Skip to main content
. 2019 Dec 4;367:l6373. doi: 10.1136/bmj.l6373

Table 2.

Pre-arrest and intra-arrest prognostic factors and associated odds of survival after in-hospital cardiac arrest

Prognostic factors Model adjusted data
Studies OR (95% CI) P* I2 (%) GRADE certainty†
Pre-arrest factors
Demographics:
 Male sex 7 0.84 (0.73 to 0.95) 0.007 66 Moderate
 Age ≥60 3 0.50 (0.40 to 0.62) <0.001 50 Low
 Age ≥70 2 0.42 (0.18 to 0.99) 0.050 69 Low
Comorbidities at admission:
 Active malignancy 4 0.57 (0.45 to 0.71) <0.001 71 High
 Congestive heart failure 1 0.62 (0.56 to 0.68) <0.001 NA Moderate
 Chronic kidney disease 5 0.56 (0.40 to 0.78) 0.001 92 High
 COPD 1 0.65 (0.58 to 0.72) <0.001 NA Moderate
 Diabetes mellitus 1 0.53 (0.34 to 0.83) 0.005 NA Moderate
Admission diagnosis:
 Acute coronary syndrome 2 0.70 (0.28 to 1.78) 0.460 99 Low
 Sepsis 1 0.80 (0.70 to 0.91) 0.001 NA Moderate
Intra-arrest factors
Witnessed arrest 4 2.71 (2.17 to 3.38) <0.001 68 High
Monitored patient 6 2.23 (1.41 to 3.52) <0.001 97 High
Arrest during daytime hours 5 1.41 (1.20 to 1.66) <0.001 94 High
Ventricular tachycardia 4 3.76 (2.95 to 4.78) <0.001 85 High
Ventricular fibrillation 4 3.68 (2.68 to 5.05) <0.001 94 High
Asystole 4 0.42 (0.32 to 0.56) <0.001 12 High
Pulseless electrical activity 2 0.59 (0.27 to 1.27) 0.180 77 High
Shockable rhythm 12 5.28 (3.78 to 7.39) <0.001 96 High
Intubation during arrest 5 0.54 (0.42 to 0.70) <0.001 73 Moderate
Resuscitation duration ≥15 min 2 0.12 (0.07 to 0.19) <0.001 27 High

COPD=chronic obstructive pulmonary disease; GRADE=grading of recommendations, assessment, development, and evaluation; NA=not applicable; OR=odds ratio.

*

P values obtained from the test for overall effect.

GRADE certainty of estimates in studies of prognosis, as described by Iorio and colleagues.25