Regional Variation in the Incidence and Outcomes of In-Hospital Cardiac Arrest in the United States

@article{Kolte2015RegionalVI,
  title={Regional Variation in the Incidence and Outcomes of In-Hospital Cardiac Arrest in the United States},
  author={Dhaval S. Kolte and Sahil Khera and Wilbert S. Aronow and Chandrasekar Palaniswamy and Marjan Mujib and Chul W. Ahn and Sei Iwai and Diwakar Jain and Sachin S. Sule and Ali Ahmed and Howard A. Cooper and William H. Frishman and Deepak L. Bhatt and Julio A. Panza and Gregg C. Fonarow},
  journal={Circulation},
  year={2015},
  volume={131},
  pages={1415–1425}
}
Background— Regional variation in the incidence and outcomes of in-hospital cardiac arrest (IHCA) is not well studied and may have important health and policy implications. Methods and Results— We used the 2003 to 2011 Nationwide Inpatient Sample databases to identify patients ≥18 years of age who underwent cardiopulmonary resuscitation (International Classification of Diseases, Ninth Edition, Clinical Modification procedure codes 99.60 and 99.63) for IHCA. Regional differences in IHCA… 

Figures and Tables from this paper

In-Hospital Cardiac Arrest in United States Emergency Departments, 2010–2018

The high burden of ED visits with IHCA persisted through 2010–2018, and ED-based IH CA survival to hospital admission remained poor, and certain contextual factors were associated with a poorer outcome.

Trends in survival after cardiac arrest: a Swedish nationwide study over 30 years.

Survival increased 2.2-fold in OHCA during 1990-2020 but without any improvement in the final decade, and 1.2 -fold in IHCA during 2004-20, with rapid improvement the last decade.

Twenty Year Trends of Survival after In-Hospital Cardiac Arrest.

Overall IHCA survival did not improve following the issuance of guidelines requiring CPR refresher courses, although survival improved for patients with initial shockable dysrhythmia, and a decrease occurring in intensive care units contributed to understanding the findings.

Health Care Costs After Cardiac Arrest in the United States

In the period between 2003 and 2012, postcardiac arrest hospitalizations resulted in a steady rise in associated health care cost, likely related to increased length of stay, medical procedures, and systems of care.

Incidence and Survival After In-Hospital Cardiopulmonary Resuscitation in Nonelderly Adults: US Experience, 2007 to 2012

Among nonelderly adults, survival after ICPR improved significantly from 2007 through 2012, with an overall survival rate of 30.4%.
...

References

SHOWING 1-10 OF 77 REFERENCES

Hospital Variation in Survival After In‐hospital Cardiac Arrest

Significant variability in IHCA survival exists across hospitals, and this variation persists despite adjustment for measured patient factors and within hospital subgroups, suggesting that other hospital factors may account for the observed site‐level variations.

Hospital Variation in Survival Trends for In‐hospital Cardiac Arrest

Although in‐hospital cardiac arrest survival has improved during the past decade, the magnitude of improvement varied across hospitals, and future studies are needed to identify hospital processes that have led to the largest improvement.

Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly.

The proportion of in-hospital deaths preceded by CPR increased, whereas the proportion of survivors discharged home after undergoing CPR decreased, and black race was associated with higher rates of CPR but lower rates of survival after CPR.

Incidence of treated cardiac arrest in hospitalized patients in the United States*

There are approximately 200,000 treated cardiac arrests among U.S. hospitalized patients annually, and this rate may be increasing, which is important for understanding the burden of inhospital cardiac arrest and developing strategies to improve care for hospitalized patients.

Variability in Case-mix Adjusted In-hospital Cardiac Arrest Rates

Several hospital factors associated with higher IHCA event rates were consistent with factors often linked with lower hospital quality of care, including income, trauma designation, academic designation, cardiac surgery capability, and a patient risk score.

Trends in survival after in-hospital cardiac arrest.

Both survival and neurologic outcomes after in-hospital cardiac arrest have improved during the past decade at hospitals participating in a large national quality-improvement registry.

Causes of in-hospital cardiac arrest and influence on outcome.

...