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Does a Transition to Single-Occupancy Patient Rooms Affect the Incidence and Outcome of In-Hospital Cardiac Arrests?
Pruijsten, Ralph; Gilst, Gerrie Prins-van; Schuiling, Chantal; van Dijk, Monique; Schluep, Marc.
Afiliación
  • Pruijsten R; Section Nursing Science, Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands.
  • Gilst GP; Department of Intensive Care, Ikazia Hospital, Rotterdam, the Netherlands.
  • Schuiling C; Department of Intensive Care, Erasmus University Medical Center, Rotterdam, the Netherlands.
  • van Dijk M; Section Nursing Science, Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands.
  • Schluep M; Section Nursing Science, Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands.
HERD ; 17(3): 68-76, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38390921
ABSTRACT

BACKGROUND:

It is proposed that patients in single-occupancy patient rooms (SPRs) carry a risk of less surveillance by nursing and medical staff and that resuscitation teams need longer to arrive in case of in-hospital cardiac arrest (IHCA). Higher incidences of IHCA and worse outcomes after cardiopulmonary resuscitation (CPR) may be the result.

OBJECTIVES:

Our study examines whether there is a difference in incidence and outcomes of IHCA before and after the transition from a hospital with multibedded rooms to solely SPRs.

METHODS:

In this prospective observational study in a Dutch university hospital, as a part of the Resuscitation Outcomes in the Netherlands study, we reviewed all cases of IHCA on general adult wards in a period of 16.5 months before to 16.5 months after the transition to SPRs.

RESULTS:

During the study period, 102 CPR attempts were performed 51 in the former hospital and 51 in the new hospital. Median time between last-seen-well and start basic life support did not differ significantly, nor did median time to arrival of the CPR team. Survival rates to hospital discharge were 30.0% versus 29.4% of resuscitated patients (p = 1.00), with comparable neurological

outcomes:

86.7% of discharged patients in the new hospital had Cerebral Performance Category 1 (good cerebral performance) versus 46.7% in the former hospital (p = .067). When corrected for telemetry monitoring, these differences were still nonsignificant.

CONCLUSIONS:

The transition to a 100% SPR hospital had no negative impact on incidence, survival rates, and neurological outcomes of IHCAs on general adult wards.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Habitaciones de Pacientes / Reanimación Cardiopulmonar / Paro Cardíaco Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: HERD Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Habitaciones de Pacientes / Reanimación Cardiopulmonar / Paro Cardíaco Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: HERD Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos