Evidence map›Paper›PMID 37065731›Full record

ArticleResuscitation plus2023

Interhospital variability in Out-of-Hospital cardiac arrest survival in a large metropolitan area.

Pavitra Kotini-Shah, Nicole Blum, Shaveta Khosla, Joseph Weber, Eddie Markul, Katie Tataris, Teri Campbell, Terry Vanden Hoek, Marina Del Rios

Abstract read
In one paragraph

Article in Resuscitation plus, 2023. 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.

Pavitra Kotini-ShahDepartment of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Nicole BlumDepartment of Emergency Medicine, University of Chicago, Chicago, IL, USA.
Shaveta KhoslaDepartment of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Joseph WeberDepartment of Emergency Medicine, John H. Stroger, Jr. Hospital, Chicago, IL, USA.
Eddie MarkulIllinois Masonic Medical Center, Chicago, IL, USA.
Katie TatarisDepartment of Emergency Medicine, University of Chicago, Chicago, IL, USA.
Teri CampbellDepartment of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Terry Vanden HoekDepartment of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Marina Del RiosDepartment of Emergency Medicine, University of Iowa, Iowa City, IA, USA.

Funding

UIC Building Interdisciplinary Research Careers in Women's Health ProgramK12HD101373 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BUHIMSCHI, IRINA A, MAKI, PAULINE M · 2020 to 2023
$2.9M
NICHD NIH HHS K12 HD101373
6 · The paper itself

Abstract

Background: Out-of-hospital cardiac arrest (OHCA) survival varies widely across the United States. The impact of hospital OHCA volume and ST-elevation myocardial infarction (STEMI) Receiving Center (SRC) designation on survival is not fully understood. Methods: This was a retrospective analysis of adult OHCA who survived to hospital admission reported to the Chicago Cardiac Arrest Registry to Enhance Survival (CARES) database from May 1, 2013 to December 31, 2019. Hierarchical logistic regression models were generated and adjusted by hospital characteristics. Survival to hospital discharge (SHD) and cerebral performance category (CPC) 1-2 at each hospital were calculated after adjusting for arrest characteristics. Hospitals were assigned quartiles (Q1-Q4) based on total arrest volume to allow for comparison of SHD and CPC 1-2 between quartiles. Results: 4,020 patients met inclusion criteria. 21 of the 33 Chicago hospitals included in this study were designated SRCs. Adjusted SHD and CPC 1-2 rates ranged from 27.3% to 37.0% and from 8.9% to 25.1%, respectively, by hospital. SRC designation did not significantly affect SHD (OR 0.96; 95% CI, 0.71-1.30) nor CPC 1-2 (OR 1.17; 95% CI, 0.74-1.84). OHCA volume quartiles did not significantly affect SHD (Q2: OR 0.94; 95% CI, 0.54-1.60; Q3: OR 1.30; 95% CI, 0.78-2.16; Q4: OR 1.25; 95% CI, 0.74-2.10) nor CPC 1-2 (Q2: OR 0.75; 95% CI, 0.36-1.54; Q3: OR 0.94; 95% CI, 0.48-1.87; Q4: OR 0.97; 95% CI, 0.48-1.97). Conclusion: Interhospital variability in both SHD and CPC 1-2 cannot be explained by hospital arrest volume nor SRC status. Further research is warranted to explore reasons for interhospital variability.

Indexed as

Interhospital variabilityNeurologic outcomesOut of Hospital Cardiac ArrestSurvival

Identifiers

PMID37065731
PMCPMC10090648

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.