Evidence map›Paper›PMID 35001113›Full record

ReviewSingapore medical journal2021

An essential review of Singapore's response to out-of-hospital cardiac arrests: improvements over a ten-year period.

Alexander E White, Andrew Fw Ho, Nur Shahidah, Nurul Asyikin, Le Xuan Liew, Pin Pin Pek, Jade Ph Kua, Michael Yc Chia, Yih Yng Ng, Shalini Arulanandam and 2 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Singapore medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06530433 (Evaluation of an Enhanced Community First Responder Support System to Improve Bystander Cardiopulmonary Resuscitation Quality for Patients Experiencing Out-of-hospital Cardiac Arrest), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT06530433 narecruitingnot on this mapstarted 2024, after this paper: background citation

Evaluation of an Enhanced Community First Responder Support System to Improve Bystander Cardiopulmonary Resuscitation Quality for Patients Experiencing Out-of-hospital Cardiac Arrest

TypeinterventionalSponsorSingapore General HospitalRan2024 to 2028Enrolled165ConditionsOut-Of-Hospital Cardiac ArrestArmsCPRCard + TCPR Link App and Web, CPRCard Only
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Development of prehospital emergency care in Singapore.International journal of emergency medicine · 2024
    Review
  5. Article
  6. Review
  7. 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

12 authors.

Alexander E WhiteUnit for Prehospital Emergency Care, Singapore General Hospital, Singapore.
Andrew Fw HoPre-hospital and Emergency Research Centre, Duke-NUS Medical School, Singapore.
Nur ShahidahDepartment of Emergency Medicine, Singapore General Hospital, Singapore.
Nurul AsyikinUnit for Prehospital Emergency Care, Singapore General Hospital, Singapore.
Le Xuan LiewUnit for Prehospital Emergency Care, Singapore General Hospital, Singapore.
Pin Pin PekPre-hospital and Emergency Research Centre, Duke-NUS Medical School, Singapore.
Jade Ph KuaEmergency Department, Woodlands Health Campus, Singapore.
Michael Yc ChiaEmergency Department, Tan Tock Seng Hospital, Singapore.
Yih Yng NgEmergency Department, Tan Tock Seng Hospital, Singapore.
Shalini ArulanandamEmergency Medical Services Department, Singapore Civil Defence Force, Singapore.
Sieu-Hon Benjamin LeongEmergency Medicine Department, National University Hospital, Singapore.
Marcus Eh OngDepartment of Emergency Medicine, Singapore General Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Care for patients who experience out-of-hospital cardiac arrest (OHCA) has rapidly evolved in the past decade. Increased sophistication of care in the community, emergency medical services (EMS) and hospital setting is associated with improved patient-centred outcomes. Notably, Utstein survival doubled from 11.6% to 23.1% between 2011 and 2016. These achievements involved collaboration between policymakers, clinicians and researchers, and were made possible by a strategic interplay of policy, research and implementation. We review the development and current state of OHCA in Singapore using primary population-based data from the Pan-Asian Resuscitation Outcomes Study and an unstructured search of research databases. We discuss the roles of important milestones in policy, community, dispatch, EMS and hospital interventions. Finally, we relate these interventions to relevant processes and outcomes, such as the relationship between the strategic implementation of bystander cardiopulmonary resuscitation and placement of automated external defibrillator with return of spontaneous circulation, survival to discharge and survival with favourable neurological outcomes.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesOut-of-Hospital Cardiac ArrestDefibrillatorsHumansSingaporeCPR+AEDdispatchersfeedbackout-of-hospital cardiac arrestsmartphone applications

Identifiers

PMID35001113
PMCPMC8804483

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.