Acute cardiac care & resuscitation
In-hospital cardiac arrest survival before and after the COVID-19 pandemic: Have higher performing hospitals stayed high-performing?
Authors' conclusion
Although the COVID-19 pandemic affected the U.S. unevenly, there was good correlation in a hospital's performance for IHCA survival before and after the pandemic, even at hospitals caring for a larger proportion of Black and Hispanic patients.
Study context
- Population
- US hospitals in Get With The Guidelines-Resuscitation with ≥2 years of participation and ≥20 in-hospital cardiac arrest (IHCA) cases in both periods
- Participants
- 122,561 participants · 243 hospitals
- Exposure
- Pre-pandemic vs post-pandemic hospital RSSR for IHCA
- Pre-pandemicn = 57,601reference
- Post-pandemicn = 64,960
- Outcome
- Correlation between a hospital's pre- and post-pandemic risk-standardized survival rate to discharge (RSSR) for IHCA
Methodological detailsregistry-based, multivariable hierarchical models
- Registry-based
- Multivariable hierarchical models
Main finding
Hospital RSSR for IHCA
Correlation
0.55
By group
As reported in the abstract
Observational data: associations, not effects.
Further findings
Pre/post RSSR correlation, by tertile of Black or Hispanic IHCA patients (subgroup)
- Upper tertile correlation
- 0.48
- Middle tertile correlation
- 0.68
- Lower tertile correlation
- 0.45
- Interaction P-value: 0.69
Original publication
In-hospital cardiac arrest survival before and after the COVID-19 pandemic: Have higher performing hospitals stayed high-performing? Resuscitation. Published 20 August 2024. doi:10.
Summarised from the published abstract; every number is checked against it