Evidence map›Paper›PMID 25010784›Full record

ArticleResuscitation2014

Apples to apples or apples to oranges? International variation in reporting of process and outcome of care for out-of-hospital cardiac arrest.

Chika Nishiyama, Siobhan P Brown, Susanne May, Taku Iwami, Rudolph W Koster, Stefanie G Beesems, Markku Kuisma, Ari Salo, Ian Jacobs, Judith Finn and 20 more

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Resuscitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Database quality assessment in research in paramedicine: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023
    Article
  11. Review
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  13. Article
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  17. Article
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  19. Changes in automated external defibrillator use and survival after out-of-hospital cardiac arrest in the Nijmegen area.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2018
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors.

Chika NishiyamaUniversity of Washington, Harborview Center for Prehospital Emergency Care, Department of Medicine, University of Washington, Seattle, WA, United States.
Siobhan P BrownUniversity of Washington Clinical Trial Center, Department of Biostatistics, University of Washington, Seattle, WA, United States.
Susanne MayUniversity of Washington Clinical Trial Center, Department of Biostatistics, University of Washington, Seattle, WA, United States.
Taku IwamiKyoto University Health Service, Kyoto, Japan.
Rudolph W KosterAcademic Medical Center, Amsterdam, The Netherlands.
Stefanie G BeesemsAcademic Medical Center, Amsterdam, The Netherlands.
Markku KuismaHelsinki Emergency Medical Service, Helsinki University Central Hospital, Helsinki, Finland.
Ari SaloHelsinki Emergency Medical Service, Helsinki University Central Hospital, Helsinki, Finland.
Ian JacobsSt John Ambulance, Perth, WA, Australia; University of Western Australia, Perth, WA, Australia.
Judith FinnUniversity of Western Australia, Perth, WA, Australia; Monash University, Melbourne, Vic., Australia.
Fritz SterzDepartment of Emergency Medicine, Medical University of Vienna, and Municipal Ambulance Service, Vienna, Austria.
Alexander NürnbergerDepartment of Emergency Medicine, Medical University of Vienna, and Municipal Ambulance Service, Vienna, Austria.
Karen SmithUniversity of Western Australia, Perth, WA, Australia; Monash University, Melbourne, Vic., Australia; Ambulance Victoria, Vic., Australia.
Laurie MorrisonRescu, Li Ka Shing Knowledge Institute, St. Michael's Hospital and Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ont., Canada.
Theresa M OlasveengenOslo University Hospital, Oslo, Norway.
Clifton W CallawayDepartment of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.
Sang Do ShinSeoul National University, College of Medicine, Seoul, Republic of Korea.
Jan-Thorsten GräsnerDepartment of Anesthesiology and Intensive Medicine, University-Medical Center Hospital, Schleswig-Campus Kiel, Kiel, Germany.
Mohamud DayaDepartment of Emergency Medicine, Oregon Health and Science University, Portland, OR, United States.
Matthew Huei-Ming MaDepartment of Emergency Medicine, National Taiwan University, Taipei, Taiwan.
Johan HerlitzUniversity of Borås, Sahlgrenska University Hospital, Göteborg, Sweden.
Anneli StrömsöeSchool of Health and Social Sciences, University of Dalarna, Falun, Sweden.
Tom P AufderheideDepartment of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, United States.
Siobhán MastersonDiscipline of General Practice, National University of Ireland, Galway, Ireland and Department of Public Health Medicine, Health Service Executive, Donegal, Ireland.
Henry WangDepartment of Emergency Medicine, University of Alabama School of Medicine, Birmingham, AL, United States.
Jim ChristensonDepartment of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.
Ian StiellDepartment of Emergency Medicine, University of Ottawa, Ottawa, Ont., Canada.
Dan DavisDepartment of Emergency Medicine, University of California San Diego, San Diego, CA, United States.
Ella HusztiUniversity of Washington, Harborview Center for Prehospital Emergency Care, Department of Medicine, University of Washington, Seattle, WA, United States.
Graham NicholUniversity of Washington, Harborview Center for Prehospital Emergency Care, Department of Medicine, University of Washington, Seattle, WA, United States; University of Washington Clinical Trial Center, Department of Biostatistics, University of Washington, Seattle, WA, United States. Electronic address: nichol@uw.edu.

Funding

Resuscitation Outcomes Consortium (ROC) Data Coordinating CenterU01HL077863 · NHLBI · UNIVERSITY OF WASHINGTON · PI MAY, SUSANNE · 2004 to 2015
$125.1M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Center-PittsburghU01HL077871 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CALLAWAY, CLIFTON W. · 2004 to 2015
$4.0M
Southeastern Resucitation Research CenterU01HL077881 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KERBY, JEFFREY D, WANG, HENRY E. · 2004 to 2015
$3.9M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Center-PortlandU01HL077873 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DAYA, MOHAMUD RAMZANALI · 2004 to 2015
$3.9M
Resuscitation Outcomes Consortium Regional Clinical Center-DFW Center for ResusciU01HL077887 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI IDRIS, AHAMED H · 2004 to 2015
$3.2M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Centers-MilwaukeeU01HL077866 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI AUFDERHEIDE, TOM PAUL · 2004 to 2015
$3.0M
The UCSD/San Diego Resuscitation Research CenterU01HL077908 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI VILKE, GARY · 2004 to 2015
$2.9M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Center-OTTAWA-OPALS-BCRU01HL077885 · NHLBI · OTTAWA HOSPITAL RESEARCH INSTITUTE · PI STIELL, IAN G. · 2004 to 2015
$2.4M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Center-Toronto RegionalU01HL077872 · NHLBI · ST. MICHAEL'S HOSPITAL · PI MORRISON, LAURIE · 2004 to 2015
$1.9M
NHLBI NIH HHS U01 HL077863NHLBI NIH HHS U01 HL077866NHLBI NIH HHS U01 HL077871NHLBI NIH HHS U01 HL077872NHLBI NIH HHS U01 HL077873NHLBI NIH HHS U01 HL077881NHLBI NIH HHS U01 HL077885NHLBI NIH HHS U01 HL077887NHLBI NIH HHS U01 HL077908
6 · The paper itself

Abstract

objectivesSurvival after out-of-hospital cardiac arrest (OHCA) varies between communities, due in part to variation in the methods of measurement. The Utstein template was disseminated to standardize comparisons of risk factors, quality of care, and outcomes in patients with OHCA. We sought to assess whether OHCA registries are able to collate common data using the Utstein template. A subsequent study will assess whether the Utstein factors explain differences in survival between emergency medical services (EMS) systems. STUDY

designRetrospective study.

settingThis retrospective analysis of prospective cohorts included adults treated for OHCA, regardless of the etiology of arrest. Data describing the baseline characteristics of patients, and the process and outcome of their care were grouped by EMS system, de-identified, and then collated. Included were core Utstein variables and timed event data from each participating registry. This study was classified as exempt from human subjects' research by a research ethics committee. MEASUREMENTS AND MAIN

resultsThirteen registries with 265 first-responding EMS agencies in 13 countries contributed data describing 125,840 cases of OHCA. Variation in inclusion criteria, definition, coding, and process of care variables were observed. Contributing registries collected 61.9% of recommended core variables and 42.9% of timed event variables. Among core variables, the proportion of missingness was mean 1.9±2.2%. The proportion of unknown was mean 4.8±6.4%. Among time variables, missingness was mean 9.0±6.3%.

conclusionsInternational differences in measurement of care after OHCA persist. Greater consistency would facilitate improved resuscitation care and comparison within and between communities.

Indexed as

Outcome Assessment, Health CareRegistriesAdultCardiopulmonary ResuscitationCohort StudiesEmergency Medical ServicesFemaleHumansInternationalityMaleMiddle AgedOut-of-Hospital Cardiac ArrestPrognosisRetrospective StudiesSurvival AnalysisTreatment OutcomeCardiac arrestCardiopulmonary resuscitationEpidemiologyResuscitationUtstein template

Identifiers

PMID25010784
PMCPMC4253685

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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.