Cardiac arrest & resuscitation
Treatment and outcome variation in out-of-hospital cardiac arrest among four urban hospitals in Detroit
Authors' conclusion
Differing rates of DNR and coronary angiography was associated with observed disparities in favorable neurologic outcome, but not death, between four Detroit hospitals.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) patients at four urban Detroit hospitals, Detroit-Cardiac Arrest Registry, January 2014 to December 2019
- Participants
- 999 patients
- Exposure
- Hospital A vs Hospitals B, C and D
- Outcome
- Treatments (coronary angiography, new DNR status) and outcomes (CPC ≤ 2, in-hospital death)
Methodological detailsregistry-based, multicentre
- Registry-based
- Multicentre
Main finding
As reported in the abstract
OR
- Hospital A vs B · coronary angiography, adjusted
- 0.17
- Hospital A vs B · new do not resuscitate (DNR) status, adjusted
- 2.9
- Hospital A vs C · new DNR status, adjusted
- 16.1
- Hospital A vs D · new DNR status, adjusted
- 3.6
- Hospital A vs B · cerebral performance category (CPC) ≤ 2, adjusted
- 0.27
- Hospital A vs D · CPC ≤ 2, adjusted
- 0.35
- Hospital A vs B · in-hospital death
- 1.87
- Hospital A vs D · in-hospital death
- 1.81
Observational data: associations, not effects.
Further findings
| Outcome | OR |
|---|---|
| CPC ≤ 2, sensitivity analysisHospital A vs B · adjusted for angiography; did not differ | 0.58 |
| CPC ≤ 2, sensitivity analysisHospital A vs D · adjusted for DNR; did not differ | 0.65 |
Original publication
Treatment and outcome variation in out-of-hospital cardiac arrest among four urban hospitals in Detroit. Resuscitation. Published 11 February 2023. doi:10.
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