Scholarlink

Background <p>Major cardiac events can complicate endoscopic procedures. However, the true incidence and outcomes of these events are not well defined.</p> Aims <p>We aimed to define the true incidence of cardiac arrest during inpatient endoscopic procedures and the associated outcomes.</p> Methods <p>We performed a cross-sectional retrospective analysis of the National Inpatient Sample from 2016 to 2023. Endoscopic intraprocedural cardiac arrests were identified using ICD-10 diagnostic and procedural codes. Multivariable logistic regression was used to assess patient and procedural factors associated with cardiac arrest. Outcomes among patients experiencing endoscopic intraprocedural cardiac arrest were compared with those of all other cases of in-hospital cardiac arrest.</p> Results <p>Among 11,137,008 inpatient endoscopic procedures, 1,110 were complicated by cardiac arrest, corresponding to one cardiac arrest per 10,125 procedures. Among assessed patient factors, congestive heart failure had the strongest association with cardiac arrest (aOR = 2.78, 95% CI 2.04–3.78; <i>p</i> &lt; 0.001). Compared with upper endoscopy, colonoscopy was associated with a lower risk of cardiac arrest (aOR = 0.50, 95% CI 0.36–0.69; <i>p</i> &lt; 0.001), while endoscopic retrograde cholangiopancreatography had a similar risk (aOR = 0.75, 95% CI 0.49–1.15; <i>p</i> = 0.183). In-hospital mortality was lower among patients with endoscopy-associated cardiac arrest compared with other cases of in-hospital cardiac arrest (30.6% vs. 71.0%; aOR-0.17, 95% CI 0.13–0.23; <i>p</i> &lt; 0.001).</p> Conclusions <p>Intraprocedural cardiac arrest is an uncommon complication of inpatient endoscopy. Upper endoscopy carries a higher risk than colonoscopy, and patients with congestive heart failure are at increased risk. Outcomes following endoscopy-associated cardiac arrest are more favorable than for other in-hospital cardiac arrests.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Cardiac Arrests During Inpatient Gastrointestinal Endoscopic Procedures: A United States Nationwide Assessment

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月4日

查看全文
  • Spencer R. Goble,
  • David Wong Arias,
  • Joseph A. Akambase,
  • Thomas M. Leventhal

摘要

Background

Major cardiac events can complicate endoscopic procedures. However, the true incidence and outcomes of these events are not well defined.

Aims

We aimed to define the true incidence of cardiac arrest during inpatient endoscopic procedures and the associated outcomes.

Methods

We performed a cross-sectional retrospective analysis of the National Inpatient Sample from 2016 to 2023. Endoscopic intraprocedural cardiac arrests were identified using ICD-10 diagnostic and procedural codes. Multivariable logistic regression was used to assess patient and procedural factors associated with cardiac arrest. Outcomes among patients experiencing endoscopic intraprocedural cardiac arrest were compared with those of all other cases of in-hospital cardiac arrest.

Results

Among 11,137,008 inpatient endoscopic procedures, 1,110 were complicated by cardiac arrest, corresponding to one cardiac arrest per 10,125 procedures. Among assessed patient factors, congestive heart failure had the strongest association with cardiac arrest (aOR = 2.78, 95% CI 2.04–3.78; p < 0.001). Compared with upper endoscopy, colonoscopy was associated with a lower risk of cardiac arrest (aOR = 0.50, 95% CI 0.36–0.69; p < 0.001), while endoscopic retrograde cholangiopancreatography had a similar risk (aOR = 0.75, 95% CI 0.49–1.15; p = 0.183). In-hospital mortality was lower among patients with endoscopy-associated cardiac arrest compared with other cases of in-hospital cardiac arrest (30.6% vs. 71.0%; aOR-0.17, 95% CI 0.13–0.23; p < 0.001).

Conclusions

Intraprocedural cardiac arrest is an uncommon complication of inpatient endoscopy. Upper endoscopy carries a higher risk than colonoscopy, and patients with congestive heart failure are at increased risk. Outcomes following endoscopy-associated cardiac arrest are more favorable than for other in-hospital cardiac arrests.