{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:18:49Z","timestamp":1792289929216,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T00:00:00Z","timestamp":1502409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>There is little information about clinical outcomes after intraoperative cardiac arrest (<jats:styled-content style=\"fixed-case\">IOCA<\/jats:styled-content>). We determined the incidence and characteristics of 3\u2010month mortality after <jats:styled-content style=\"fixed-case\">IOCA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The electronic medical records of 238,648 adult surgical patients from January 2005 to December 2014 were reviewed retrospectively. Characteristics of <jats:styled-content style=\"fixed-case\">IOCA<\/jats:styled-content> were documented using the Utstein reporting template.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">IOCA<\/jats:styled-content> occurred in 50 patients (21\/100,000 surgeries). Nineteen patients died in the operating room, and further 12 patients died within 3\u00a0months post\u2010arrest (total mortality: 62%). Three survivors at 3\u00a0months post\u2010arrest had unfavourable neurological outcome. Finally, 34 patients showed unfavourable clinical outcomes at 3\u00a0months post\u2010arrest. The incidences of non\u2010cardiac surgery, emergency, pre\u2010operative intubation state, non\u2010shockable initial cardiac rhythm, hypovolaemic shock, pre\u2010operative complications\u2010induced cardiac arrest, non\u2010anaesthetic cause of cardiac arrest, intra\u2010 and post\u2010arrest transfusion, and continuous infusion of inotrope or vasopressor in intensive care unit (<jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content>) were significantly higher in non\u2010survivors at 3\u00a0months post\u2010arrest. Total epinephrine dose administrated during arrest was higher, and the duration of cardiac compressions was longer in non\u2010survivors at 3\u00a0months post\u2010arrest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this study, the incidence of <jats:styled-content style=\"fixed-case\">IOCA<\/jats:styled-content> was 21\/100,000 surgeries and the 3\u2010month mortality rate after <jats:styled-content style=\"fixed-case\">IOCA<\/jats:styled-content> was 62%. Several factors including surgical emergency, non\u2010shockable initial cardiac rhythm, pre\u2010operative complications, surgical complications, long duration of cardiac compressions, high total epinephrine dose, transfusion, and continuous infusion of inotropes or vasopressors in <jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content> seemed to be risk factors for 3\u2010month mortality after <jats:styled-content style=\"fixed-case\">IOCA<\/jats:styled-content>. These risk factors should be considered in the light of relatively small sample size of this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12955","type":"journal-article","created":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T07:34:42Z","timestamp":1502436882000},"page":"1095-1104","source":"Crossref","is-referenced-by-count":23,"title":["The incidence and characteristics of 3\u2010month mortality after intraoperative cardiac arrest in adults"],"prefix":"10.1111","volume":"61","author":[{"given":"M.","family":"Hur","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.\u2010C.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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