Observational studyPloS one2018
Improvement of out-of-hospital cardiac arrest survival rate after implementation of the 2010 resuscitation guidelines.
Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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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.
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.
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Who cites it
24 citing papers in PubMed.
- Training interval in cardiopulmonary resuscitation.PloS one · 2020Trial
- Epidemiology of prehospital traumatic cardiac arrest in Geneva: a retrospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- The Impact of ACLS Training in the Management of Cardiac Arrest: A Narrative Review.Epidemiologia (Basel, Switzerland) · 2025Review
- Resuscitation Attempt and Outcomes in Patients With Asystole Out-of-Hospital Cardiac Arrest.JAMA network open · 2024Article
- The Role of Different Feedback Devices in the Survival of Patients in Cardiac Arrest: Systematic Review with Meta-Analysis.Journal of clinical medicine · 2024Review
- Development of a Pilot Introductory Advanced Cardiovascular Resuscitation Course for Senior Medical Students in Switzerland: Student-Driven Implementation Study.Interactive journal of medical research · 2023Article
- Long term survival and disease burden from out-of-hospital cardiac arrest in Singapore: a population-based cohort study.The Lancet regional health. Western Pacific · 2023Article
- Is there an association between 30-day mortality and adrenaline infusion rates in post-ROSC patients? A retrospective observational analysis.British paramedic journal · 2022Article
- Hypothermia selectively protects the anterior forebrain mesocircuit during global cerebral ischemia.Neural regeneration research · 2022Article
- A Short Intervention and an Interactive e-Learning Module to Motivate Medical and Dental Students to Enlist as First Responders: Implementation Study.Journal of medical Internet research · 2022Article
- Initial Outcomes and Survival of Out-of-Hospital Cardiac Arrest: EuReCa Serbia Multicenter Cohort Study.Cureus · 2021Article
- Factors Influencing Physician Decision Making to Attempt Advanced Resuscitation in Asystolic Out-of-Hospital Cardiac Arrest.International journal of environmental research and public health · 2021Article
- Identification of new demands regarding prehospital care based on 35,188 missions in 2018.BMC emergency medicine · 2021Article
- Symptoms prior to sudden death.Resuscitation plus · 2021Article
- Differences in Basic Life Support Knowledge Between Junior Medical Students and Lay People: Web-Based Questionnaire Study.Journal of medical Internet research · 2021Article
- Emergency physician's dispatch by a paramedic-staffed emergency medical communication centre: sensitivity, specificity and search for a reference standard.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Observational
- Evolution of Bystander Intention to Perform Resuscitation Since Last Training: Web-Based Survey.JMIR formative research · 2020Article
- A Short Intervention Followed by an Interactive E-Learning Module to Motivate Medical Students to Enlist as First Responders: Protocol for a Prospective Implementation Study.JMIR research protocols · 2020Article
- Observational
- Age-dependent trends in survival after adult in-hospital cardiac arrest.Resuscitation · 2020Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe implementation of cardiopulmonary resuscitation guidelines, updated every five years, appears to improve patient survival rates after Out-Of-Hospital Cardiac Arrest (OHCA). The aim of this study is: 1) to measure the level of improvement in the prognosis of OHCA patient survival rates for the years 2009 and 2010 and the following two years 2011 and 2012; and 2) correlate the improvement in prognosis with the updated 2010 Advanced Cardiovascular Life Support (ACLS) Guidelines.
methodWe performed a retrospective observational study based on Geneva's OHCA register that includes data from January 1, 2009 to December 31, 2012. We compared the evolution of prognostic factors that influenced survival at hospital discharge between the periods before and after the implementation of the 2010 guidelines. We then compared the survival rates between each period. Finally, we adjusted the effects on survival in the second period to prognostic factors not linked with the care provided by Emergency Medical Services (EMS) teams, using a multivariable logistic regression model. Changes in advanced resuscitation treatment provided by EMS personnel were also examined.
results795 OHCA were resuscitated between 1st January, 2009 and 31st December, 2012. The prognosis of patient survival at the time of hospital discharge rose from 10.33% in 2009-2010 to 17.01% in 2011-2012 (p = 0.007). After making adjustments for the effect of improved survival rates on the second period with factors not related to care provided by EMS teams, the odds ratio (OR) remains comparable (OR = 1.87, 95% CI [1.08-3.22]). Measured changes in treatment provided by EMS personnel were minor.
conclusionsSurvival rate for OHCA patients improved significantly in 2011-2012. This study suggests that it was probably the improvement in the quality of care provided during CPR and post-cardiac arrest care that have contributed to the increase in survival rates at the time of hospital discharge.
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