ArticleResuscitation2012
Duration of hospital participation in Get With the Guidelines-Resuscitation and survival of in-hospital cardiac arrest.
Article in Resuscitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Survival after in-hospital cardiac arrest among cerebrovascular disease patients.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2018Pooled it
- The System-Wide Effect of Real-Time Audiovisual Feedback and Postevent Debriefing for In-Hospital Cardiac Arrest: The Cardiopulmonary Resuscitation Quality Improvement Initiative.Critical care medicine · 2015Trial
- The competency of nurses in basic life support at district hospitals in Cape Town, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Observational
- Pediatric cardiac arrest registries and survival outcomes: A European study.Resuscitation plus · 2025Article
- Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes.Resuscitation · 2023Article
- Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes.Circulation. Cardiovascular quality and outcomes · 2023Review
- Achievement and quality measure attainment in patients hospitalized with atrial fibrillation: Results from The Get With The Guidelines - Atrial Fibrillation (GWTG-AFIB) registry.American heart journal · 2022Article
- In-Hospital Cardiac Arrest: A Review.JAMA · 2019Review
- Incidence, Risk Factors, and Outcomes Associated With In-Hospital Acute Myocardial Infarction.JAMA network open · 2019Article
- Long-Term Survival Trends of Medicare Patients After In-Hospital Cardiac Arrest: Insights from Get With The Guidelines-ResuscitationResuscitation · 2018Article
- Temporal trends and hospital-level variation of inhospital cardiac arrest incidence and outcomes in the Veterans Health Administration.American heart journal · 2017Article
- Survival Rates Following Pediatric In-Hospital Cardiac Arrests During Nights and Weekends.JAMA pediatrics · 2017Article
- Electrocardiogram characteristics prior to in-hospital cardiac arrest.Journal of clinical monitoring and computing · 2015Article
- A clinician performance initiative to improve quality of care for patients with osteoporosis.Journal of women's health (2002) · 2013Article
- Outcomes in non-ST-segment elevation myocardial infarction complicated by in-hospital cardiac arrest based on management strategy.Indian heart journalArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundGet With the Guidelines (GWTG-R) is a data registry and quality improvement program for in-hospital cardiac arrest (IHCA). It is unknown if duration of hospital participation in GWTG-R is associated with IHCA outcomes.
methodsWe analyzed adults with IHCA from 362 hospitals participating in GWTG-R between 2000 and 2009. Using logistic regression with generalized estimating equations to account for clustering on hospital, we determined the association between duration of hospital participation in GWTG-R and patient outcomes after IHCA, adjusted for patient and arrest characteristics and secular trend. Using these methods, we also evaluated the association between duration of participation and factors previously correlated with survival after IHCA, including ECG monitored status, after-hours arrest, and time to defibrillation.
resultsOf 104,732 patients with IHCA, 17,646 patients (16.9%) survived to discharge. Duration of hospital participation in GWTG-R was associated with IHCA event survival (per year of participation, odds ratio [OR] 1.02; 95% CI 1.00-1.04; p=0.046) but not survival to discharge (OR 1.02; 95% CI 0.99-1.04; p=0.18). Among factors previously correlated with IHCA survival, duration of participation was associated with time to defibrillation ≤2 min (per year of participation, OR 1.06; 95% CI 1.03-1.10; p<0.001), but not ECG monitored status (OR 1.00; 95% CI 0.93-1.06; p=0.90) or survival of after-hours arrest (OR 1.01; 95% CI 0.99-1.03; p=0.41). Among ventricular tachycardia or ventricular fibrillation (VT/VF) arrests, time to defibrillation attenuated the association between duration of hospital participation and outcomes.
conclusionDuration of hospital participation in GWTG-R was significantly associated with survival of the IHCA event, but not with survival to discharge. In VT/VF arrests, this association may have been mediated by improvements in time to defibrillation.
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