Evidence map›Paper›PMID 35724851›Full record

ArticleResuscitation2022

Outcomes of in-hospital cardiac arrest among hospitals with and without telemedicine critical care.

Uchenna R Ofoma, Anne M Drewry, Thomas M Maddox, Walter Boyle, Elena Deych, Marin Kollef, Saket Girotra, Karen E Joynt Maddox, American Heart Association's Get With The Guidelines®- Resuscitation Investigators

Abstract read
In one paragraph

Article in Resuscitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Uchenna R OfomaDivision of Critical Care Medicine, Department of Anesthesiology, Washington University in St. Louis, St. Louis, MO, USA. Electronic address: uofoma@wustl.edu.
Anne M DrewryDivision of Critical Care Medicine, Department of Anesthesiology, Washington University in St. Louis, St. Louis, MO, USA.
Thomas M MaddoxDivision of Cardiology, Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA; Healthcare Innovation Laboratory, BJC Healthcare and Washington University School of Medicine, St. Louis, MO, USA.
Walter BoyleDivision of Critical Care Medicine, Department of Anesthesiology, Washington University in St. Louis, St. Louis, MO, USA.
Elena DeychDivision of Cardiology, Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Marin KollefDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Saket GirotraDivision of Cardiovascular Diseases, Department of Medicine, University of Iowa Hospitals and Clinics and the Iowa City Veterans Affairs Medical Center, Iowa City, IA, USA.
Karen E Joynt MaddoxDivision of Cardiology, Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
American Heart Association's Get With The Guidelines®- Resuscitation Investigators

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
The Impact of Bundled Payments for Cardiopulmonary Disease on High-Risk PopulationsR01HL143421 · NHLBI · WASHINGTON UNIVERSITY · PI JOYNT MADDOX, KAREN ELLEN · 2019 to 2022
$3.1M
Improving the Quality of Care Provided Through Bundled Payments for Patients with Alzheimer's Disease or Other Forms of Dementia or FrailtyR01AG060935 · NIA · HARVARD SCHOOL OF PUBLIC HEALTH · PI EPSTEIN, ARNOLD, JOYNT MADDOX, KAREN ELLEN · 2019 to 2021
$2.7M
Observation Stays and Readmissions for Older Adults: Implications for Medicare PoliciesR01AG063759 · NIA · UNIVERSITY OF WASHINGTON · PI SABBATINI, AMBER KATHLEEN · 2020 to 2023
$1.4M
WASHINGTON UNIVERSITY COMPARATIVE EFFECTIVENESS ADMINISTRATIVE DATA REPOSITORYR24HS019455 · AHRQ · WASHINGTON UNIVERSITY · PI FRASER, VICTORIA J. · 2010 to 2010
$969k
The Effect of Patient Dementia on Outpatient Clinicians' Performance on Cost Outcomes Under Medicare Value-Based Payment.R21AG065526 · NIA · WASHINGTON UNIVERSITY · PI JOHNSTON, KENTON JAMES · 2020 to 2021
$308k
AHRQ HHS R24 HS019455NCATS NIH HHS KL2 TR002346NCATS NIH HHS UL1 TR002345NHLBI NIH HHS R01 HL143421NIA NIH HHS R01 AG060935NIA NIH HHS R01 AG063759NIA NIH HHS R21 AG065526
6 · The paper itself

Abstract

backgroundSurvival rates following in-hospital cardiac arrest (IHCA) are lower during nights and weekends (off-hours), as compared to daytime on weekdays (on-hours). Telemedicine Critical Care (TCC) may provide clinical support to improve IHCA outcomes, particularly during off-hours.

objectiveTo evaluate the association between hospital availability of TCC and IHCA survival.

methodsWe identified 44,585 adults at 280 U.S. hospitals in the Get With The Guidelines® - Resuscitation registry who suffered IHCA in an Intensive Care Unit (ICU) or hospital ward between July 2017 and December 2019. We used 2-level hierarchical multivariable logistic regression to investigate whether TCC availability was associated with better survival, overall, and during on-hours (Monday-Friday 7:00 a.m.-10:59p.m.) vs. off-hours (Monday-Friday 11:00p.m.-6:59 a.m., and Saturday-Sunday, all day, and US national holidays).

results14,373 (32.2%) participants suffered IHCA at hospitals with TCC, and 27,032 (60.6%) occurred in an ICU. There was no difference between TCC and non-TCC hospitals in acute resuscitation survival rate or survival to discharge rates for either IHCA occurring in the ICU (acute survival odds ratio [OR] 1.02, 95% CI 0.92-1.15; survival to discharge OR 0.94 [0.83-1.07]) or outside of the ICU (acute survival OR 1.03 [0.91-1.17]; survival to discharge OR 0.99 [0.86-1.12]. Timing of cardiac arrest did not modify the association between TCC availability and acute resuscitation survival (P =.37 for interaction) or survival to discharge (P =.39 for interaction).

conclusionsHospital availability of TCC was not associated with improved outcomes for in-hospital cardiac arrest.

Indexed as

Cardiopulmonary ResuscitationHeart ArrestTelemedicineAdultCritical CareHospitalsHumansCardiopulmonary arrestCardiopulmonary resuscitationCritical CareTele-Critical CareTelehealthTele-ICUTelemedicine

Identifiers

PMID35724851
PMCPMC9296566

What OpenQuestion holds

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Registered trials

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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.