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Association between a hospital's rate of cardiac arrest incidence and cardiac arrest survival
Open accessAbstract
IMPORTANCE: National efforts to measure hospital performance in treating cardiac arrest have focused on case survival, with the hope of improving survival after cardiac arrest. However, it is plausible that hospitals with high case-survival rates do a poor job of preventing cardiac arrests in the first place. OBJECTIVE: To describe the association between inpatient cardiac arrest incidence and survival rates. DESIGN: Within a large, national registry, we identified hospitals with at least 50 adult in-hospital cardiac arrest cases between January 1, 2000, and November 30, 2009. We used multivariable hierarchical regression to evaluate the correlation between a hospital's cardiac arrest incidence rate and its case-survival rate after adjusting for patient and hospital characteristics. MAIN OUTCOMES AND MEASURES: The correlation between a hospital's incidence rate and case-survival rate for cardiac arrest. RESULTS: Of 102,153 cases at 358 hospitals, the median hospital cardiac arrest incidence rate was 4.02 per 1000 admissions (interquartile range, 2.95-5.65 per 1000 admissions), and the median hospital case-survival rate was 18.8% (interquartile range, 14.5%-22.6%). In crude analyses, hospitals with higher case-survival rates also had lower cardiac arrest incidence (r, -0.16; P = .003). This relationship persisted after adjusting for patient characteristics (r, -0.15; P = .004). After adjusting for potential mediators of this relationship (ie, hospital characteristics), the relationship between incidence and case survival was attenuated (r, -0.07; P = .18). The one modifiable hospital factor that most attenuated this relationship was a hospital's nurse-to-bed ratio (r, -0.12; P = .03). CONCLUSIONS AND RELEVANCE: Hospitals with exceptional rates of survival for in-hospital cardiac arrest are also better at preventing cardiac arrests, even after adjusting for patient case mix. This relationship is partially mediated by measured hospital attributes. Performance measures focused on case-survival rates seem an appropriate first step in quality measurement for in-hospital cardiac arrest.
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“The median incidence of adult in-hospital cardiac arrest for individual hospitals in our study was much lower than the 4.02 per 1000 hospital admissions (IQR 2.95 to 5.65) documented in the AHA GWTG-Resuscitation registry.”
From Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit (2014) · cites this paper as [4]
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Cites
Goldstein, H. (2006) · Technometrics · doi:10.1198/tech.2006.s417 · Cited by 4,960
Courgeau, D., & Goldstein, H. (1997) · Population · doi:10.2307/1534624 · Cited by 2,596
Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports
Jacobs, I. G., Nadkarni, V., the ILCOR Task Force on Cardiac Arrest and Cardiopulmonary Resuscitation Outcomes, PARTICIPANTS, C., Bahr, J., Berg, R. A., Billi, J. E., Bossaert, L. L., Cassan, P., Coovadia, A. H., et al. (2004) · Circulation · doi:10.1161/01.cir.0000147236.85306.15 · Cited by 2,563
Peberdy, M. A., Kaye, W. E., Ornato, J. P., Larkin, G. L., Nadkarni, V., Mancini, M. E., Berg, R. A., Nichol, G., & Truitt, T. L. (2003) · Resuscitation · doi:10.1016/s0300-9572(03)00215-6 · Cited by 1,231
Nadkarni, V. (2006) · JAMA · doi:10.1001/jama.295.1.50 · Cited by 1,140
The Association of Registered Nurse Staffing Levels and Patient Outcomes
Kane, R. L., Shamliyan, T., Mueller, C., Duval, S., & Wilt, T. J. (2007) · Medical Care · doi:10.1097/mlr.0b013e3181468ca3 · Cited by 1,135
In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival
Sandroni, C., Nolan, J. P., Cavallaro, F., & Antonelli, M. M. (2006) · Intensive Care Medicine · doi:10.1007/s00134-006-0326-z · Cited by 681
Delayed Time to Defibrillation after In-Hospital Cardiac Arrest
Chan, P. S., Krumholz, H. M., Nichol, G., & Nallamothu, B. K. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0706467 · Cited by 634
Survival From In-Hospital Cardiac Arrest During Nights and Weekends
Peberdy, M. A. (2008) · JAMA · doi:10.1001/jama.299.7.785 · Cited by 596
Cummins, R. O., Chamberlain, D. A., Hazinski, M. F., Nadkarni, V., Kloeck, W., Kramer, E. B., Becker, L. B., Robertson, C. E., Koster, R., ZARITSKY, A. L., et al. (1997) · Circulation · doi:10.1161/01.cir.95.8.2213 · Cited by 585
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European Resuscitation Council Guidelines for Resuscitation 2015
Soar, J., Nolan, J. P., Böttiger, B. W., Perkins, G. D., Lott, C., Carli, P. A., Pellis, T., Sandroni, C., Skrifvars, M. B., Smith, G. B., et al. (2015) · Resuscitation · doi:10.1016/j.resuscitation.2015.07.016 · Cited by 1,561
European Resuscitation Council Guidelines for Resuscitation 2015
Perkins, G. D., Handley, A. J., Koster, R. W., Castrén, M. K., Smyth, M. A., Olasveengen, T. M., Monsieurs, K. G., Raffay, V. I., Gräsner, J., Wenzel, V., et al. (2015) · Resuscitation · doi:10.1016/j.resuscitation.2015.07.015 · Cited by 1,352
Nolan, J. P., Soar, J., Smith, G. B., Gwinnutt, C., Parrott, F., Power, S., Harrison, D. A., Nixon, E., & Rowan, K. (2014) · Resuscitation · doi:10.1016/j.resuscitation.2014.04.002 · Cited by 526
Sandau, K. E., Funk, M., Auerbach, A. D., Barsness, G. W., Blum, K., Cvach, M. M., Lampert, R., May, J. L., McDaniel, G. M., Perez, M. V., et al. (2017) · Circulation · doi:10.1161/cir.0000000000000527 · Cited by 375
Nolan, J. P., Berg, R. A., Andersen, L. W., Bhanji, F., Chan, P. S., Donnino, M. W., Lim, S. H., Huei‐Ming, M., Nadkarni, V., Starks, M. A., et al. (2019) · Circulation · doi:10.1161/cir.0000000000000710 · Cited by 321
Metadata
- Authors
- Chen, L. M.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Chen, Lena M.
- ORCID
- Chen, Lena M.
- Venue
- JAMA Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2013-07-08
- Volume
- 173
- Issue
- 13
- Pages
- 1186
- ISSN
- 2168-6106 (ISSN-L)
- PMC
- PMC4181325
- OpenAlex
- W2101277298
- Cited by
- 88
- References
- 27
- Citations by year
- 2025: 4 · 2024: 5 · 2023: 3 · 2022: 9 · 2021: 5 · 2020: 4 · 2019: 14 · 2018: 9 · 2017: 7 · 2016: 4 · 2015: 12 · 2014: 10 · 2013: 2
- FWCI
- 9.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- JAMA Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs
- American Heart Association
- Health Services Research and Development
- Agency for Healthcare Research and Quality (K08HS020671)
- National Heart, Lung, and Blood Institute (K23HL102224)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- in-hospital cardiac arrest, cardiac arrest incidence, survival after cardiac arrest, hospital performance evaluation, nurse-to-bed ratio, quality of care, case mix, hospital characteristics, cardiac arrest prevention
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Heart Arrest, Hospitals, Humans, Inpatients, Male, Middle Aged, Registries, Risk Factors, United States, Incidence, Survival Rate, Cardiopulmonary Resuscitation, Treatment Outcome, Risk Assessment
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- Chen, L. M. (2013). Association between a hospital's rate of cardiac arrest incidence and cardiac arrest survival. JAMA Internal Medicine. https://doi.org/10.1001/jamainternmed.2013.1026
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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