Estimated relative risks by modified Poisson regression for survival, 2004-2010 versus 2000-2003 *adjusted for within-center variability, hospital characteristics and baseline factors associated with outcome. The first three models were controlled for hospital characterstics and pre-arrest factors showing at least a trend (p<0.15) towards association on univariate analysis. Due to a small number of patients discharged alive with unfavorable outcomes among survivors, the fourth model was adjusted only for hospital characteristics and pre-arrest factors showing a significant (p<0.05) association with outcome.