A national analysis of the relationship between hospital factors and post-cardiac arrest mortality

被引：122

作者：

Carr, Brendan G. ^{[1
,2
,4
,5
]}

Goyal, Munish ^{[2
,3
]}

Band, Roger A. ^{[2
]}

Gaieski, David F. ^{[2
,3
]}

Abella, Benjamin S. ^{[2
,3
]}

Merchant, Raina M. ^{[1
,2
,3
,4
]}

Branas, Charles C. ^{[5
]}

Becker, Lance B. ^{[2
,3
]}

Neumar, Robert W. ^{[2
,3
]}

机构：

[1] Univ Penn, Sch Med, Robert Wood Johnson Clin Scholars Program, 932 Blockley Hall,423 Guardian Dr, Philadelphia, PA 19104 USA

[2] Univ Penn, Sch Med, Dept Emergency Med, Philadelphia, PA 19104 USA

[3] Univ Penn, Sch Med, Ctr Resuscitat Sci, Philadelphia, PA 19104 USA

[4] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA

[5] Univ Penn, Sch Med, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA

来源：

INTENSIVE CARE MEDICINE | 2009年 / 35卷 / 03期

关键词：

PROMISING TREATMENT MODALITY; INTENSIVE-CARE-UNIT; THERAPEUTIC HYPOTHERMIA; POSTRESUSCITATION CARE; SURVIVAL; LIFE; RESUSCITATION; OPPORTUNITIES; STATEMENT; COMMITTEE;

D O I：

10.1007/s00134-008-1335-x

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We sought to generate national estimates for post-cardiac arrest mortality, to assess trends, and to identify hospital factors associated with survival. We used a national sample of US hospitals to identify patients resuscitated after cardiac arrest from 2000 to 2004 to describe the association between hospital factors (teaching status, location, size) and mortality, length of stay, and hospital charges. Analyses were performed using logistic regression. A total of 109,739 patients were identified. In-hospital mortality was 70.6%. A 2% decrease in unadjusted mortality from 71.6% in 2000 to 69.6% in 2004 (OR 0.96, P < 0.001) was observed. Mortality was lower at teaching hospitals (OR 0.58, P = 0.001), urban hospitals (OR 0.63, P = 0.004), and large hospitals (OR 0.55, P < 0.001). Mortality after in-hospital cardiac arrest decreased over 5 years. Mortality was lower at urban, teaching, and large hospitals. There are implications for dissemination of best practices or regionalization of post-cardiac arrest care.

引用

页码：505 / 511

页数：7

共 37 条

[1]

Adrie Christophe, 2004, Curr Opin Crit Care, V10, P208, DOI 10.1097/01.ccx.0000126090.06275.fe

[2]

*AHA, 1988, BOOK COD CLIN ICD 9, P8

[3] 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care Part 1: Introduction [J].