Evidence map›Paper›PMID 34373998›Full record

ReviewNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2022

Towards individualised treatment of out-of-hospital cardiac arrest patients: an update on technical innovations in the prehospital chain of survival.

J Thannhauser, J Nas, R A Waalewijn, N van Royen, J L Bonnes, M A Brouwer, M J de Boer

Open access · diamondAbstract readReview
In one paragraph

Review in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. The effects of norepinephrine in shockable cardiac arrest, a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  3. Article
  4. Article
  5. Ethics of Wearable-Based Out-of-Hospital Cardiac Arrest Detection.Circulation. Arrhythmia and electrophysiology · 2024
    Review
  6. Article
  7. Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest: an overview of current practice and evidence.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2024
    Review
  8. Decision making in out-of-hospital cardiac arrest: what should come first?Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2024
    Article
  9. Impact of COVID-19 on out-of-hospital cardiac arrest care processes.Journal of paramedic practice : the clinical monthly for emergency care professionals · 2023
    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

7 authors at 3 institutions in 1 country.

J ThannhauserDepartment of Cardiology, Radboud university medical centre, Nijmegen, The Netherlands. jos.thannhauser@radboudumc.nl.
J NasDepartment of Cardiology, Radboud university medical centre, Nijmegen, The Netherlands.
R A WaalewijnDepartment of Cardiology, Gelre Hospitals, Apeldoorn, The Netherlands.
N van RoyenDepartment of Cardiology, Radboud university medical centre, Nijmegen, The Netherlands.
J L BonnesDepartment of Cardiology, Radboud university medical centre, Nijmegen, The Netherlands.
M A BrouwerDepartment of Cardiology, Radboud university medical centre, Nijmegen, The Netherlands.
M J de BoerDepartment of Cardiology, Radboud university medical centre, Nijmegen, The Netherlands.
Radboud University Medical Center · NLRadboud University Nijmegen · NLGelre Hospitals · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Out-of-hospital cardiac arrest (OHCA) is a major healthcare problem, with approximately 200 weekly cases in the Netherlands. Its critical, time-dependent nature makes it a unique medical situation, of which outcomes strongly rely on infrastructural factors and on-scene care by emergency medical services (EMS). Survival to hospital discharge is poor, although it has substantially improved, to roughly 25% over the last years. Recognised key factors, such as bystander resuscitation and automated external defibrillator use at the scene, have been markedly optimised with the introduction of technological innovations. In an era with ubiquitous smartphone use, the Dutch digital text message alert platform HartslagNu ( www.hartslagnu.nl ) increasingly contributes to timely care for OHCA victims. Guidelines emphasise the role of cardiac arrest recognition and early high-quality bystander resuscitation, which calls for education and improved registration at HartslagNu. As for EMS care, new technological developments with future potential are the selective use of mechanical chest compression devices and extracorporeal life support. As a future innovation, 'smart' defibrillators are under investigation, guiding resuscitative interventions based on ventricular fibrillation waveform characteristics. Taken together, optimisation of available prehospital technologies is crucial to further improve OHCA outcomes, with particular focus on more available trained volunteers in the first phase and additional research on advanced EMS care in the second phase.

Indexed as

InnovationOut-of-hospital cardiac arrestSurvivalTechnology

Identifiers

PMID34373998
PMCPMC9270531
OpenAlexW3188392353

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.