The Discover In-Hospital Cardiac Arrest (Discover IHCA) Study: An Investigation of Hospital Practices After In-Hospital Cardiac Arrest

IMPORTANCE: In-hospital cardiac arrest (IHCA) is a significant public health burden. Rates of return of spontaneous circulation (ROSC) have been improving, but the best way to care for patients after the initial resuscitation remains poorly understood, and improvements in survival to discharge are stagnant. Existing North American cardiac arrest databases lack comprehensive data on the post-resuscitation period, and we do not know current post-IHCA practice patterns. To address this gap, we developed the Discover In-Hospital Cardiac Arrest (Discover IHCA) study, which will thoroughly evaluate current post-IHCA care practices across a diverse cohort. OBJECTIVES: Our study collects granular data on post-IHCA treatment practices, focusing on temperature control and prognostication, with the objective of describing variation in current post-IHCA practice. DESIGN, SETTING, AND PARTICIPANTS: This is a multicenter, prospectively collected, observational cohort study of patients who have suffered IHCA and have been successfully resuscitated (achieved ROSC). There are 24 enrolling hospital systems (23 in the United States) with 69 individual enrolling hospitals (39 in the United States). We developed a standardized data dictionary, and data collection began in October 2023, with a projected 1000 total enrollments. Discover IHCA is endorsed by the Society of Critical Care Medicine. INTERVENTIONS, OUTCOMES, AND ANALYSIS: The study collects data on patient characteristics including pre-arrest frailty, arrest characteristics, and detailed information on post-arrest practices and outcomes. Data collection on post-IHCA practice was structured around current American Heart Association and European Resuscitation Council guidelines. Among other data elements, the study captures post-arrest temperature control interventions and post-arrest prognostication methods. Analysis will evaluate variations in practice and their association with mortality and neurologic function. CONCLUSIONS: We expect this study, Discover IHCA, to identify variability in practice and outcomes following IHCA, and be a vital resource for future investigations into best-practice for managing patients after IHCA

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Mesures simultanees de viscosite et temperature par capteurs a fibres optiques intrinseques Etude de faisabilite

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Validation of a two-equation turbulence model for axisymmetric reacting and non-reacting flows

Communication to : 36th AIAA/ASME/SAE/ASEE Joint propulsion conference and exhibit, Huntsville, AL (USA), July 16-19, 2000Available from INIST (FR), Document Supply Service, under shelf-number : 22419, issue : a.2000 n.216 / INIST-CNRS - Institut de l'Information Scientifique et TechniqueSIGLEFRFranc

Validation of a two-equation turbulence model for axisymmetric reacting and non-reacting flows

Communication to : 36th AIAA/ASME/SAE/ASEE Joint propulsion conference and exhibit, Huntsville, AL (USA), July 16-19, 2000Available from INIST (FR), Document Supply Service, under shelf-number : 22419, issue : a.2000 n.216 / INIST-CNRS - Institut de l'Information Scientifique et TechniqueSIGLEFRFranc

Secteur de formation, 13

La couv. porte en outre: Secteur de formation, 13Comprend un glossair

La régie et le commerce des boissons : contentieux, droits et obligations, code annoté des lois et de la jurisprudence concernant les marchands en gros et les débitants /

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Action de recherche : developpement de lutte contre les pollutions diffuses en milieu rural sur le bassin du ru de Cetrais, rapport de synthese FEOGA n 5B - 01 - 11 - D0060

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Methode de mise en place d'une base de donnees spatialisee et de cartographie sur un bassin versant agricole : Guide methodologique

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