Evidence map›Paper›PMID 20303640›Full record

ArticleResuscitation2010

Impact of transport to critical care medical centers on outcomes after out-of-hospital cardiac arrest.

Kentaro Kajino, Taku Iwami, Mohamud Daya, Tatsuya Nishiuchi, Yasuyuki Hayashi, Tetsuhisa Kitamura, Taro Irisawa, Tomohiko Sakai, Yasuyuki Kuwagata, Atushi Hiraide and 2 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Resuscitation, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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  18. Variations in Cardiac Arrest Regionalization in California.The western journal of emergency medicine · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Kentaro KajinoEmergency and Critical Care Medical Center, Osaka Police Hospital, Kitayama-cho, 10-31 Tennouji-ku, 543-0035 Osaka, Japan. kajihanapu@yahoo.co.jp
Taku Iwami
Mohamud Daya
Tatsuya Nishiuchi
Yasuyuki Hayashi
Tetsuhisa Kitamura
Taro Irisawa
Tomohiko Sakai
Yasuyuki Kuwagata
Atushi Hiraide
Masashi Kishi
Shigeru Yamayoshi
Osaka Police Hospital · JPOsaka University · JPKyoto University · JPOregon Health & Science University · USOsaka Mishima Emergency and Critical Care Center · JPSaiseikaisenri Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-resuscitation care has emerged as an important predictor of survival from out-of-hospital cardiac arrest (OHCA). In Japan, selected hospitals are certified as Critical Care Medical Centers (CCMCs) based on their ability and expertise. HYPOTHESIS: Outcome after OHCA is better in patients transported to a CCMC compared a non-critical care hospital (NCCH). MATERIALS AND

methodsAdults with OHCA of presumed cardiac etiology, treated by emergency medical services systems, and transported in Osaka from January 1, 2005 to December 31, 2007 were registered using a prospective Utstein style population cohort database. Primary outcome measure was 1 month neurologically favorable survival (CPC< or =2). Outcomes of patients transported to CCMC were compared with patients transported to NCCH using multiple logistic regressions and stratified on the basis of stratified field ROSC.

results10,383 cases were transported. Of these, 2881 were transported to CCMC and 7502 to NCCH. Neurologically favorable 1-month survival was greater in the CCMC group [6.7% versus 2.8%, P<0.001]. Among patients who were transported to hospital without field ROSC, neurologically favorable outcome was greater in the CCMC group than the NCCH group [1.7% versus 0.5%; adjusted odds ratio (OR), 3.39; 95% confidence interval (CI), 2.17-5.29; P<0.001]. In the presence of field ROSC, survival was similar between the groups [43% versus 41%; adjusted OR, 1.09; 95% CI, 0.82-1.45; P=0.554].

conclusionsSurvival after OHCA of presumed cardiac etiology transported to CCMCs was better than those transported to NCCHs. For OHCA patients without field ROSC, transport to a CCMC was an independent predictor for a good neurological outcome.

Indexed as

Cardiopulmonary ResuscitationCritical CareHospitals, SpecialTransportation of PatientsAdultAgedAged, 80 and overEmergency Medical ServicesFemaleHeart ArrestHospitals, GeneralHumansJapanMaleMiddle AgedNeurology

Identifiers

PMID20303640
OpenAlexW2007323606

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.