. A high CCI was associated with decreased StD. Conclusion: The incidence of IHCA was high, and its outcomes were lower compared to other developed countries. Survival outcomes were better for patients who had a shockable rhythm and were similar between the time of the day. These findings may help inform hospitals and policymakers about the magnitude and quality of IHCA care in Lebanon