Tools
Tools
Couper, Keith, Mason, Alexina J, Gould, Doug, Nolan, Jerry P, Soar, Jasmeet, Yeung, Joyce, Harrison, David and Perkins, Gavin D (2020) The impact of resuscitation system factors on in-hospital cardiac arrest outcomes across UK hospitals: an observational study. Resuscitation. ISSN 1873-1570. Full text can be accessed via UHB Open Athens account holders.
Full text not available from this repository.Abstract
PURPOSE OF THE STUDY
To explore whether variation in in-hospital cardiac arrest (IHCA) survival can be explained by differences in resuscitation service provision across UK acute hospitals.
METHODS
We linked information on key clinical practices with patient data of adults who had a cardiac arrest on a general hospital ward or emergency admissions unit in 2016/17. We used multi-level Bayesian models to explore associations between system quality indicators (number of resuscitation officers, audits time to first shock, review unexpected non-survivors, arrest team meets at handover, hot debrief, cold debrief, real-time audio-visual feedback, frequency of mock arrest provision) and adjusted hospital survival.
RESULTS
We received survey responses from 110 out of 180 eligible hospitals (response rate 61%) relating to 12285 cardiac arrest cases. Variation across trusts was observed in the number of resuscitation officers (median 0.7 (interquartile range 0.5, 0.9) per 750 clinical staff employed. Key system quality indicators were undertaken infrequently: audit of time to first shock (44.7%), arrest team meeting at handover (28.9%), mock arrests>monthly (22.4%), and use of CPR feedback devices (18.4%). The probability that the system quality indicators had a positive effect on hospital survival ranged from 10% to 89%. However, there was uncertainty in the estimated odds ratios and we cannot exclude the possibility of a clinical benefit. Findings were consistent across secondary outcomes.
CONCLUSION
In this study, we identified variation in implementation of system quality indicators. Amongst hospitals that responded to our survey, the probability that individual factors increase the odds of hospital survival ranges from 10 to 89%..
| Item Type: | Article |
|---|---|
| Additional Information: | Full text can be accessed via UHB Open Athens account holders. |
| Subjects: | WA Patients. Primary care. Medical profession. Forensic medicine |
| Divisions: | Emergency Services > Acute Medicine and AMU |
| Related URLs: | |
| Depositing User: | Mr Philip O'Reilly |
| Date Deposited: | 30 Apr 2020 13:25 |
| Last Modified: | 30 Apr 2020 13:25 |
| URI: | http://www.repository.uhblibrary.co.uk/id/eprint/3017 |
Actions (login required)
 |
View Item |
