Impact of post-arrest care variation on hospital performance after out-of-hospital cardiac arrest

Huebinger, Ryan M.; Thomas, Jordan; Abella, Benjamin S.; Waller-Delarosa, John; Al-Araji, Rabab; Witkov, Richard; Villa, Normandy; Nikonowicz, Peter; Renbarger, Taylor; Panczyk, Micah; Bobrow, Bentley J.

doi:10.1016/j.resplu.2022.100231

Cited by 6 publications

(4 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our prior work, we found that receiving hospital plays a significant role in outcomes after OHCA, 9 corroborating findings from prior research. 10 In addition, we identified lower rates of postarrest interventions, TTM, and PCI for individuals who experience OHCA from minority 12 and lower socioeconomic status 11 neighborhoods in comparison to White and higher socioeconomic status neighborhoods.…”

Section: Discussionsupporting

confidence: 89%

“…Prior research links receiving hospital to outcomes after cardiac arrest. 9 , 10 We have additionally found that individuals who experience OHCA who are Black race, Hispanic or Latino ethnicity, and of lower socioeconomic status receive lower rates of hospital‐based, postarrest care modalities, primarily targeted temperature management (TTM) and percutaneous coronary intervention (PCI). 11 , 12 The best approaches to patient selection and application of both TTM 13 , 14 and PCI 15 , 16 are still actively being studied, but these therapies are associated with improved survival after OHCA.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Impact of Receiving Hospital on Out‐of‐Hospital Cardiac Arrest Outcome: Racial and Ethnic Disparities in Texas

Huebinger,

Del Rios,

Abella

et al. 2023

JAHA

Self Cite

View full text Add to dashboard Cite

Background Factors associated with out‐of‐hospital cardiac arrest (OHCA) outcome disparities remain poorly understood. We evaluated the role of receiving hospital on OHCA outcome disparities. Methods and Results We studied people with OHCA who survived to hospital admission from TX‐CARES (Texas Cardiac Arrest Registry to Enhance Survival), 2014 to 2021. Using census data, we stratified OHCAs into majority (>50%) strata: non‐Hispanic White race and ethnicity, non‐Hispanic Black race and ethnicity, and Hispanic or Latino ethnicity. We stratified hospitals into performance quartiles based on the primary outcome, survival with good neurologic outcome. We evaluated the association between race and ethnicity and care at higher‐performance hospitals. We compared 3 models evaluating the association between race and ethnicity and outcome: (1) ignoring hospital, (2) adjusting for hospital as a random intercept, and (3) adjusting for hospital performance quartile. We adjusted models for possible confounders. We included 10 434 OHCAs. Hospital performance quartile outcome rates ranged from 11.3% (fourth) to 37.1% (first). Compared with OHCAs in neighborhoods of majority White race, those in neighborhoods of majority Black race (odds ratio [OR], 0.1 [95% CI, 0.1–0.1]) and Hispanic or Latino ethnicity (OR, 0.2 [95% CI, 0.2–0.2]) were less likely to be cared for at higher‐performing hospitals. Compared with White neighborhoods (30.1%) and ignoring hospital, outcomes were worse in Black neighborhoods (15.4%; adjusted OR [aOR], 0.5 [95% CI, 0.4–0.5]) and Hispanic or Latino neighborhoods (19.2%; aOR, 0.6 [95% CI, 0.5–0.7]). Adjusting for hospital as a random intercept, outcomes improved for Black neighborhoods (aOR, 0.9 [95% CI, 0.7–1.05]) and Hispanic or Latino neighborhoods (aOR, 0.9 [95% CI, 0.8–0.99]). Adjusting for hospital performance quartile, outcomes improved for Black neighborhoods (aOR, 0.8 [95% CI, 0.7–1.01]) and Hispanic or Latino neighborhoods (aOR, 0.9 [95% CI, 0.8–0.996]). Conclusions In Black and Hispanic or Latino communities, OHCAs were less likely to be cared for at higher‐performing hospitals, and adjusting for receiving hospital improved OHCA outcome disparities.

show abstract

Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

Impact of Receiving Hospital on Out‐of‐Hospital Cardiac Arrest Outcome: Racial and Ethnic Disparities in Texas

Huebinger,

Del Rios,

Abella

et al. 2023

JAHA

Self Cite

View full text Add to dashboard Cite

show abstract

“…In-hospital interventions such as targeted temperature management (TTM) 18 , 19 and percutaneous coronary intervention (PCI) are associated with improved patient outcomes 18 , 20 and have been shown to vary substantially between institutions. 21 , 22 Additionally it has been shown that there are substantial differences in outcomes across hospitals for patients admitted after OHCA. 22 , 23 …”

Section: Choosing Important Outcomesmentioning

confidence: 99%

Randomized controlled trials in resuscitation

Drennan,

McLeod,

Cheskes

2024

Resuscitation Plus

View full text Add to dashboard Cite

“…Among these, high‐quality hospital‐based care is particularly important, as key components of care delivered in this setting have been associated with improved outcomes after cardiac arrest. 2 , 3 Characteristics such as cardiac arrest volume, access to percutaneous coronary intervention, and targeted temperature management have been associated with improved outcomes. While significant strides have been made in cardiac arrest care, wide racial disparities in patient outcomes persist.…”

mentioning

confidence: 99%

Reframing Our Approach to Disparities in Cardiac Arrest Outcomes: The Importance of Systems and Structures in Patient Outcomes

Salhi,

Zachrison

2023

JAHA

View full text Add to dashboard Cite

Impact of post-arrest care variation on hospital performance after out-of-hospital cardiac arrest

Cited by 6 publications

References 36 publications

Impact of Receiving Hospital on Out‐of‐Hospital Cardiac Arrest Outcome: Racial and Ethnic Disparities in Texas

Impact of Receiving Hospital on Out‐of‐Hospital Cardiac Arrest Outcome: Racial and Ethnic Disparities in Texas

Randomized controlled trials in resuscitation

Reframing Our Approach to Disparities in Cardiac Arrest Outcomes: The Importance of Systems and Structures in Patient Outcomes

Contact Info

Product

Resources

About