A national analysis of the relationship between hospital factors and post-cardiac arrest mortality

Purpose We sought to generate national estimates for post-cardiac arrest mortality, to assess trends, and to identify hospital factors associated with survival. Methods We used a national sample of US hospitals to identify patients resuscitated after cardiac arrest from 2000 to 2004 to describe the...

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Bibliographic Details
Published in:Intensive care medicine 2009-03, Vol.35 (3), p.505-511
Main Authors: Carr, Brendan G., Goyal, Munish, Band, Roger A., Gaieski, David F., Abella, Benjamin S., Merchant, Raina M., Branas, Charles C., Becker, Lance B., Neumar, Robert W.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthesiology
Biological and medical sciences
Cardiac arrest
Cardiopulmonary Resuscitation - statistics & numerical data
Catchment Area (Health)
Critical Care Medicine
Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care
Emergency Medicine
Female
Heart Arrest - mortality
Heart Arrest - prevention & control
Hospitals - standards
Hospitals - statistics & numerical data
Humans
Intensive
Intensive care medicine
Intensive Care Units - standards
Intensive Care Units - statistics & numerical data
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Original
Outcome Assessment (Health Care)
Pain Medicine
Pediatrics
Pneumology/Respiratory System
Retrospective Studies
United States - epidemiology
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Summary:Purpose We sought to generate national estimates for post-cardiac arrest mortality, to assess trends, and to identify hospital factors associated with survival. Methods We used a national sample of US hospitals to identify patients resuscitated after cardiac arrest from 2000 to 2004 to describe the association between hospital factors (teaching status, location, size) and mortality, length of stay, and hospital charges. Analyses were performed using logistic regression. Results A total of 109,739 patients were identified. In-hospital mortality was 70.6%. A 2% decrease in unadjusted mortality from 71.6% in 2000 to 69.6% in 2004 (OR 0.96, P  
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-008-1335-x