Acute cardiac care & resuscitation
Resuscitation Quality Improvement Program for Cardiopulmonary Resuscitation (CPR) Training and Cardiac Arrest Survival in Hospitals
Authors' conclusion
In this cohort study using a national registry of IHCA data, compared with control hospitals, hospital adoption of the RQI program was not associated with improved rates of survival to discharge or ROSC in the 2 years after implementation.
Study context
- Population
- In-hospital cardiac arrests at US hospitals in the Get With The Guidelines-Resuscitation registry, 2017–2023
- Participants
- 237 arrests · 49,870 in-hospital cardiac arrest (IHCAs)
- Exposure
- Resuscitation Quality Improvement (RQI) hospitals vs matched control hospitals
- RQIn = 18
- Controln = 107reference
- Outcome
- RSSR to hospital discharge and ROSC
- Follow-up
- 2-year postintervention vs 2-year preintervention
Methodological detailsmatched, difference-in-differences analysis, registry-based
- Matched
- Difference-in-differences analysis
- Registry-based
Main finding
As reported in the abstract
RQI
- Survival to discharge risk-standardized survival rate (RSSR), pre
- 25.3% (SD 3.5%)
- Survival to discharge RSSR, post
- 21.2% (SD 3.8%)
- Return of spontaneous circulation (ROSC) RSSR, pre
- 73.4% (SD 5.7%)
- ROSC RSSR, post
- 69.1% (SD 5.1%)
Control
- Survival to discharge RSSR, pre
- 25.0% (SD 2.9%)
- Survival to discharge RSSR, post
- 21.5% (SD 4.4%)
- ROSC RSSR, pre
- 70.9% (SD 6.9%)
- ROSC RSSR, post
- 69.1% (SD 7.5%)
Survival to discharge risk-standardized survival rate (RSSR), pre
RQI25.3% (SD 3.5%)
Control25.0% (SD 2.9%)
Survival to discharge RSSR, post
RQI21.2% (SD 3.8%)
Control21.5% (SD 4.4%)
Return of spontaneous circulation (ROSC) RSSR, pre
RQI73.4% (SD 5.7%)
Control70.9% (SD 6.9%)
ROSC RSSR, post
RQI69.1% (SD 5.1%)
Control69.1% (SD 7.5%)
RQI vs ControlDifference-in-differences adjusted OR (95% CI)P value
Survival to discharge
0.95(0.81–1.10)
P = 0.48ROSC
0.98(0.81–1.18)
P = 0.85Observational data: associations, not effects.
Original publication
Resuscitation Quality Improvement Program for CPR Training and Cardiac Arrest Survival in Hospitals. JAMA Cardiol. Published 1 July 2026. doi:10.
Summarised from the published abstract; every number is checked against it