Association between hospital post-resuscitative performance and clinical outcomes after out-of-hospital cardiac arrest

ROC Investigators

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Background: Survival varies among those resuscitated from out-of-hospital cardiac arrest (OHCA). Evidence-based performance measures have been used to describe hospital quality of care in conditions such as acute coronary syndrome and major trauma. It remains unclear if adherence to performance measures is associated with better outcome in patients hospitalized after OHCA. Objectives: To assess whether a composite performance score based on evidence-based guidelines for care of patients resuscitated from OHCA was independently associated with clinical outcomes. Methods: Included were 3252 patients with OHCA who received care at 111 U.S. and Canadian hospitals participating in the Resuscitation Outcomes Consortium (ROC-PRIMED) study between June 2007 and October 2009. We calculated composite performance scores for all patients, aggregated these at the hospital level, then associated them with patient mortality and favorable neurological status at discharge. Results: Composite performance scores varied widely (median [IQR] scores from lowest to highest hospital quartiles, 21% [20%, 25%] vs. 59% [55%, 64%]. Adjusted survival to discharge increased with each quartile of performance score (from lowest to highest: 16.2%, 20.8%, 28.5%, 34.8%, P

Original languageEnglish (US)
Pages (from-to)45-52
Number of pages8
JournalResuscitation
Volume92
DOIs
StatePublished - Jul 1 2015

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Out-of-Hospital Cardiac Arrest
Survival
Quality of Health Care
Acute Coronary Syndrome
Resuscitation
Patient Care
Guidelines
Mortality
Wounds and Injuries

Keywords

  • Cardiac arrest
  • Performance score
  • Post resuscitation care
  • Resuscitation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

Cite this

Association between hospital post-resuscitative performance and clinical outcomes after out-of-hospital cardiac arrest. / ROC Investigators.

In: Resuscitation, Vol. 92, 01.07.2015, p. 45-52.

Research output: Contribution to journalArticle

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abstract = "Background: Survival varies among those resuscitated from out-of-hospital cardiac arrest (OHCA). Evidence-based performance measures have been used to describe hospital quality of care in conditions such as acute coronary syndrome and major trauma. It remains unclear if adherence to performance measures is associated with better outcome in patients hospitalized after OHCA. Objectives: To assess whether a composite performance score based on evidence-based guidelines for care of patients resuscitated from OHCA was independently associated with clinical outcomes. Methods: Included were 3252 patients with OHCA who received care at 111 U.S. and Canadian hospitals participating in the Resuscitation Outcomes Consortium (ROC-PRIMED) study between June 2007 and October 2009. We calculated composite performance scores for all patients, aggregated these at the hospital level, then associated them with patient mortality and favorable neurological status at discharge. Results: Composite performance scores varied widely (median [IQR] scores from lowest to highest hospital quartiles, 21{\%} [20{\%}, 25{\%}] vs. 59{\%} [55{\%}, 64{\%}]. Adjusted survival to discharge increased with each quartile of performance score (from lowest to highest: 16.2{\%}, 20.8{\%}, 28.5{\%}, 34.8{\%}, P",
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author = "{ROC Investigators} and Dion Stub and Schmicker, {Robert H.} and Anderson, {Monique L.} and Callaway, {Clifton W.} and Daya, {Mohamud Ramzan} and Sayre, {Michael R.} and Jonathan Elmer and Grunau, {Brian E.} and Aufderheide, {Tom P.} and Steve Lin and Buick, {Jason E.} and Dana Zive and Peterson, {Eric D.} and Graham Nichol",
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AU - Callaway, Clifton W.

AU - Daya, Mohamud Ramzan

AU - Sayre, Michael R.

AU - Elmer, Jonathan

AU - Grunau, Brian E.

AU - Aufderheide, Tom P.

AU - Lin, Steve

AU - Buick, Jason E.

AU - Zive, Dana

AU - Peterson, Eric D.

AU - Nichol, Graham

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