A standardized code blue team eliminates variable survival from in-hospital cardiac arrest

Sultana Qureshi, Terence Ahern, Ryan O'Shea, Lorien Hatch, Sean O. Henderson

Research output: Contribution to journalArticle

Abstract

Background: Recent studies suggest that time of day affects survival from in-hospital cardiac arrest. Lower survival rates are observed during nights and on weekends, except in areas with consistent physician care, such as the Emergency Department. Since 1997, our hospital has utilized a standard, hospital-wide "Code Blue Team" (CBT) to respond to cardiac arrests at any time. This team is always led by an emergency physician, and includes specially trained nurses. Objective: To assess if time of day or week affects survival from in-hospital cardiac arrest when a trained, consistent, emergency physician-led CBT is implemented. Methods: This is an analysis of prospectively collected data on initial survival rates (return of spontaneous circulation >20 min) of all cardiac arrests that were managed by the CBT from 2000 to 2008. Cardiac arrests were also subcategorized based on initial cardiac rhythm. Survival rates were compared according to time of day or week. Results: A total of 1692 cardiac arrests were included. There was no significant difference in the overall rate of initial survival between day/evening vs. night hours (odds ratio [OR] 1.04, 95% confidence interval [CI] 0.831.29), or between weekday vs. weekend hours (OR 1.10, 95% CI 0.851.38). This held true for all cardiac rhythms. Conclusion: At our institution, there is no significant difference in survival from cardiac arrest when a standardized "Code Blue Team" is utilized, regardless of the time of day or week.

Original languageEnglish (US)
Pages (from-to)74-78
Number of pages5
JournalJournal of Emergency Medicine
Volume42
Issue number1
DOIs
StatePublished - Jan 2012
Externally publishedYes

Fingerprint

Hospital Rapid Response Team
Cardiopulmonary Resuscitation
Heart Arrest
Physicians
Emergencies
Odds Ratio
Confidence Intervals
Hospital Emergency Service
Nurses

Keywords

  • cardiac arrest
  • cardiopulmonary resuscitation (CPR)
  • Code Blue Team

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

A standardized code blue team eliminates variable survival from in-hospital cardiac arrest. / Qureshi, Sultana; Ahern, Terence; O'Shea, Ryan; Hatch, Lorien; Henderson, Sean O.

In: Journal of Emergency Medicine, Vol. 42, No. 1, 01.2012, p. 74-78.

Research output: Contribution to journalArticle

Qureshi, Sultana ; Ahern, Terence ; O'Shea, Ryan ; Hatch, Lorien ; Henderson, Sean O. / A standardized code blue team eliminates variable survival from in-hospital cardiac arrest. In: Journal of Emergency Medicine. 2012 ; Vol. 42, No. 1. pp. 74-78.
@article{d805dee3fa3b4fbe82311515a88d8707,
title = "A standardized code blue team eliminates variable survival from in-hospital cardiac arrest",
abstract = "Background: Recent studies suggest that time of day affects survival from in-hospital cardiac arrest. Lower survival rates are observed during nights and on weekends, except in areas with consistent physician care, such as the Emergency Department. Since 1997, our hospital has utilized a standard, hospital-wide {"}Code Blue Team{"} (CBT) to respond to cardiac arrests at any time. This team is always led by an emergency physician, and includes specially trained nurses. Objective: To assess if time of day or week affects survival from in-hospital cardiac arrest when a trained, consistent, emergency physician-led CBT is implemented. Methods: This is an analysis of prospectively collected data on initial survival rates (return of spontaneous circulation >20 min) of all cardiac arrests that were managed by the CBT from 2000 to 2008. Cardiac arrests were also subcategorized based on initial cardiac rhythm. Survival rates were compared according to time of day or week. Results: A total of 1692 cardiac arrests were included. There was no significant difference in the overall rate of initial survival between day/evening vs. night hours (odds ratio [OR] 1.04, 95{\%} confidence interval [CI] 0.831.29), or between weekday vs. weekend hours (OR 1.10, 95{\%} CI 0.851.38). This held true for all cardiac rhythms. Conclusion: At our institution, there is no significant difference in survival from cardiac arrest when a standardized {"}Code Blue Team{"} is utilized, regardless of the time of day or week.",
keywords = "cardiac arrest, cardiopulmonary resuscitation (CPR), Code Blue Team",
author = "Sultana Qureshi and Terence Ahern and Ryan O'Shea and Lorien Hatch and Henderson, {Sean O.}",
year = "2012",
month = "1",
doi = "10.1016/j.jemermed.2010.10.023",
language = "English (US)",
volume = "42",
pages = "74--78",
journal = "Journal of Emergency Medicine",
issn = "0736-4679",
publisher = "Elsevier USA",
number = "1",

}

TY - JOUR

T1 - A standardized code blue team eliminates variable survival from in-hospital cardiac arrest

AU - Qureshi, Sultana

AU - Ahern, Terence

AU - O'Shea, Ryan

AU - Hatch, Lorien

AU - Henderson, Sean O.

PY - 2012/1

Y1 - 2012/1

N2 - Background: Recent studies suggest that time of day affects survival from in-hospital cardiac arrest. Lower survival rates are observed during nights and on weekends, except in areas with consistent physician care, such as the Emergency Department. Since 1997, our hospital has utilized a standard, hospital-wide "Code Blue Team" (CBT) to respond to cardiac arrests at any time. This team is always led by an emergency physician, and includes specially trained nurses. Objective: To assess if time of day or week affects survival from in-hospital cardiac arrest when a trained, consistent, emergency physician-led CBT is implemented. Methods: This is an analysis of prospectively collected data on initial survival rates (return of spontaneous circulation >20 min) of all cardiac arrests that were managed by the CBT from 2000 to 2008. Cardiac arrests were also subcategorized based on initial cardiac rhythm. Survival rates were compared according to time of day or week. Results: A total of 1692 cardiac arrests were included. There was no significant difference in the overall rate of initial survival between day/evening vs. night hours (odds ratio [OR] 1.04, 95% confidence interval [CI] 0.831.29), or between weekday vs. weekend hours (OR 1.10, 95% CI 0.851.38). This held true for all cardiac rhythms. Conclusion: At our institution, there is no significant difference in survival from cardiac arrest when a standardized "Code Blue Team" is utilized, regardless of the time of day or week.

AB - Background: Recent studies suggest that time of day affects survival from in-hospital cardiac arrest. Lower survival rates are observed during nights and on weekends, except in areas with consistent physician care, such as the Emergency Department. Since 1997, our hospital has utilized a standard, hospital-wide "Code Blue Team" (CBT) to respond to cardiac arrests at any time. This team is always led by an emergency physician, and includes specially trained nurses. Objective: To assess if time of day or week affects survival from in-hospital cardiac arrest when a trained, consistent, emergency physician-led CBT is implemented. Methods: This is an analysis of prospectively collected data on initial survival rates (return of spontaneous circulation >20 min) of all cardiac arrests that were managed by the CBT from 2000 to 2008. Cardiac arrests were also subcategorized based on initial cardiac rhythm. Survival rates were compared according to time of day or week. Results: A total of 1692 cardiac arrests were included. There was no significant difference in the overall rate of initial survival between day/evening vs. night hours (odds ratio [OR] 1.04, 95% confidence interval [CI] 0.831.29), or between weekday vs. weekend hours (OR 1.10, 95% CI 0.851.38). This held true for all cardiac rhythms. Conclusion: At our institution, there is no significant difference in survival from cardiac arrest when a standardized "Code Blue Team" is utilized, regardless of the time of day or week.

KW - cardiac arrest

KW - cardiopulmonary resuscitation (CPR)

KW - Code Blue Team

UR - http://www.scopus.com/inward/record.url?scp=84856086447&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84856086447&partnerID=8YFLogxK

U2 - 10.1016/j.jemermed.2010.10.023

DO - 10.1016/j.jemermed.2010.10.023

M3 - Article

C2 - 21354760

AN - SCOPUS:84856086447

VL - 42

SP - 74

EP - 78

JO - Journal of Emergency Medicine

JF - Journal of Emergency Medicine

SN - 0736-4679

IS - 1

ER -