Research Article

In-Hospital Cardiac Arrest in the Cardiac Catheterization Laboratory: Effective Transition from an ICU- to CCU-Led Resuscitation Team

Table 1

A comparison of baseline characteristics in patients who had a cardiac arrest in the CCL led by the ICU versus the CCU teams, respectively. Data shown as percentage (absolute number) for all categorical variables. Coronary artery bypass grafting (CABG); mechanical circulatory support (MCS); peripheral vascular disease (PVD); pulseless electrical activity (PEA); ST elevation myocardial infarction (STEMI).

Intensive Care Unit lead (2012–2014; n = 19)Coronary Care Unit lead (2015-2016; n = 44) value

Demographics
Age (years)67 ± 1070 ± 110.38
Sex (%, male)73.7% (14)54.6% (24)0.15
Hypertension57.9% (11)61.4% (27)0.80
Type 2 diabetes mellitus26.3% (5)27.3% (12)0.94
Smoking history52.6% (10)18.2% (8)<0.01
Hypercholesterolemia42.1% (8)34.1% (15)0.54
PVD26.3% (5)13.6% (6)0.28

Etiology of code and duration of CPR
PEA arrest68.4% (13)36.4% (16)0.02
Ventricular arrhythmia15.8% (3)27.3% (12)0.52
Hypotension15.8% (3)36.4% (16)0.10
Total CPR duration (min)26.2 ± 8.228.5 ± 8.70.54
Standard CPR (min)9.1 ± 2.35.6 ± 1.8<0.01
Prolonged CPR (min)31.2 ± 4.832.6 ± 4.10.64
Manual CPR (min)21.8 ± 3.717.1 ± 2.80.25
Mechanical CPR (min)29.8 ± 5.130.2 ± 4.70.70

After code diagnosis
Coronary dissection10.5% (2)15.9% (7)0.71
Cardiogenic shock84.2% (16)22.7% (10)<0.01
Arrhythmia5.3% (1)38.6% (17)<0.01

Procedure post code
Intubation68.4% (13)58.1% (25)0.44
Emergent pericardiocentesis11.1% (2)11.4% (5)1.00
Angioplasty61.1% (11)52.3% (23)0.53
CABG22.2% (4)6.8% (3)0.18
MCS38.9% (7)20.5% (9)0.13
Mechanical compression26.3% (5)25.0% (11)<0.05
Device (LUCAS)31.6% (6)26.8% (11)0.70

Outcomes
Survived catheterization lab47.4% (9)75.0% (33)0.03
Kaplan–Meier 1-year survival26.3%42.0%0.15