Rohit Nathani
@Rohit_nathani1
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Joined February 2016
#Newpub 📖 🚨.@saketgirotra @JACCJournals . In Hospital Cardiac Arrest #IHCA incidence rates vary >20✖️ across hospitals 🏥 with only modest correlation with survival. As IHCA survival rates plateau; ⏰ to consider IHCA incidence as an additional quality metric? . 🧵(1/n).
🏥 Should IHCA incidence be a quality metric? Huge Medicare dataset shows low correlation with survival—yet nurse staffing made a difference. #JACC #cvGeri #EPeeps @saketgirotra
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@JACCJournals @jones_daza @jasonwasfy 📢 Thanks for reading the 🧵!. This is a step toward making #IHCA incidence a visible, measurable, and actionable target 🎯. Questions/thoughts/feedback? Please reach out! 💬. @UTSWIMchief @UIowaCVFellows . (11/11).
#Newpub 📖 🚨.@saketgirotra @JACCJournals . In Hospital Cardiac Arrest #IHCA incidence rates vary >20✖️ across hospitals 🏥 with only modest correlation with survival. As IHCA survival rates plateau; ⏰ to consider IHCA incidence as an additional quality metric? . 🧵(1/n).
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📢 Shout out to the #JACC @JACCJournals reviewers —fantastic collaborators who brought out the best in our manuscript 🙌. Don't miss the incredible editorial by @jones_daza & @jasonwasfy putting our findings in context 🔍. (10/n).
In this week's @JACCJournals , I was delighted to collaborate with @jones_daza from Austin Hospital in Melbourne Australia, to comment on a new original contribution from @saketgirotra and @Rohit_nathani1 .
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🖊️In Conclusion: .With >300,000 IHCA events annually in the 🇺🇸 and survival rates plateauing recently 📈, targeting IHCA incidence offers a promising path for additional gains 💡. A shift in focus might help move the needle further on outcomes 🏥. (9/n).
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🧠 Where do we go from here?. Future studies should explore novel strategies like real-time EHR alerts/AI tools for clinical deterioration 📉. These could ID patients "before" arrest—potentially "preventing" IHCAs 🛏️ & improving overall survival 📈. (8/n).
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⁉️But, what about Rapid Response Teams (RRTs)? ⚡️. Most #GWTGR hospitals have RRTs, yet IHCA incidence vary widely 🛏️. 👉 Due to heterogenous RRT structure/operations. 👉 ~2/3rd IHCAs occur in ER/OR/ICU— where RRTs aren't activated, truncating their prevention potential 🚫. (7/n)
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🧩 So, how do 🏥 address #IHCA incidence? . A) Capture the “population at risk” to enable incidence quantification & track improvement 🧮. B) From American Hospital Association data, ⬆️ nurse-to-bed 👩⚕️/ 🛏️ ratios emerge as a modifiable factor linked to better outcomes📈. (6/n)
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🔍 We found >20✖️ variation in case mix–adjusted #IHCA incidence rates across hospitals 📊. Risk-standardized survival had a relatively narrower distribution📊. 📉 Only modest correlation between incidence & survival—suggesting incidence may be an independent target 🏥. (5/n)
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🔑 We link #Medicare Part A data with #GWTGResuscitation at the 🏥 level to define the “population at risk”🧮—enabling incidence rate calculation📊. We adjust for acuity using hospital #casemix indices & use American Hospital Association data to assess 🏥 characteristics. (4/n)
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Why care about #IHCA Incidence?. 2️⃣ decades of research improved IHCA survival, but outcomes remain grim —only 1 in 4 survive to discharge💔📉. ⏰ to revisit an old strategy: prevention > cure🧠. 🔑 challenge: prevention needs incidence data—missing from major registries📊 (3/n).
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Here is the paper 👉 Huge thanks to @saketgirotra for the incredible mentorship throughout the process. Grateful to the entire team for going above and beyond to make this happen—especially with the 7-day revisions!. Summary ⬇️ (2/n).
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RT @utswheart: Survival rates for out-of-hospital cardiac arrest (OHCA) fell during the pandemic, with Black and Hispanic patients experien….
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RT @JKassabMD: Truly honored to have been awarded the 2024-2025 Donald W. Seldin Award in Internal Medicine for Outstanding Intern. Forev….
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Wonderful 3 years! Truly #parklandstrong.Thanks to my parents, mentors, and friends who made this happen!.
Join us in congratulating Dr. Rohit Nathani on completing residency training and preparing to begin cardiology fellowship training at the University of Iowa! #IMgraduation25 @thomasjwang1 @UTSWIMchief @UTSWMedCenter
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RT @K_D_Collins: So honored to be part of the inaugural #SGIM25 Teaching Showcase as one of the Regional #SGIM Teaching Competition winners….
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To a legend who resuscitated test cricket from the “ashes”! A true definition of grit! @imVkohli.
I would have liked to see #ViratKohli go out of test cricket before a packed stadium. But since that is not to be let us applaud him wherever we are. He told a generation weaned on T20 cricket that test cricket is cool and aspirational. And for that, the game owes him big time.
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RT @CCCEnthusiasts: Join us this month for a fantastic Journal Club featuring Dr. Eric Hall and Dr. Maryjane Farr as they discuss their pow….
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