Cardiac Arrest during Hospitalization for Delivery in the United States, 1998–2011

Details

• Alternative Title:
  Anesthesiology
• Personal Author:
  Mhyre, Jill M. ; Tsen, Lawrence C. ; Einav, Sharon ; Kuklina, Elena V. ; Leffert, Lisa R. ; Bateman, Brian T.
• Description:
  Background
  
  The objective of this analysis was to evaluate the frequency, distribution of potential etiologies, and survival rates of maternal cardiopulmonary arrest during the hospitalization for delivery in the United States.
  
  Methods
  
  By using data from the Nationwide Inpatient Sample during the years 1998 through 2011, the authors obtained weighted estimates of the number of U.S. hospitalizations for delivery complicated by maternal cardiac arrest. Clinical and demographic risk factors, potential etiologies, and outcomes were identified and compared in women with and without cardiac arrest. The authors tested for temporal trends in the occurrence and survival associated with maternal arrest.
  
  Results
  
  Cardiac arrest complicated 1 in 12,000 or 8.5 per 100,000 hospitalizations for delivery (99% CI, 7.7 to 9.3 per 100,000). The most common potential etiologies of arrest included hemorrhage, heart failure, amniotic fluid embolism, and sepsis. Among patients with cardiac arrest, 58.9% of patients (99% CI, 54.8 to 63.0%) survived to hospital discharge.
  
  Conclusions
  
  Approximately 1 in 12,000 hospitalizations for delivery is complicated by cardiac arrest, most frequently due to hemorrhage, heart failure, amniotic fluid embolism, or sepsis. Survival depends on the underlying etiology of arrest.
  
  
• Subjects:
  Adult Causality Comorbidity Delivery, Obstetric Embolism, Amniotic Fluid Female Heart Arrest Heart Failure Hemorrhage Hospitalization Hospital Mortality Humans Pregnancy Risk Factors Sepsis Survival Rate United States Young Adult

  More +
• Source:
  Anesthesiology. 2014; 120(4):810-818
• Pubmed ID:
  24694844
• Pubmed Central ID:
  PMC4445354
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  120
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:bb72d4bf1ee9114e38dc29843a91a4b44170c67221a2f8f9d87a2bb14ab81a94f023fc02c333c1cd9b787bb4906feb2d0e9c92e099da24ecdf039a362c8452ce
• Download URL:
  https://stacks.cdc.gov/view/cdc/31316/cdc_31316_DS1.pdf
• File Type:
  [PDF - 564.70 KB ]