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- W2768157304 abstract "Background: Interhospital variability in out-of-hospital cardiac arrest (OHCA) survival outcomes have suggested the need for regionalizing care to tertiary centers. To date, no studies have explored variability in post-resuscitation outcomes across hospitals in Pennsylvania (PA). Objective: To examine inter-hospital variation in OHCA survival outcomes and assess key hospital characteristics associated with favorable survival in PA. Methods: Utilizing PA data from the Cardiac Arrest Registry to Enhance Survival, we analyzed outcomes among adult non-traumatic OHCA events. Analysis included hospitals with ≥ 30 cases during the study period who arrived to the ED with sustained return of spontaneous circulation (ROSC) and survived to hospital admission. Primary outcome was percent of patients with a favorable cerebral performance category score (CPC) of 1 or 2. Demographic and arrest care data were compared between the lowest and highest quartiles for favorable CPC. Multinomial logistic regression was used to assess for correlation of indicators with outcomes. Results: Between Jan 2013 and Dec 2015, 1,699 OHCA from 47 hospitals were analyzed. Mean patient age was 62.5 ± 17.5 y. 43% were female, and 35% had a shockable initial rhythm. Hospital arrest volume ranged from 30 to 130 cases in the study period. Hospitals were grouped into quartiles based on percent of patients with a favorable discharge CPC. Significant variability existed when comparing lowest and highest quartiles (18.6% vs 50.3%, p Conclusions: These results demonstrate marked variability in favorable neurological outcomes across these 47 hospitals in PA. Frequency of post-arrest interventions such as angiography and TTM were not associated with favorable outcomes, suggesting that other unmeasured variables contribute to post-arrest care quality and outcomes, requiring further investigation." @default.
- W2768157304 created "2017-12-04" @default.
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- W2768157304 date "2017-11-14" @default.
- W2768157304 modified "2023-09-24" @default.
- W2768157304 title "Abstract 16641: Post Admission Variability in OHCA Survival Outcomes in Pennsylvania" @default.
- W2768157304 hasPublicationYear "2017" @default.
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