ArticleMedical care2012
Variability in case-mix adjusted in-hospital cardiac arrest rates.
Article in Medical care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Multifactorial Determinants of Cardiopulmonary Resuscitation Quality in the Emergency Department: A Narrative Review.Cureus · 2026Review
- Relation Between the Incidence of In-Hospital Cardiac Arrest and Survival in Older Patients.Journal of the American College of Cardiology · 2025Observational
- Article
- Management and prevention of in-hospital cardiac arrest: present and future.NPJ cardiovascular health · 2024Review
- The incidence, predictors, and causes of cardiac arrest in United States emergency departments.Resuscitation plus · 2024Article
- Review
- Prediction across healthcare settings: a case study in predicting emergency department disposition.NPJ digital medicine · 2021Article
- Socioeconomic status and in-hospital cardiac arrest: A systematic review.Resuscitation plus · 2020Review
- Patient and Institutional Characteristics Influence the Decision to Use Extracorporeal Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest.Journal of the American Heart Association · 2020Observational
- Unexpected cardiac arrests occurring inside the ICU: outcomes of a French prospective multicenter study.Intensive care medicine · 2020Article
- Design and Deployment of a Pediatric Cardiac Arrest Surveillance System.Critical care research and practice · 2018Article
- One-year survival rate and healthcare costs after cardiac arrest in Taiwan, 2006-2012.PloS one · 2018Article
- Temporal trends and hospital-level variation of inhospital cardiac arrest incidence and outcomes in the Veterans Health Administration.American heart journal · 2017Article
- 24-Hour survival after cardiopulmonary resuscitation is reduced in patients with diabetes mellitus.Journal of cardiovascular and thoracic research · 2017Article
- Better Nurse Staffing and Nurse Work Environments Associated With Increased Survival of In-Hospital Cardiac Arrest Patients.Medical care · 2016Article
- Information presentation features and comprehensibility of hospital report cards: design analysis and online survey among users.Journal of medical Internet research · 2015Article
- Survival by the fittest: hospital-level variation in quality of resuscitation care.Journal of the American Heart Association · 2014Article
- Hospital variation in survival after in-hospital cardiac arrest.Journal of the American Heart Association · 2014Article
- Physician choice making and characteristics associated with using physician-rating websites: cross-sectional study.Journal of medical Internet research · 2013Article
- An analysis of online evaluations on a physician rating website: evidence from a German public reporting instrument.Journal of medical Internet research · 2013Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundIt is unknown how in-hospital cardiac arrest (IHCA) rates vary across hospitals and predictors of variability.
objectivesMeasure variability in IHCA across hospitals and determine if hospital-level factors predict differences in case-mix adjusted event rates. RESEARCH
designGet with the Guidelines Resuscitation (GWTG-R) (n=433 hospitals) was used to identify IHCA events between 2003 and 2007. The American Hospital Association survey, Medicare, and US Census were used to obtain detailed information about GWTG-R hospitals.
participantsAdult patients with IHCA. MEASURES: Case-mix-adjusted predicted IHCA rates were calculated for each hospital and variability across hospitals was compared. A regression model was used to predict case-mix adjusted event rates using hospital measures of volume, nurse-to-bed ratio, percent intensive care unit beds, palliative care services, urban designation, volume of black patients, income, trauma designation, academic designation, cardiac surgery capability, and a patient risk score.
resultsWe evaluated 103,117 adult IHCAs at 433 US hospitals. The case-mix adjusted IHCA event rate was highly variable across hospitals, median 1/1000 bed days (interquartile range: 0.7 to 1.3 events/1000 bed days). In a multivariable regression model, case-mix adjusted IHCA event rates were highest in urban hospitals [rate ratio (RR), 1.1; 95% confidence interval (CI), 1.0-1.3; P=0.03] and hospitals with higher proportions of black patients (RR, 1.2; 95% CI, 1.0-1.3; P=0.01) and lower in larger hospitals (RR, 0.54; 95% CI, 0.45-0.66; P<0.0001).
conclusionsCase-mix adjusted IHCA event rates varied considerably across hospitals. Several hospital factors associated with higher IHCA event rates were consistent with factors often linked with lower hospital quality of care.
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