Table 1

Demographics and case mix by day/time of IHCA

Weekday daytimeWeekend daytimeNight-time
Number of IHCAs, n (%)10 113 (36.5)3829 (13.8)13 758 (49.7)
Rate per 1000 hospital admissions per 12 h, mean (CI)0.135 (0.133 to 0.138)0.127 (0.123 to 0.131)0.131 (0.129 to 0.133)
Age mean (SD)73.4 (14.2)73.8 (14.3)74.0 (14.4)
Sex males (%)5724 (56.6)2144 (56.0)7943 (57.7)
Length of stay in hospital prior to IHCA, n (%) (N=27 693)
 0 days3405 (33.7)1181 (30.9)2915 (21.2)
 1 day1531 (15.2)553 (14.4)2653 (19.3)
 2–7 days2919 (28.9)1218 (31.8)4813 (35.0)
 ≥8 days2253 (22.3)876 (22.9)3376 (24.5)
Reason for admission to/attendance at/visit to hospital, n (%) (N=27 694)
 Medical7993 (79.1)3139 (82.0)11 373 (82.7)
 Trauma372 (3.7)158 (4.1)529 (3.8)
 Elective/scheduled surgery696 (6.9)201 (5.3)692 (5.0)
 Emergency/urgent surgery737 (7.3)300 (7.8)1107 (8.1)
 Obstetric18 (0.2)5 (0.1)33 (0.2)
 Outpatient249 (2.5)16 (0.4)14 (0.1)
 Staff/visitor45 (0.4)9 (0.2)8 (0.1)
Location of IHCA n (%) (N=27 698)
 Ward, obstetrics or intermediate care5355 (53.0)2231 (58.3)8746 (63.6)
 Emergency department1145 (11.3)473 (12.4)1224 (8.9)
 Emergency admissions unit850 (8.4)306 (8.0)1242 (9.0)
 Theatre and recovery228 (2.3)47 (1.2)85 (0.6)
 Cardiac catheterisation laboratory466 (4.6)86 (2.2)161 (1.2)
 Imaging department or specialist treatment519 (5.1)90 (2.4)121 (0.9)
 ICU, ICU/HDU or HDU463 (4.6)218 (5.7)891 (6.5)
 Coronary care unit918 (9.1)366 (9.6)1265 (9.2)
 Clinic or non-clinical area168 (1.7)12 (0.3)22 (0.2)
Presenting/first documented rhythm, n (%) (N=27 700)
 Shockable—VF1322 (13.1)420 (11.0)1234 (9.0)
 Shockable—pVT536 (5.3)192 (5.0)557 (4.0)
 Shockable—unknown64 (0.6)27 (0.7)64 (0.5)
 Non-shockable—asystole1883 (18.6)779 (20.3)3959 (28.8)
 Non-shockable—PEA5264 (52.1)2014 (52.6)6729 (48.9)
 Non-shockable—bradycardia63 (0.6)16 (0.4)36 (0.3)
 Non-shockable—unknown214 (2.1)83 (2.2)285 (2.1)
 Unknown767 (7.6)298 (7.8)894 (6.5)
Predicted probabilities (%) from the NCAA risk models median (IQR) (N=27 689)
 ROSC>20 min43 (34 to 62)41 (33 to 59)43 (28 to 55)
 Hospital survival13 (7 to 30)12 (6 to 25)10 (5 to 21)
  • HDU, high dependency unit; ICU, intensive care unit; IHCA, in-hospital cardiac arrest—day/time categorised by 2222 call; NCAA, National Cardiac Arrest Audit; PEA, pulseless electrical activity; pVT, pulseless ventricular tachycardia; ROSC>20 min, return of spontaneous circulation for >20 min; VF, ventricular fibrillation.