Evidence map›Paper›PMID 26640233›Full record

ArticleResuscitation2016

Regional incidence and outcome of out-of-hospital cardiac arrest associated with overdose.

David D Salcido, Cesar Torres, Allison C Koller, Aaron M Orkin, Robert H Schmicker, Laurie J Morrison, Graham Nichol, Shannon Stephens, James J Menegazzi, Resuscitation Outcomes Consortium Investigators

Open access · greenAbstract read
In one paragraph

Article in Resuscitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 32 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

David D SalcidoUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, United States. Electronic address: salcidodd@upmc.edu.
Cesar TorresUniversity of Washington, Seattle, WA, United States.
Allison C KollerUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Aaron M OrkinUniversity of Toronto, Toronto, Ontario, Canada.
Robert H SchmickerUniversity of Washington, Seattle, WA, United States.
Laurie J MorrisonUniversity of Toronto, Toronto, Ontario, Canada.
Graham NicholUniversity of Washington, Seattle, WA, United States.
Shannon StephensUniversity of Alabama, Birmingham, AL, United States.
James J MenegazziUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Resuscitation Outcomes Consortium Investigators
University of Pittsburgh · USUniversity of Washington · USUniversity of Toronto · CAUniversity of Alabama at Birmingham · US

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
Seattle-King County Center for Resuscitation ResearchU01HL077867 · NHLBI · UNIVERSITY OF WASHINGTON · PI KUDENCHUK, PETER JAMES · 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
The Iowa Resuscitation Network:A Rural Regional Clin CtrU01HL077865 · NHLBI · UNIVERSITY OF IOWA · PI KERBER, RICHARD E · 2004 to 2007
$1.7M
Utilization of Quantitative ECG Measures During Cardiopulmonary ResuscitationR01HL117979 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MENEGAZZI, JAMES JOHN · 2014 to 2017
$1.6M
NHLBI NIH HHS 5U01HL077863NHLBI NIH HHS HL077865NHLBI NIH HHS HL077866NHLBI NIH HHS HL077867NHLBI NIH HHS HL077871NHLBI NIH HHS HL077872NHLBI NIH HHS HL077873NHLBI NIH HHS HL077881NHLBI NIH HHS HL077885NHLBI NIH HHS HL077887NHLBI NIH HHS HL077908NHLBI NIH HHS R01 HL117979NHLBI NIH HHS U01 HL077863NHLBI NIH HHS U01HL077863-05NHLBI NIH HHS U01 HL077865NHLBI NIH HHS U01 HL077866NHLBI NIH HHS U01 HL077867NHLBI 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

backgroundThe frequency of lethal overdose due to prescription and non-prescription drugs is increasing in North America. The aim of this study was to estimate overall and regional variation in incidence and outcomes of out-of-hospital cardiac arrest due to overdose across North America.

methodsWe conducted a retrospective cohort study using case data for the period 2006-2010 from the Resuscitation Outcomes Consortium, a clinical research network with 10 regional clinical centers in United States and Canada. Cases of out-of-hospital cardiac arrest due to drug overdose were identified through review of data derived from prehospital clinical records. We calculated incidence of out-of-hospital cardiac arrest due to overdose per 100,000 person-years and proportion of the same among all out-of-hospital cardiac arrests. We analyzed the association between overdose cardiac arrest etiology and resuscitation outcomes.

resultsIncluded were 56,272 cases, of which 1351 were due to overdose. Regional incidence of out-of-hospital cardiac arrest due to overdose varied between 0.5 and 2.7 per 100,000 person years (p<0.001), and proportion of the same among all treated out-of-hospital cardiac arrests ranged from 0.8% to 4.0%. Overdose cases were younger, less likely to be witnessed, and less likely to present with a shockable rhythm. Compared to non-overdose, overdose was directly associated with return of spontaneous circulation (OR: 1.55; 95% CI: 1.35-1.78) and survival (OR: 2.14; 95% CI: 1.72-2.65).

conclusionsOverdose made up 2.4% of all out-of-hospital cardiac arrest, although incidence varied up to 5-fold across regions. Overdose cases were more likely to survive than non-overdose cases.

Indexed as

AdultAgedCanadaCardiopulmonary ResuscitationCohort StudiesDrug OverdoseFemaleHumansIncidenceMaleOut-of-Hospital Cardiac ArrestRetrospective StudiesTreatment OutcomeUnited StatesDrug overdoseEpidemiologyNon-cardiac etiology

Identifiers

PMID26640233
PMCPMC5027610
OpenAlexW2180171848

What OpenQuestion holds

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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.