Abstract
fromthemedical records. Co-morbiditieswere assessedprior to the IHCA as ICD-10 codes in medical files according to Age-adjusted Charlson Comorbidity Score (ACCI). Differences in survival was assessed with adjusted Odds Ratio with 95% Confidence Intervals (OR 95% CI) between patients with an ACCI of 0–4 points versus thosewith 5–7 points as well as thosewith≥8 points. Adjustments were done for hospital site, first documented heart rhythm, ECG surveillance, witnessed and place of cardiac arrest. Results: In all, 175 patients suffered an IHCA, out of 41 (23%) survived at least 30 days. Patients with an ACCI of 5–7 points had a minor chance aswell as thosewith ACCI of≥8 points had aminimal chance to survive an IHCA compare to thosewithACCI of 0–4points (AdjustedOR0.10 95%, CI 0.04–0.26 andOR0.04, 95% C.I. 0.03–0.42, respectively). Conclusion: Patients with a moderate or severe burden of co-morbidities have a minor chance to survive an IHCA. This information could be used as a decision-tool during ongoing CPR aswell as it might aid clinicians when planning care and discussion DNAR orders.
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