Evidence map›Paper›PMID 29666925›Full record

ArticleDer Anaesthesist2018

[Which patients benefit from transport with ongoing cardiopulmonary resuscitation? : Retrospective analysis of 70 patients with refractory preclinical cardiac arrest].

C Adler, C Paul, J Hinkelbein, G Michels, R Pfister, A Krings, A Lechleuthner, R Stangl

Abstract read
PubMed Publisher
In one paragraph

Article in Der Anaesthesist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Mechanical chest compression devices in the helicopter emergency medical service in Switzerland.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020
    Observational
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

8 authors.

C AdlerKlinik III für Innere Medizin, Herzzentrum der Universität zu Köln, 50937, Köln, Deutschland. christoph.adler@uk-koeln.de.
C PaulAmt für Feuerschutz, Rettungsdienst und Bevölkerungsschutz, Abteilung Rettungsdienst, Institut für Notfallmedizin, Berufsfeuerwehr, Köln, Deutschland.
J HinkelbeinKlinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln (AöR), Köln, Deutschland.
G MichelsKlinik III für Innere Medizin, Herzzentrum der Universität zu Köln, 50937, Köln, Deutschland.
R PfisterKlinik III für Innere Medizin, Herzzentrum der Universität zu Köln, 50937, Köln, Deutschland.
A KringsAmt für Feuerschutz, Rettungsdienst und Bevölkerungsschutz, Abteilung Rettungsdienst, Institut für Notfallmedizin, Berufsfeuerwehr, Köln, Deutschland.
A LechleuthnerAmt für Feuerschutz, Rettungsdienst und Bevölkerungsschutz, Abteilung Rettungsdienst, Institut für Notfallmedizin, Berufsfeuerwehr, Köln, Deutschland.
R StanglAmt für Feuerschutz, Rettungsdienst und Bevölkerungsschutz, Abteilung Rettungsdienst, Institut für Notfallmedizin, Berufsfeuerwehr, Köln, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMortality in patients with out-of-hospital cardiac arrest (OHCA) remains very high despite advances in resuscitation algorithms. Most of these patients die at the scene and do not reach hospital. It is currently the subject of discussion whether transport to hospital with ongoing cardiopulmonary resuscitation (CPR) improves survival and neurological outcome in patients with OHCA.

objectiveThe aim of this study was to identify predictors of survival and good neurological outcome in patients after OHCA who were transported to hospital with ongoing CPR. PATIENTS AND

methodsA total of 70 consecutive patients with refractory OHCA (mean age 54.7 ± 15 years) transported to hospital with ongoing CPR were retrospectively analyzed. Neurological outcome was assessed after 30 days based on the Glasgow-Pittsburgh cerebral performance category (CPC).

resultsAfter 30 days 82.9% of the patients enrolled in the trial died (CPC score of 5), 8 patients (11.4%) showed a good neurological recovery with CPC scores of 1-2 and 4 patients (5.7%) had a poor neurological outcome with CPC scores of 3-4. Predictors of good neurological outcome were witnessed arrest, initial defibrillatable rhythm and serum lactate levels on admission. In all patients with good outcome, the index event for OHCA was from cardiac causes.

conclusionSelected patient collectives can benefit from transport to hospital with ongoing cardiopulmonary resuscitation (CPR).

Indexed as

AdultAgedAged, 80 and overCardiopulmonary ResuscitationFemaleGermanyGlasgow Outcome ScaleHumansLactic AcidMaleMiddle AgedNervous System DiseasesOut-of-Hospital Cardiac ArrestPatient SelectionPrognosisRetrospective StudiesLactic AcidMechanical devices for CPRNeurological outcomeOut of hospital cardiac arrestPrognostic factorsSelection of suitable patients for transport during CPR

Identifiers

PMID29666925

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.