Evidence map›Paper›PMID 31771619›Full record

Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2019

Outcome, quality of life and direct costs after out-of-hospital cardiac arrest in an urban region of Switzerland.

Raphael Ruch, Laura Stoessel, Philipp Stein, Michael Thomas Ganter, Daniel Anthony Button

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02625883 (Out-of-Hospital Resuscitation in an Urban Setting in Switzerland - an Outcome Study and Cost Effectiveness Analysis), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

NCT02625883 completednot on this map

Out-of-Hospital Resuscitation in an Urban Setting in Switzerland - an Outcome Study and Cost Effectiveness Analysis

TypeobservationalSponsorKantonsspital Winterthur KSWRan2015 to 2019Enrolled151ConditionsResuscitationArmsInterview
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. 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

5 authors.

Raphael RuchInstitute of Anesthesiology - Emergency Medical Service, Perioperative Medicine, Pain Therapy, Kantonsspital Winterthur, Brauerstrasse 15, CH-8401, Winterthur, Switzerland.ORCID http://orcid.org/0000-0002-8196-6776
Laura StoesselInstitute of Anesthesiology - Emergency Medical Service, Perioperative Medicine, Pain Therapy, Kantonsspital Winterthur, Brauerstrasse 15, CH-8401, Winterthur, Switzerland.
Philipp SteinInstitute of Anesthesiology - Emergency Medical Service, Perioperative Medicine, Pain Therapy, Kantonsspital Winterthur, Brauerstrasse 15, CH-8401, Winterthur, Switzerland.
Michael Thomas GanterInstitute of Anesthesiology - Emergency Medical Service, Perioperative Medicine, Pain Therapy, Kantonsspital Winterthur, Brauerstrasse 15, CH-8401, Winterthur, Switzerland. michael.ganter@ksw.ch.
Daniel Anthony ButtonInstitute of Anesthesiology - Emergency Medical Service, Perioperative Medicine, Pain Therapy, Kantonsspital Winterthur, Brauerstrasse 15, CH-8401, Winterthur, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsidering the significant morbidity and mortality of out-of-hospital cardiac arrest, only little data on survival or quality of life after successful resuscitation is available in Europe. Additionally, economic aspects of such events are poorly studied. The purpose of this study is to provide data for survival, quality of life and costs directly related to the cardiac arrest for a region of Switzerland served by one emergency medical service (EMS).

methodsEighty eight patients older than 18 years of age that were resuscitated by the EMS Winterthur in the year 2013 were included and retrospective analysis of EMS-protocols was performed. For patients alive at follow-up, 2 years after the event, a structured interview with quality of life questionnaires was conducted. This study was accepted by the local Ethics Committee.

resultsThirty five percent (n = 31) of resuscitated patients were admitted alive to the hospital following out-of-hospital cardiac arrest. This incidence was as high as 60%, if the patients had a shockable rhythm as first rhythm. Survival to follow-up was 16% (n = 14). These patients had an excellent quality of life overall, with little to no limitations in daily life. There was no significant difference in survival for patients in outlying regions with comparatively longer timespans until arrival of EMS. Median EMS-costs for deceased patients were CHF 1731 (inter-quartile range 346), for survivors CHF 2'169 (inter-quartile range CHF 444) and median hospital-costs were CHF 27'707 (inter-quartile range CHF 62'783).

conclusionQuality of care for patients with out-of-hospital cardiac arrest in the region of Winterthur is high, including patients in outlying regions. The associated costs are similar to other European countries.

trial registrationThis trial was registered with www.clinicaltrials.gov under NCT02625883.

Indexed as

AgedCardiopulmonary ResuscitationEmergency Medical ServicesFemaleHospital CostsHumansMaleOut-of-Hospital Cardiac ArrestQuality of LifeRetrospective StudiesSwitzerlandUrban PopulationHospital costOut-of-hospital cardiac arrestQuality of lifeResuscitation

Identifiers

PMID31771619
PMCPMC6880486

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Registered trials

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.