Evidence map›Paper›PMID 29102470›Full record

ArticleResuscitation2018

Long-Term Survival Trends of Medicare Patients After In-Hospital Cardiac Arrest: Insights from Get With The Guidelines-Resuscitation

Lauren E Thompson, Paul S Chan, Fengming Tang, Brahmajee K Nallamothu, Saket Girotra, Sarah M Perman, Somnath Bose, Stacie L Daugherty, Steven M Bradley, American Heart Association’s Get With the Guidelines-Resuscitation Investigators

Open access · greenAbstract read
In one paragraph

Article in Resuscitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. In-hospital cardiac arrest in a Singaporean tertiary hospital: Epidemiology, outcomes, and potential suboptimal end-of-life planning.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Lauren E ThompsonUniversity of Colorado, Department of Cardiology, Aurora, CO, United States. Electronic address: Lauren.thompson@ucdenver.edu.
Paul S ChanMid-America Heart Institute, Kansas City, MO, United States.
Fengming TangMid-America Heart Institute, Kansas City, MO, United States.
Brahmajee K NallamothuUniversity of Michigan, Ann Arbor, MI, United States.
Saket GirotraUniversity of Iowa, Iowa City, IA, United States.
Sarah M PermanUniversity of Colorado, Department of Emergency Medicine, Aurora, CO, United States.
Somnath BoseHarvard Medical School, Boston, MA, United States.
Stacie L DaughertyUniversity of Colorado, Department of Cardiology, Aurora, CO, United States.
Steven M BradleyMinneapolis Heart Institute, Minneapolis, MN, United States.
American Heart Association’s Get With the Guidelines-Resuscitation Investigators
University of Colorado Denver · USHarvard University · USMinneapolis Heart Institute Foundation · USUniversity of Iowa · USUniversity of Michigan–Ann Arbor · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
UCHSC: Building Interdisciplinary Research Careers in Women's HealthK12HD057022 · NICHD · UNIVERSITY OF COLORADO DENVER · PI REGENSTEINER, JUDITH G., SANTORO, NANETTE F. · 2007 to 2023
$8.5M
Using values affirmation to reduce the effects of perceived discrimination on hypertension disparitiesR01HL133343 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI DAUGHERTY, STACIE LUTHER · 2016 to 2019
$3.0M
Hospital Enhancement of Resuscitation Outcomes for In-Hospital Cardiac Arrest (HER01HL123980 · NHLBI · SAINT LUKE'S HOSPITAL · PI CHAN, PAUL SHEUNG-YAN, NALLAMOTHU, BRAHMAJEE K · 2014 to 2018
$2.7M
Post-Resuscitation Care and Survival After In-hospital Cardiac ArrestK08HL122527 · NHLBI · UNIVERSITY OF IOWA · PI GIROTRA, SAKET · 2014 to 2018
$731k
NCATS NIH HHS UL1 TR001082NHLBI NIH HHS K08 HL122527NHLBI NIH HHS R01 HL123980NHLBI NIH HHS R01 HL133343NICHD NIH HHS K12 HD057022
6 · The paper itself

Abstract

backgroundAlthough rates of survival to hospital discharge after in-hospital cardiac arrest (IHCA) have improved over the last decade, it is unknown if these survival gains are sustained after hospital discharge.

objectiveTo examine 1-year survival trends overall and by rhythm after IHCA.

methodsUsing Medicare beneficiaries (age≥65years) with IHCA occurring between 2000 and 2011 at Get With The Guidelines®-Resuscitation Registry participating hospitals we used multivariable regression, to examine temporal trends in risk-adjusted rates of 1-year survival.

resultsAmong 45,567 patients with IHCA, the unadjusted 1-year survival was 9.4%. Unadjusted 1-year survival was 21.8% among the 9,223 (20.2%) of patients with Ventricular Fibrillation or Pulseless Ventricular Tachycardia (VF/VT) and 6.2% among the 36,344 (79.8%) of patients with Pulseless Electrical Activity or asystole (PEA/asystole). After adjustment for patient and arrest characteristics, 1-year survival increased over time for all IHCA from 8.9% in 2000-2001 to 15.2% in 2011 (adjusted rate ratio [RR] per year, 1.05; 95% CI, 1.03-1.06; P<0.001 for trend). Improvements in 1-year risk adjusted survival were also observed for VF/VT (19.4% in 2000-2001 to 25.6% in 2011 [RR per year, 1.02; 95% CI, 1.01-1.04; P 0.004 for trend]) and PEA/asystole arrests (4.7% in 2000-2001 to 10.2% in 2011 [RR per year, 1.07; 95% CI, 1.05-1.08; P<0.001 for trend]).

conclusionAmong Medicare beneficiaries in the GWTG-Resuscitation registry, 1-year survival after IHCA has increased for over the past decade. Temporal improvements in survival were noted for both shockable and non-shockable presenting arrest rhythms.

Indexed as

AgedCardiopulmonary ResuscitationFemaleHeart ArrestHospital MortalityHumansMaleMedicarePatient DischargeProspective StudiesRegistriesRisk AdjustmentSurvival AnalysisTime FactorsUnited StatesIn-Hospital cardiac arrestOutcomesResuscitationSurvival

Identifiers

PMID29102470
PMCPMC5784777
OpenAlexW2766512408

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.