Abstract

Objective: We investigated the discharge outcomes of patients with cardiac arrest across nine hospital divisions in the United States from 2011 to 2015. Methods: This is a retrospective analysis based on the 2011-2015 Nationwide Inpatient Sample (NIS) databases. Patients with a primary diagnosis of cardiac arrest and who received CPR were included. Multivariate logistic regression was performed to reveal variations in discharge outcomes over nine hospital divisions (New England (NE), Mid-Atlantic (MA), East North Central (ESC), West North Central, South Atlantic, East South Central, West South Central (WSC), Mountain, and Pacific). Diagnoses were identified with ICD-9 codes. The fourth quartile of 2015 NIS was excluded due to the transition to ICD-10 codes. Results: Hospitals in NE had fewer discharges home compared to divisions except in MA and ESC. NE had more discharges to short term hospitals (STH) compared to divisions except Pacific. NE had more discharges to skilled nursing facility (SNF) compared to MA and Pacific divisions. NE had fewer deaths compared to MA, ESC, and Pacific divisions. NE had more palliative care encounters compared to ESC and WSC divisions. Conclusions: Discharge outcomes of cardiac arrest patients varied by geography in the United States; NE hospitals had fewer discharges home and deaths, while had more discharges to STH and SNF. They also had higher palliative care encounters.

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