Association of Hospital-Level Acute Resuscitation and Postresuscitation Survival With Overall Risk-Standardized Survival to Discharge for In-Hospital Cardiac Arrest

Key Points Question Are rates of acute resuscitation and postresuscitation survival associated with rates of overall risk-standardized survival to discharge for in-hospital cardiac arrest? Findings In this cohort study of 86 426 patients with in-hospital cardiac arrest from 290 hospitals, a hospital’s overall risk-standardized survival rate was more strongly correlated with its risk-adjusted postresuscitation survival than with acute resuscitation survival. There was no correlation between risk-adjusted acute resuscitation and postresuscitation survival. Meaning The findings suggest that, because current quality improvement initiatives focus largely on acute resuscitation care, efforts to strengthen postresuscitation care may offer additional opportunities to improve survival after in-hospital cardiac arrest.