Please use this identifier to cite or link to this item:
Scopus Web of Science® Altmetric
Type: Journal article
Title: Association between a hospital's quality performance for in-hospital cardiac arrest and common medical conditions
Author: Chen, L.M.
Nallamothu, B.K.
Krumholz, H.M.
Spertus, J.A.
Tang, F.
Chan, P.S.
Citation: Circulation: Cardiovascular Quality and Outcomes, 2013; 6(6):700-707
Publisher: Lippincott Williams & Wilkins
Issue Date: 2013
ISSN: 1941-7713
Statement of
Lena M. Chen, Brahmajee K. Nallamothu, Harlan M. Krumholz, John A. Spertus, Fengming Tang and Paul S. Chan and for the American Heart Association’s Get With The Guidelines-Resuscitation Investigators
Abstract: Public reporting on hospital quality has been widely adopted for common medical conditions. Adding a measure of inpatient survival after cardiac arrest is being considered. It is unknown whether this measure would be redundant, given evidence that hospital organization and culture can have hospital-wide effects on quality. Therefore, we sought to evaluate the correlation between inpatient survival after cardiac arrest and 30-day risk-standardized mortality rates for common medical conditions.Using data between 2007 and 2010 from a national in-hospital cardiac arrest registry, we calculated risk-standardized in-hospital survival rates for cardiac arrest at each hospital. We obtained risk-standardized 30-day mortality rates for acute myocardial infarction, heart failure, and pneumonia from Hospital Compare for the same period. The relationship between a hospital's performance on cardiac arrest and these other medical conditions was assessed using weighted Pearson correlation coefficients. Among 26 270 patients with in-hospital cardiac arrest at 130 hospitals, survival rates varied across hospitals, with a median risk-standardized hospital survival rate of 22.1% and an interquartile range of 19.7% to 24.2%. There were no significant correlations between a hospital's outcomes for its cardiac arrest patients and its patients admitted for acute myocardial infarction (correlation, -0.12; P=0.16), heart failure (correlation, -0.05; P=0.57), or pneumonia (correlation, -0.15; P=0.10).Hospitals that performed better on publicly reported outcomes for 3 common medical conditions did not necessarily have better cardiac arrest survival rates. Public reporting on cardiac arrest outcomes could provide new information about hospital quality.
Keywords: heart failure; myocardial infarction; resuscitation
Rights: © 2013 American Heart Association, Inc.
DOI: 10.1161/CIRCOUTCOMES.113.000377
Appears in Collections:Aurora harvest 8
Medicine publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.