{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T20:27:00Z","timestamp":1790281620055,"version":"4.1.0"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Quality and Outcomes"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Hospitals participating in the national Get With The Guidelines\u2013Resuscitation registry receive an award for high rates of adherence to quality metrics for in-hospital cardiac arrest. We sought to evaluate whether awards based on these quality metrics can be considered a proxy for performance on cardiac arrest survival.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p>\n              Among 195 hospitals with continuous participation in Get With The Guidelines\u2013Resuscitation between 2012 and 2015, we identified 78 that received an award (Gold or Silver) for \u226585% compliance for all 4 metrics for in-hospital cardiac arrest\u2014time to chest compressions, \u22641 minute; time to defibrillation, \u22642 minutes; device confirmation of endotracheal tube placement; and a monitored\/witnessed arrest\u2014for at least 12 consecutive months during 2014 to 2015. Award hospitals had higher cardiac arrest volumes than nonaward hospitals but otherwise had similar site characteristics. During 2014 to 2015, award hospitals had higher rates of return of spontaneous circulation for in-hospital cardiac arrest than nonaward hospitals (median [interquartile range], 71% [64%\u201377%] versus 66% [59%\u201374%]; Spearman \u03c1, 0.19;\n              <jats:italic>P<\/jats:italic>\n              =0.009). However, rates of risk-standardized survival to discharge at award hospitals (median, 25% [interquartile range, 22%\u201330%]) were similar to nonaward hospitals (median, 24% [interquartile range, 12%\u201327%]; Spearman \u03c1, 0.13;\n              <jats:italic>P<\/jats:italic>\n              =0.06). Among hospitals in the best tertile for survival to discharge in 2014 to 2015, 55.4% (36\/65) did not receive an award, with poor discrimination of high-performing hospitals by award status (C statistic, 0.53). Similarly, there was only a weak association between hospitals\u2019 award status in 2014 to 2015 and their rates of survival to discharge in the preceding 2-year period (Spearman \u03c1, 0.16;\n              <jats:italic>P<\/jats:italic>\n              =0.03).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The current recognition mechanism within a national registry for in-hospital cardiac arrest captures hospital performance on return of spontaneous circulation but is not well correlated with survival to discharge. This suggests that current awards for resuscitation quality may not adequately capture hospital performance on overall survival\u2014the outcome of greatest interest to patients.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circoutcomes.118.005429","type":"journal-article","created":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T09:00:31Z","timestamp":1552640431000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Association Between Hospital Recognition for Resuscitation Guideline Adherence and Rates of Survival for In-Hospital Cardiac Arrest"],"prefix":"10.1161","volume":"12","author":[{"given":"Rohan","family":"Khera","sequence":"first","affiliation":[{"name":"Division of Cardiology, UT Southwestern Medical Center, Dallas, TX (R.K., M.S.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Tang","sequence":"additional","affiliation":[{"name":"Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO (Y.T., P.S.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Link","sequence":"additional","affiliation":[{"name":"Division of Cardiology, UT Southwestern Medical Center, Dallas, TX (R.K., M.S.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harlan M.","family":"Krumholz","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation, Yale New Haven Health, CT (H.M.K.)."},{"name":"Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT (H.M.K.)."},{"name":"Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saket","family":"Girotra","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, University of Iowa (S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul S.","family":"Chan","sequence":"additional","affiliation":[{"name":"Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO (Y.T., P.S.C.)."},{"name":"Division of Cardiology, Department of Internal Medicine, University of Missouri-Kansas City (P.S.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the American Heart Association Get With The Guidelines\u2013Resuscitation Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","unstructured":"American Heart Association. 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