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Acute cardiac care & resuscitationCohort study

Resuscitation Quality Improvement Program for Cardiopulmonary Resuscitation (CPR) Training and Cardiac Arrest Survival in Hospitals

JAMA CardiolPublished

  • Retrospective cohort study
  • matched
  • difference-in-differences analysis
  • registry-based
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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

Main finding

As reported in the abstract

RQI

25.3% (SD 3.5%)

Survival to discharge risk-standardized survival rate (RSSR), pre · 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

25.0% (SD 2.9%)

Survival to discharge RSSR, pre · 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%)

RQI vs ControlDifference-in-differences adjusted OR (95% CI)P value
survival to discharge
0.95(0.81–1.10)
P = 0.48
ROSC
0.98(0.81–1.18)
P = 0.85

Observational 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:10.1001/jamacardio.2026.1074
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Summarised from the published abstract; every number is checked against it