ArticleJournal of the American Heart Association2014
Hospital variation in survival after in-hospital cardiac arrest.
Article in Journal of the American Heart Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 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
64 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
- Trial
- Mobile App to Improve House Officers' Adherence to Advanced Cardiac Life Support Guidelines: Quality Improvement Study.JMIR mHealth and uHealth · 2020Trial
- Predictors and Outcomes of In-Hospital Cardiac Arrest in University Medicine with Advanced Tertiary and Transplant Care.Medical sciences (Basel, Switzerland) · 2026Article
- Disparities in Survival After In-Hospital Cardiac Arrest by Time of Day and Day of Week: A Single-Center Cohort Study.Journal of clinical medicine · 2026Article
- Elucidating cognitive processes in cardiac arrest team leaders: a virtual reality-based cued-recall study of experts and novices.Annals of medicine · 2025Article
- Predictors of In-Hospital Cardiac Arrest Outcomes: A Single-Center Observational Study.Journal of clinical medicine · 2025Article
- 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
- Race and Resuscitation: Taking the Next Steps.Journal of the American Heart Association · 2025Article
- Observational
- Ventilator-Associated Pneumonia After Cardiac Arrest and Prevention Strategies: A Narrative Review.Medicina (Kaunas, Lithuania) · 2025Review
- A worldwide assessment of the mechanical ventilation in patients with acute exacerbations of chronic obstructive pulmonary disease. Analysis of the VENTILAGROUP over time. A retrospective, multicenter study.Respiratory research · 2024Observational
- Development and testing of a resuscitation-specific measure of organizational culture for resuscitation teams.Resuscitation plus · 2024Article
- Critical care nurses' experiences of caring challenges during post-resuscitation period: a qualitative content analysis.BMC nursing · 2024Article
- Duration of cardiopulmonary resuscitation and outcomes for adults with in-hospital cardiac arrest: retrospective cohort study.BMJ (Clinical research ed.) · 2024Article
- Aetiology and outcome in hospitalized cardiac arrest patients.European heart journal open · 2023Article
- Impact of Coronavirus Disease 2019 Pandemic on Cardiac Arrest and Emergency Care.Heart failure clinics · 2023Review
- Clinical features and outcomes of in-hospital cardiac arrest in code blue events: a retrospective observational study.Frontiers in cardiovascular medicine · 2023Article
- Impact of Coronavirus Disease 2019 Pandemic on Cardiac Arrest and Emergency Care.Cardiology clinics · 2022Review
- Clinical update on COVID-19 for the emergency clinician: Cardiac arrest in the out-of-hospital and in-hospital settings.The American journal of emergency medicine · 2022Review
4 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors.
Funding
Abstract
backgroundIn-hospital cardiac arrest (IHCA) is common and often fatal. However, the extent to which hospitals vary in survival outcomes and the degree to which this variation is explained by patient and hospital factors is unknown. METHODS AND
resultsWithin Get with the Guidelines-Resuscitation, we identified 135 896 index IHCA events at 468 hospitals. Using hierarchical models, we adjusted for demographics comorbidities and arrest characteristics (eg, initial rhythm, etiology, arrest location) to generate risk-adjusted rates of in-hospital survival. To quantify the extent of hospital-level variation in risk-adjusted rates, we calculated the median odds ratio (OR). Among study hospitals, there was significant variation in unadjusted survival rates. The median unadjusted rate for the bottom decile was 8.3% (range: 0% to 10.7%) and for the top decile was 31.4% (28.6% to 51.7%). After adjusting for 36 predictors of in-hospital survival, there remained substantial variation in rates of in-hospital survival across sites: bottom decile (median rate, 12.4% [0% to 15.6%]) versus top decile (median rate, 22.7% [21.0% to 36.2%]). The median OR for risk-adjusted survival was 1.42 (95% CI: 1.37 to 1.46), which suggests a substantial 42% difference in the odds of survival for patients with similar case-mix at similar hospitals. Further, significant variation persisted within hospital subgroups (eg, bed size, academic).
conclusionSignificant variability in IHCA survival exists across hospitals, and this variation persists despite adjustment for measured patient factors and within hospital subgroups. These findings suggest that other hospital factors may account for the observed site-level variations in IHCA survival.
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