ArticlePeerJ2025
In-hospital cardiac arrest (IHCA): survival status and its determinants in Malaysian public healthcare.
Article in PeerJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Prediction of in-hospital cardiac arrest on general wards using calibrated machine learning.BMJ health & care informatics · 2026Article
- 'Should We Start CPR?': How Iranian Nurses Make Resuscitation Decisions in Intensive Care Units?Nursing in critical care · 2026Article
- Nationwide analysis of mortality predictors following in-hospital cardiac arrest in older Thai adults, 2016-2024.Resuscitation plus · 2026Article
- Disparities in Survival After In-Hospital Cardiac Arrest by Time of Day and Day of Week: A Single-Center Cohort Study.Journal of clinical medicine · 2026Article
- In-hospitalWorld journal of critical care medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: In-hospital cardiac arrest (IHCA) remains a significant clinical challenge despite advances in resuscitation and critical care. Enhanced inpatient monitoring and post-IHCA management have improved survival rates and better neurological outcomes at discharge. This study aims to evaluate the IHCA survival rate and analyse key determinants influencing survival status. Methods: A cross-sectional study was conducted using retrospective secondary data from a northern referral tertiary public hospital's cardiac arrest registry, encompassing IHCA cases in patients aged 18 and above between February 1, 2018, and January 31, 2019. The data included patient demographics, clinical characteristics, IHCA event timing, return of spontaneous circulation (ROSC), survival status, and post-arrest neurological outcomes. Patient survival was measured from the initiation of resuscitation to discharge or death, with survival analysis performed. Factors associated with IHCA survival were explored using logistic regression. Results: A total of 934 IHCA cases were analyzed. The mean patient age was 60.8 years, with most being male (63.9%) and of Chinese ethnicity (45.5%). IHCA commonly occurred in non-critical care areas (61.0%), with 79.6% admitted for medical conditions. Successful ROSC was achieved in 43.5% of cases, and 8.2% had a shockable first rhythm. Only 6.4% survived to discharge or 30-day, with 45% having good neurological outcomes. Conclusion: The IHCA survival rate remains low despite advances in resuscitation. Key survival factors include arrest location, shockable rhythms, and CPR-adrenaline dosage ratio. Strengthening early recognition, prompt intervention, and optimized post-arrest care may enhance IHCA outcomes, particularly in non-critical care areas.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.