Substantial variation exists in post-cardiac arrest outcomes across Michigan hospitals

Hospital‐level variation in outcomes after in‐hospital cardiac arrest in Denmark

“…Across all measures of variation, the extent of hospital-level variation remained but diminished after adjustment for patient characteristics. Several studies from the United States have identified hospital-level variation in outcomes after IHCA, [3][4][5][6][7][8][9][10][11][12][13][14] of which some similarly found that the variation persisted after adjustment for patient characteristics. [6][7][8][10][11][12][13][14] This may indicate that while patient characteristics are able to account for a proportion of the hospital-level variation in outcomes, residual factors may explain the remaining variation between hospitals.…”

“…In the United States, substantial variation has been shown in post-resuscitation care across hospitals including targeted temperature management. 11,34 It is unclear to what extent differences in post-resuscitation care exist in Denmark, and whether hospital-level variation in outcomes will decrease as potential disparities in resuscitation care are diminished. Additional research is warranted to inform on hospital-level variation in resuscitation care and its influence on variation in outcomes after IHCA in Denmark.…”

“…1,2 Previous studies have shown substantial variation in outcomes after IHCA across hospitals in the United States, including return of spontaneous circulation (ROSC) and survival to hospital discharge. [3][4][5][6][7][8][9][10][11][12][13][14] Moreover, hospitals vary in their ability to improve outcomes over time. 3,5 Hospital-level variation in…”

Community-level socioeconomic status and the role of the hospital: Does where you have an arrest affect receipt of post-arrest care?

“…Lastly, the tremendous value of cardiac arrest registries is demonstrated through this article. [16][17][18] Studies that have used these OHCA registries have furthered our understanding of inequity within OHCA, which is crucial in shaping systems that save lives. Future work may consider additional critical variables for collection in CARES and more accurate capture of variables that measure social determinants of health to inform our understanding of inequity within resuscitation science.…”

The Effect of Resuscitation Residents on the Duration of Pre-induction of Targeted Temperature Management in Out-of-Hospital Cardiac Arrest

“…There is substantial variation in overall survival and CPC-1/2 survival across Michigan hospitals [ 3 ]. Survivors may experience significant morbidities such as poor neurologic outcomes and prolonged disability [ 4 ].…”