BACKGROUND: For @entity1 resuscitated from out-of-hospital @entity1167 (OHCA), the American Heart Association recommends regionalized care at cardiac resuscitation centers that are aligned with @entity583 ( @entity583 ) centers. The effectiveness of treatment at @entity583 centers remains unknown. OBJECTIVE: To evaluate whether good neurologic recovery after OHCA is associated with treatment at an @entity583 center and if volume of admitted OHCA @entity1 is associated with good neurologic recovery. METHODS: We included @entity1 in the 2011 California Office of Statewide Health Planning and Development database with a "present on admission" diagnosis of @entity1167 . Primary outcome was good neurologic recovery at hospital discharge. Hierarchical multiple logistic regression models were used to determine the association between treating hospital and good neurologic recovery after adjusting for @entity1 factors (age, sex, race, ethnicity, insurance type, and @entity1167 ) and hospital factors (hospital size, intensive care unit bed days, @entity130 center designation, and teaching status). RESULTS: We included 7,725 @entity1 ; two-thirds (5,202) were treated at an @entity583 center and 1,869 (24%, 95% CI 23%-25%) had good neurologic recovery. After adjustment, treatment at an @entity583 center with >= 40 and <40 OHCA cases/year were associated with good neurologic recovery (odds ratio 1.32 [95% CI 1.06-1.64] and 1.63 [95% CI 1.35-1.97], respectively). Higher volume of admitted OHCA @entity1 was associated with decreased odds of good neurologic recovery (adjusted odds ratio per 10 @entity1 0.96, 95% CI 0.92-1.00), but this association was not statistically significant after excluding the highest-volume outlier. CONCLUSIONS: Treatment at an @entity583 center-regardless of its annual OHCA volume-after resuscitation from OHCA is associated with good neurologic recovery. Regionalized systems of care should prioritize @entity583 centers as destinations for resuscitated OHCA @entity1 .

Association between treatment at an @entity583 center and neurologic recovery after out-of-hospital XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity583 :: ('MESH:D009203', 'Disease') :: ['STEMI', 'ST-segment elevation myocardial infarction'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest', 'ventricular arrest rhythm']
@entity1167 :: (MESH:D006323,Disease) :: ['cardiac arrest']
