Table 3 Survival outcomes by hospital quartile of endotracheal intubation during CPR stratified by the presence or absence of respiratory failure
All patients | Hospital quartile of intubation rate during CPR | ||||
|---|---|---|---|---|---|
1 (lowest) | 2 | 3 | 4 (highest) | ||
Respiratory failure present | |||||
Survival to discharge | |||||
Unadjusted rate, N (%) | 11,374 (21.6) | 2387 (21.7) | 3407 (22.8) | 3351 (21.0) | 2229 (21.2) |
Adjusted odds ratio (95% CI) | Reference | 1.07 (0.95, 1.19) P = 0.26 | 0.95 (0.85, 1.06) P = 0.38 | 0.97 (0.86, 1.09) P = 0.61 | |
ROSC | |||||
Unadjusted rate, N (%) | 34,700 (66.2) | 7515 (68.3) | 9983 (66.7) | 10,354 (65.0) | 6848 (65.1) |
Adjusted odds ratio (95% CI) | Reference | 0.99 (0.87, 1.11) P = 0.81 | 0.89 (0.79, 1.00) P = .06 | 0.86 (0.76, 0.98) P = 0.02 | |
Survival to 24 h | |||||
Unadjusted rate, N (%) | 22,101 (42.2) | 4497 (40.8) | 6430 (43.0) | 6683 (41.9) | 4491 (42.7) |
Adjusted odds ratio (95% CI) | Reference | 1.07 (0.97, 1.17) P = 0.17 | 1.01 (0.92, 1.11) P = 0.88 | 1.01 (0.91, 1.11) P = 0.87 | |
Respiratory failure absent | |||||
Survival to discharge | |||||
Unadjusted Rate, N (%) | 27,061 (26.3) | 6539 (30.0) | 8025 (27.1) | 7914 (25.1) | 4583 (23.0) |
Adjusted odds ratio (95% CI) | Reference | 0.92 (0.83, 1.02) P = 0.10 | 0.83 (0.75, 0.92) P < .001 | 0.76 (0.68, 0.85) P < .001 | |
ROSC | |||||
Unadjusted rate, N (%) | 65,181 (63.4) | 14,768 (67.7) | 18,674 (63.2) | 19,556 (62.0) | 12,183 (61.3) |
Adjusted odds ratio (95% CI) | Reference | 0.87 (0.78, 0.97) P = .01 | 0.82 (0.73, 0.91) P < .001 | 0.81 (0.72, 0.90) P < .001 | |
Survival to 24 h | |||||
Unadjusted rate, N (%) | 43,638 (42.4) | 9922 (45.5) | 12,636 (42.7) | 13,109 (41.6) | 7971 (40.1) |
Adjusted odds ratio (95% CI) | Reference | 0.91 (0.84, 1.00) P = 0.04 | 0.86 (0.79, 0.94) P = 0.001 | 0.82 (0.75, 0.90) P < .001 | |