Receiving hospital characteristics associated with survival after out-of-hospital cardiac arrest

Survival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is unknown. This study examined whether survival to hospital discharge was related to receiving hospital characteristics, including bed number, capability of pe...

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Published inResuscitation Vol. 81; no. 5; pp. 524 - 529
Main Authors Callaway, Clifton W., Schmicker, Robert, Kampmeyer, Mitch, Powell, Judy, Rea, Tom D., Daya, Mohamud R., Aufderheide, Thomas P., Davis, Daniel P., Rittenberger, Jon C., Idris, Ahamed H., Nichol, Graham
Format Journal Article
LanguageEnglish
Published Shannon Elsevier Ireland Ltd 01.05.2010
Elsevier
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Online AccessGet full text
ISSN0300-9572
1873-1570
1873-1570
DOI10.1016/j.resuscitation.2009.12.006

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Abstract Survival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is unknown. This study examined whether survival to hospital discharge was related to receiving hospital characteristics, including bed number, capability of performing cardiac catheterization and hospital volume of OOHCA cases. Prospective observational database of non-traumatic OOHCA assessed by emergency medical services was created in 8 US and 2 Canadian sites from December 1, 2005 to July 1, 2007. Subjects received hospital care after OOHCA, defined as either (1) arriving at hospital with pulses, or (2) arriving at hospital without pulses, but discharged or died ≥1 day later. A total of 4087 OOHCA subjects were treated at 254 hospitals, and 32% survived to hospital discharge. A majority of subjects (68%) were treated at 116 (46%) hospitals capable of cardiac catheterization. Unadjusted survival to discharge was greater in hospitals performing cardiac catheterization (34% vs. 27%, p = 0.001), and in hospitals that received ≥40 patients/year compared to those that received <40 (37% vs. 30%, p = 0.01). Survival was not associated with hospital bed number, teaching status or trauma center designation. Length of stay (LOS) for surviving subjects was shorter at hospitals performing cardiac catheterization ( p < 0.01). After adjusting for all variables, there were no independent associations between survival or LOS and hospital characteristics. Some subsets of hospitals displayed higher survival and shorter LOS for OOHCA subjects but there was no independent association between hospital characteristics and outcome.
AbstractList Survival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is unknown. This study examined whether survival to hospital discharge was related to receiving hospital characteristics, including bed number, capability of performing cardiac catheterization and hospital volume of OOHCA cases.AIMSurvival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is unknown. This study examined whether survival to hospital discharge was related to receiving hospital characteristics, including bed number, capability of performing cardiac catheterization and hospital volume of OOHCA cases.Prospective observational database of non-traumatic OOHCA assessed by emergency medical services was created in 8 US and 2 Canadian sites from December 1, 2005 to July 1, 2007. Subjects received hospital care after OOHCA, defined as either (1) arriving at hospital with pulses, or (2) arriving at hospital without pulses, but discharged or died > or =1 day later.MATERIAL AND METHODSProspective observational database of non-traumatic OOHCA assessed by emergency medical services was created in 8 US and 2 Canadian sites from December 1, 2005 to July 1, 2007. Subjects received hospital care after OOHCA, defined as either (1) arriving at hospital with pulses, or (2) arriving at hospital without pulses, but discharged or died > or =1 day later.A total of 4087 OOHCA subjects were treated at 254 hospitals, and 32% survived to hospital discharge. A majority of subjects (68%) were treated at 116 (46%) hospitals capable of cardiac catheterization. Unadjusted survival to discharge was greater in hospitals performing cardiac catheterization (34% vs. 27%, p=0.001), and in hospitals that received > or =40 patients/year compared to those that received <40 (37% vs. 30%, p=0.01). Survival was not associated with hospital bed number, teaching status or trauma center designation. Length of stay (LOS) for surviving subjects was shorter at hospitals performing cardiac catheterization (p<0.01). After adjusting for all variables, there were no independent associations between survival or LOS and hospital characteristics.RESULTSA total of 4087 OOHCA subjects were treated at 254 hospitals, and 32% survived to hospital discharge. A majority of subjects (68%) were treated at 116 (46%) hospitals capable of cardiac catheterization. Unadjusted survival to discharge was greater in hospitals performing cardiac catheterization (34% vs. 27%, p=0.001), and in hospitals that received > or =40 patients/year compared to those that received <40 (37% vs. 30%, p=0.01). Survival was not associated with hospital bed number, teaching status or trauma center designation. Length of stay (LOS) for surviving subjects was shorter at hospitals performing cardiac catheterization (p<0.01). After adjusting for all variables, there were no independent associations between survival or LOS and hospital characteristics.Some subsets of hospitals displayed higher survival and shorter LOS for OOHCA subjects but there was no independent association between hospital characteristics and outcome.CONCLUSIONSSome subsets of hospitals displayed higher survival and shorter LOS for OOHCA subjects but there was no independent association between hospital characteristics and outcome.
Survival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is unknown. This study examined whether survival to hospital discharge was related to receiving hospital characteristics, including bed number, capability of performing cardiac catheterization and hospital volume of OOHCA cases. Prospective observational database of non-traumatic OOHCA assessed by emergency medical services was created in 8 US and 2 Canadian sites from December 1, 2005 to July 1, 2007. Subjects received hospital care after OOHCA, defined as either (1) arriving at hospital with pulses, or (2) arriving at hospital without pulses, but discharged or died ≥1 day later. A total of 4087 OOHCA subjects were treated at 254 hospitals, and 32% survived to hospital discharge. A majority of subjects (68%) were treated at 116 (46%) hospitals capable of cardiac catheterization. Unadjusted survival to discharge was greater in hospitals performing cardiac catheterization (34% vs. 27%, p = 0.001), and in hospitals that received ≥40 patients/year compared to those that received <40 (37% vs. 30%, p = 0.01). Survival was not associated with hospital bed number, teaching status or trauma center designation. Length of stay (LOS) for surviving subjects was shorter at hospitals performing cardiac catheterization ( p < 0.01). After adjusting for all variables, there were no independent associations between survival or LOS and hospital characteristics. Some subsets of hospitals displayed higher survival and shorter LOS for OOHCA subjects but there was no independent association between hospital characteristics and outcome.
Abstract Aim Survival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is unknown. This study examined whether survival to hospital discharge was related to receiving hospital characteristics, including bed number, capability of performing cardiac catheterization and hospital volume of OOHCA cases. Material and methods Prospective observational database of non-traumatic OOHCA assessed by emergency medical services was created in 8 US and 2 Canadian sites from December 1, 2005 to July 1, 2007. Subjects received hospital care after OOHCA, defined as either (1) arriving at hospital with pulses, or (2) arriving at hospital without pulses, but discharged or died ≥1 day later. Results A total of 4087 OOHCA subjects were treated at 254 hospitals, and 32% survived to hospital discharge. A majority of subjects (68%) were treated at 116 (46%) hospitals capable of cardiac catheterization. Unadjusted survival to discharge was greater in hospitals performing cardiac catheterization (34% vs. 27%, p = 0.001), and in hospitals that received ≥40 patients/year compared to those that received <40 (37% vs. 30%, p = 0.01). Survival was not associated with hospital bed number, teaching status or trauma center designation. Length of stay (LOS) for surviving subjects was shorter at hospitals performing cardiac catheterization ( p < 0.01). After adjusting for all variables, there were no independent associations between survival or LOS and hospital characteristics. Conclusions Some subsets of hospitals displayed higher survival and shorter LOS for OOHCA subjects but there was no independent association between hospital characteristics and outcome.
Survival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is unknown. This study examined whether survival to hospital discharge was related to receiving hospital characteristics, including bed number, capability of performing cardiac catheterization and hospital volume of OOHCA cases. Prospective observational database of non-traumatic OOHCA assessed by emergency medical services was created in 8 US and 2 Canadian sites from December 1, 2005 to July 1, 2007. Subjects received hospital care after OOHCA, defined as either (1) arriving at hospital with pulses, or (2) arriving at hospital without pulses, but discharged or died > or =1 day later. A total of 4087 OOHCA subjects were treated at 254 hospitals, and 32% survived to hospital discharge. A majority of subjects (68%) were treated at 116 (46%) hospitals capable of cardiac catheterization. Unadjusted survival to discharge was greater in hospitals performing cardiac catheterization (34% vs. 27%, p=0.001), and in hospitals that received > or =40 patients/year compared to those that received <40 (37% vs. 30%, p=0.01). Survival was not associated with hospital bed number, teaching status or trauma center designation. Length of stay (LOS) for surviving subjects was shorter at hospitals performing cardiac catheterization (p<0.01). After adjusting for all variables, there were no independent associations between survival or LOS and hospital characteristics. Some subsets of hospitals displayed higher survival and shorter LOS for OOHCA subjects but there was no independent association between hospital characteristics and outcome.
Author Rittenberger, Jon C.
Callaway, Clifton W.
Kampmeyer, Mitch
Idris, Ahamed H.
Rea, Tom D.
Schmicker, Robert
Nichol, Graham
Daya, Mohamud R.
Davis, Daniel P.
Aufderheide, Thomas P.
Powell, Judy
AuthorAffiliation 2 University of Washington, Seattle, WA
6 University of Texas, Southwestern Medical Center, Dallas, TX
5 University of California, San Diego, San Diego, CA
1 University of Pittsburgh, Pittsburgh, PA
3 Oregon Health and Science University, Portland, OR
4 Medical College of Wisconsin, Milwaukee, WI
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– name: 6 University of Texas, Southwestern Medical Center, Dallas, TX
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  organization: University of California, San Diego, San Diego, CA, United States
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  organization: University of Texas, Southwestern Medical Center, Dallas, TX, United States
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  givenname: Graham
  surname: Nichol
  fullname: Nichol, Graham
  organization: University of Washington, Seattle, WA, United States
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ISSN 0300-9572
1873-1570
IngestDate Thu Aug 21 18:17:09 EDT 2025
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IsPeerReviewed true
IsScholarly true
Issue 5
Keywords Heart arrest
Regionalization
Post-resuscitation care
Catheterization
Cardiocirculatory arrest
Intensive care
Cardiovascular disease
Out of hospital
Survival
Resuscitation
Language English
License https://www.elsevier.com/tdm/userlicense/1.0
CC BY 4.0
Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
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Snippet Survival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is unknown. This...
Abstract Aim Survival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is...
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SubjectTerms Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Canada
Cardiac Catheterization
Cardiopulmonary Resuscitation
Catheterization
Emergency
Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care
Heart arrest
Heart Arrest - mortality
Heart Arrest - physiopathology
Heart Arrest - therapy
Hospital Bed Capacity - statistics & numerical data
Humans
Intensive care medicine
Length of Stay - statistics & numerical data
Medical sciences
Patient Discharge
Post-resuscitation care
Prospective Studies
Pulse
Regionalization
Registries
Trauma Centers
Treatment Outcome
United States
Title Receiving hospital characteristics associated with survival after out-of-hospital cardiac arrest
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https://www.clinicalkey.es/playcontent/1-s2.0-S0300957209006352
https://dx.doi.org/10.1016/j.resuscitation.2009.12.006
https://www.ncbi.nlm.nih.gov/pubmed/20071070
https://www.proquest.com/docview/733895141
https://pubmed.ncbi.nlm.nih.gov/PMC2856722
Volume 81
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