Evidence map›Paper›PMID 28407020›Full record

Observational studyPloS one2017

Mortality after out-of-hospital cardiac arrest in a Spanish Region.

Rosa Requena-Morales, Antonio Palazón-Bru, María Mercedes Rizo-Baeza, José Manuel Adsuar-Quesada, Vicente Francisco Gil-Guillén, Ernesto Cortés-Castell

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Performing Simulated Basic Life Support without Seeing: Blind vs. Blindfolded People.International journal of environmental research and public health · 2021
    Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Polish Helicopter Emergency Medical Service (HEMS) Response to Out-of-Hospital Cardiac Arrest (OHCA): A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
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

6 authors.

Rosa Requena-MoralesDepartment of Nursing, University of Alicante, San Vicente del Raspeig, Alicante, Spain.
Antonio Palazón-BruDepartment of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.ORCID http://orcid.org/0000-0002-5959-9631
María Mercedes Rizo-BaezaDepartment of Nursing, University of Alicante, San Vicente del Raspeig, Alicante, Spain.
José Manuel Adsuar-QuesadaEmergency Medical Service, Valencian Regional Ministry of Health, Alicante, Alicante, Spain.
Vicente Francisco Gil-GuillénDepartment of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
Ernesto Cortés-CastellDepartment of Pharmacology, Pediatrics and Organic Chemistry, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine out-of-hospital cardiac arrest mortality in the province of Alicante (Spain) and its associated factors.

methodsCross-sectional observational study of all patients who received cardiopulmonary resuscitation (CPR) by the Emergency Medical Services (EMS) (n = 422) in the province of Alicante in 2013. To determine associated factors, a binary logistic regression model was constructed. Primary outcome: death before arriving at the hospital. Predictive variables: gender, age, artificial respiration, prior functional status, asystole, cardiogenic aetiology, bystander CPR, time from the cardiac arrest to the arrival of the EMS and location of cardiac arrest.

resultsThere were 337 deaths (79.9%; 95% CI: 76.0-83.7%). Factors independently associated (p<0.05) with death were: male gender (OR = 2.11; 95% CI: 1.20-3.72; p = 0.010), asystole (OR = 1.99, 95% CI: 1.17-3.39; p = 0.012), cardiac arrest at home (OR = 2.44; 95% CI: 1.42-4.18; p = 0.001) and an increased time between arrest and EMS arrival (OR = 1.05, 95% CI: 1.01-1.09, p = 0.009). Having a worse prior functional status had a tendency towards significance (OR = 0.56, 95% CI: 0.31-1.02, p = 0.059).

conclusionsMortality was high. The associated factors were: male gender, asystole, worse prior functional status, longer time from the cardiac arrest to the arrival of the EMS and having the cardiac arrest at home. The clearly negative impact of experiencing a cardiac arrest at home necessitates modifying training policies in Spain. These policies should be focused on providing information about CPR in schools in order to decrease the mortality of these events.

Indexed as

AgedAged, 80 and overCardiopulmonary ResuscitationCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedOut-of-Hospital Cardiac ArrestRisk FactorsSpain

Identifiers

PMID28407020
PMCPMC5391106

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.