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- W1808686572 abstract "Background: Recently, we developed and validated a model to calculate risk-standardized survival rates (RSSRs) for in-hospital cardiac arrest_a common condition occurring within hospitals. Although RSSRs can be used to determine high and low performing sites, it remains unclear if RSSRs for in-hospital cardiac arrest are stable, i.e., similar from year to year. Methods: Within the Get With The Guidelines-Resuscitation registry, we identified 21,947 patients from 240 hospitals admitted between 2012 and 2013 with an in-hospital cardiac arrest. Using hierarchical logistic regression, we separately calculated 2012 and 2013 risk-standardized RSSRs for hospitals with at least 10 cardiac arrest cases and evaluated the correlation between 2012 and 2013 RSSRs. Results: The mean hospital RSSR was 23% + 4% (median, 23% [IQR: 21%-25%]) in 2012 and 25% + 5% (median, 25% [IQR: 22%-27%]) in 2013. There was strong correlation between a hospital’s performance between the two years (r=0.50; P <0.0001; Figure ). Most hospitals with RSSRs in the top quintile in 2012 (64.2% [34/53]) remained in the top 2 quintiles in 2013, and only 13.2% (7/53) had RSSRs below the median in 2013. Conversely, most hospitals with RSSRs in the lowest quintile in 2012 (60.4% [29/48]) remained in the lowest 2 quintiles in 2013, and only 22.9% (11/48) had RSSRs above the median in 2013. Conclusion: There was good correlation in RSSRs for in-hospital cardiac arrest for 2012 and 2013. Most top performing hospitals continued to excel and most low performing hospitals continued with below average survival, although some discordance was noted. These findings have implications for identifying top performing hospitals as those that consistently excel in survival outcomes each year." @default.
- W1808686572 created "2016-06-24" @default.
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- W1808686572 date "2015-05-01" @default.
- W1808686572 modified "2023-10-17" @default.
- W1808686572 title "Abstract 357: Consistency in Survival for In-hospital Cardiac Arrest: Do Hospitals Which Excel One Year Continue to Excel in the Next Year?" @default.
- W1808686572 doi "https://doi.org/10.1161/circoutcomes.8.suppl_2.357" @default.
- W1808686572 hasPublicationYear "2015" @default.
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