Evidence map›Paper›PMID 34927456›Full record

SynthesisJournal of the American Heart Association2022

Impact of Cardiac Arrest Centers on the Survival of Patients With Nontraumatic Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis.

Jun Wei Yeo, Zi Hui Celeste Ng, Amelia Xin Chun Goh, Jocelyn Fangjiao Gao, Nan Liu, Shao Wei Sean Lam, Yew Woon Chia, Gavin D Perkins, Marcus Eng Hock Ong, Andrew Fu Wah Ho and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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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

11 authors at 5 institutions in 2 countries.

Jun Wei YeoYong Loo Lin School of Medicine National University of Singapore Singapore.ORCID 0000-0002-9657-2411
Zi Hui Celeste NgYong Loo Lin School of Medicine National University of Singapore Singapore.
Amelia Xin Chun GohYong Loo Lin School of Medicine National University of Singapore Singapore.ORCID 0000-0002-2230-2638
Jocelyn Fangjiao GaoYong Loo Lin School of Medicine National University of Singapore Singapore.
Nan LiuCentre for Quantitative Medicine Duke-NUS Medical SchoolNational University of Singapore Singapore.
Shao Wei Sean LamHealth Services Research Centre SingHealth Duke-NUS Academic Medical Centre Singapore.ORCID 0000-0002-0898-5858
Yew Woon ChiaDepartment of Cardiology Tan Tock Seng Hospital Singapore.ORCID 0000-0002-4635-3333
Gavin D PerkinsWarwick Medical School University of Warwick Coventry United Kingdom.
Marcus Eng Hock OngDepartment of Emergency Medicine Singapore General Hospital Singapore.ORCID 0000-0001-7874-7612
Andrew Fu Wah HoDepartment of Emergency Medicine Singapore General Hospital Singapore.ORCID 0000-0003-4338-3876
National Targeted Temperature Management Workgroup ‡
National University of Singapore · SGSingapore General Hospital · SGSingHealth Duke-NUS Academic Medical Centre · SGTan Tock Seng Hospital · SGUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The role of cardiac arrest centers (CACs) in out-of-hospital cardiac arrest care systems is continuously evolving. Interpretation of existing literature is limited by heterogeneity in CAC characteristics and types of patients transported to CACs. This study assesses the impact of CACs on survival in out-of-hospital cardiac arrest according to varying definitions of CAC and prespecified subgroups. Methods and Results Electronic databases were searched from inception to March 9, 2021 for relevant studies. Centers were considered CACs if self-declared by study authors and capable of relevant interventions. Main outcomes were survival and neurologically favorable survival at hospital discharge or 30 days. Meta-analyses were performed for adjusted odds ratio (aOR) and crude odds ratios. Thirty-six studies were analyzed. Survival with favorable neurological outcome significantly improved with treatment at CACs (aOR, 1.85 [95% CI, 1.52-2.26]), even when including high-volume centers (aOR, 1.50 [95% CI, 1.18-1.91]) or including improved-care centers (aOR, 2.13 [95% CI, 1.75-2.59]) as CACs. Survival significantly increased with treatment at CACs (aOR, 1.92 [95% CI, 1.59-2.32]), even when including high-volume centers (aOR, 1.74 [95% CI, 1.38-2.18]) or when including improved-care centers (aOR, 1.97 [95% CI, 1.71-2.26]) as CACs. The treatment effect was more pronounced among patients with shockable rhythm (

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesOut-of-Hospital Cardiac ArrestDatabases, FactualHumansOdds Ratiocardiac arrestcardiac arrest centerheart arrestresuscitation

Identifiers

PMID34927456
PMCPMC9075197
OpenAlexW4200023070

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.