Table 4 Survival outcomes by hospital quartile of endotracheal intubation during CPR and stratified by presenting rhythm
All patients | Hospital quartile of intubation rate during CPR | ||||
|---|---|---|---|---|---|
1 (lowest) | 2 | 3 | 4 (highest) | ||
VT/VF | |||||
Survival to discharge | |||||
Unadjusted rate, N (%) | 14,898 (47.1) | 3677 (50.4) | 4436 (47.4) | 4345 (46.4) | 2440 (43.5) |
Adjusted odds ratio (95% CI) | Reference | 0.94 (0.83, 1.06) P = 0.29 | 0.88 (0.78, 0.99) P = 0.03 | 0.82 (0.72, 0.93) P = 0.002 | |
ROSC | |||||
Unadjusted rate, N (%) | 24,040 (76.0) | 5833 (80.0) | 7063 (75.5) | 7036 (75.2) | 4108 (73.3) |
Adjusted odds ratio, (95% CI) | Reference | 0.82 (0.72, 0.94) P = 0.006 | 0.78 (0.68, 0.90) P = 0.001 | 0.70 (0.60, 0.81) P < .001 | |
Survival to 24 h | |||||
Unadjusted rate, N (%) | 19,651 (62.1) | 4716 (64.6) | 5823 (62.2) | 5785 (61.8) | 3327 (59.3) |
Adjusted odds ratio (95% CI) | Reference | 0.94 (0.84, 1.05) P = 0.26 | 0.90 (0.80, 1.00) P = 0.05 | 0.80 (0.71, 0.91) P = 0.001 | |
PEA/asystole | |||||
Survival to discharge | |||||
Unadjusted rate, N (%) | 23,537 (19.0) | 5249 (20.6) | 6996 (19.9) | 6920 (18.2) | 4372 (17.6) |
Adjusted odds ratio (95% CI) | Reference | 0.95 (0.85, 1.05) P = 0.30 | 0.84 (0.76, 0.94) P = 0.002 | 0.82 (0.73, 0.91) P < .001 | |
ROSC | |||||
Unadjusted rate, N (%) | 75,841 (61.4) | 16,450 (64.5) | 21,594 (61.4) | 22,874 (60.0) | 14,923 (60.2) |
Adjusted odds ratio (95% CI) | Reference | 0.92 (0.82, 1.03) P = 0.16 | 0.84 (0.75, 0.94) P = 0.003 | 0.85 (0.76, 0.96) P = 0.008 | |
Survival to 24 h | |||||
Unadjusted rate, N (%) | 46,088 (37.3) | 9703 (38.0) | 13,243 (37.7) | 14,007 (36.7) | 9135 (36.8) |
Adjusted odds ratio (95% CI) | Reference | 0.96 (0.88, 1.04) P = 0.33 | 0.90 (0.82, 0.97) P = 0.01 | 0.90 (0.82, 0.98) P = 0.02 | |