| Title |
Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends
|
|---|---|
| Published in |
JACC, January 2018
|
| DOI | 10.1016/j.jacc.2017.11.043 |
| Pubmed ID | |
| Authors |
Uchenna R. Ofoma, Suresh Basnet, Andrea Berger, H. Lester Kirchner, Saket Girotra, American Heart Association Get With the Guidelines – Resuscitation Investigators, Benjamin Abella, Monique L. Anderson, Steven M. Bradley, Paul S. Chan, Dana P. Edelson, Matthew M. Churpek, Romergryko Geocadin, Zachary D. Goldberger, Patricia K. Howard, Michael C. Kurz, Vincent N. Mosesso, Boulos Nassar, Joseph P. Ornato, Mary Ann Peberdy, Sarah M. Perman |
| Abstract |
Survival after in-hospital cardiac arrest (IHCA) is lower during nights and weekends (off-hours) compared with daytime during weekdays (on-hours). As overall IHCA survival has improved over time, it remains unknown whether survival differences between on-hours and off-hours have changed. This study sought to examine temporal trends in survival differences between on-hours and off-hours IHCA. We identified 151,071 adults at 470 U.S. hospitals in the Get with the Guidelines-Resuscitation registry during 2000 to 2014. Using multivariable logistic regression with generalized estimating equations, we examined whether survival trends in IHCA differed during on-hours (Monday to Friday 7:00 am to 10:59 pm) versus off-hours (Monday to Friday 11:00 pm to 6:59 am, and Saturday to Sunday, all day). Among 151,071 participants, 79,091 (52.4%) had an IHCA during off-hours. Risk-adjusted survival improved over time in both groups (on-hours: 16.0% in 2000, 25.2% in 2014; off-hours: 11.9% in 2000, 21.9% in 2014; p for trend <0.001 for both). However, there was no significant change in the survival difference over time between on-hours and off-hours, either on an absolute (p = 0.75) or a relative scale (p = 0.059). Acute resuscitation survival improved significantly in both groups (on-hours: 56.1% in 2000, 71% in 2014; off-hours: 46.9% in 2000, 68.2% in 2014; p for trend <0.001 for both) and the difference between on-hours and off-hours narrowed over time (p = 0.02 absolute scale, p < 0.001 relative scale). In contrast, although post-resuscitation survival also improved over time in both groups (p for trend < 0.001 for both), the absolute and relative difference persisted. Despite an overall improvement in survival, lower survival in IHCA during off-hours compared with on-hours persists. |
X Demographics
The data shown below were collected from the profiles of 40 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 11 | 28% |
| United Kingdom | 2 | 5% |
| Australia | 2 | 5% |
| Malaysia | 1 | 3% |
| Venezuela, Bolivarian Republic of | 1 | 3% |
| Spain | 1 | 3% |
| Italy | 1 | 3% |
| Mexico | 1 | 3% |
| Colombia | 1 | 3% |
| Other | 1 | 3% |
| Unknown | 18 | 45% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 26 | 65% |
| Practitioners (doctors, other healthcare professionals) | 8 | 20% |
| Science communicators (journalists, bloggers, editors) | 3 | 8% |
| Scientists | 3 | 8% |
Mendeley readers
The data shown below were compiled from readership statistics for 101 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 101 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 13 | 13% |
| Student > Ph. D. Student | 11 | 11% |
| Student > Bachelor | 10 | 10% |
| Student > Postgraduate | 8 | 8% |
| Student > Master | 8 | 8% |
| Other | 17 | 17% |
| Unknown | 34 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 38 | 38% |
| Nursing and Health Professions | 11 | 11% |
| Agricultural and Biological Sciences | 5 | 5% |
| Computer Science | 2 | 2% |
| Psychology | 2 | 2% |
| Other | 5 | 5% |
| Unknown | 38 | 38% |
Attention Score in Context
This research output has an Altmetric Attention Score of 314. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 March 2018.
All research outputs
#109,018
of 25,559,053 outputs
Outputs from JACC
#246
of 16,763 outputs
Outputs of similar age
#2,534
of 450,730 outputs
Outputs of similar age from JACC
#5
of 180 outputs
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