Trajectory of Risk-Standardized Survival Rates for In-Hospital Cardiac Arrest.

ABSTRACT:

Background

A hospital's risk-standardized survival rate (RSSR) for in-hospital cardiac arrest has emerged as an important metric to benchmark and incentivize hospital resuscitation quality. We examined whether hospital performance on the RSSR metric was stable or dynamic year-over-year and whether low-performing hospitals were able to improve survival outcomes over time.

Methods and results

We used data from 84 089 adult patients with an in-hospital cardiac arrest from 166 hospitals with continuous participation in Get With The Guidelines-Resuscitation from 2012 to 2017. A 2-level hierarchical regression model was used to compute RSSRs during a baseline (2012-2013) and two follow-up periods (2014-2015 and 2016-2017). At baseline, hospitals were classified as top-, middle-, a

SUBMITTER: Qazi AH 

PROVIDER: S-EPMC7539545 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature