Evidence map›Paper›PMID 35794516›Full record

ArticleBMC emergency medicine2022

Long-term prognosis and clinical course of choking-induced cardiac arrest in patients without the return of spontaneous circulation at hospital arrival: a population-based community study from the Shizuoka Kokuho Database.

Takahiro Miyoshi, Hideki Endo, Hiroyuki Yamamoto, Koki Shimada, Hiraku Kumamaru, Nao Ichihara, Yoshiki Miyachi, Hiroaki Miyata

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Takahiro MiyoshiShizuoka Graduate University of Public Health, 4-27-2 Kita Ando Aoi-ku, Shizuoka City, 420-0881, Japan.
Hideki EndoDepartment of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.
Hiroyuki YamamotoShizuoka Graduate University of Public Health, 4-27-2 Kita Ando Aoi-ku, Shizuoka City, 420-0881, Japan. yama-h@umin.ac.jp.
Koki ShimadaDepartment of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.
Hiraku KumamaruShizuoka Graduate University of Public Health, 4-27-2 Kita Ando Aoi-ku, Shizuoka City, 420-0881, Japan.
Nao IchiharaShizuoka Graduate University of Public Health, 4-27-2 Kita Ando Aoi-ku, Shizuoka City, 420-0881, Japan.
Yoshiki MiyachiShizuoka Graduate University of Public Health, 4-27-2 Kita Ando Aoi-ku, Shizuoka City, 420-0881, Japan.
Hiroaki MiyataShizuoka Graduate University of Public Health, 4-27-2 Kita Ando Aoi-ku, Shizuoka City, 420-0881, Japan.
University of Shizuoka · JPKeio University · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk of choking increases with aging, and the number of cases of choking-induced cardiac arrest is increasing. However, few studies have examined the prognosis of choking-induced cardiac arrest. The aim of this study was to reveal the rates of survival and dependence on devices in the long term after choking-induced cardiac arrest.

methodsWe analyzed data from the Shizuoka Kokuho Database, which consists of claims data of approximately 2.2 million people, from April 2012 to September 2018. We selected patients with choking-induced cardiac arrest who received cardiopulmonary resuscitation in the hospital. Patients were excluded if they were less than 20 years old, had an upper airway tumor, received ventilation assistance, or received enteral nutrition in the month prior to cardiac arrest. The primary outcome was death, and the secondary outcomes were the rates of survival at 3-months and independence on devices. Descriptive statistics are presented and compared among age groups (20-64 years, 65-74 years, 75-84 years, 85 years and older), and survival time analysis (Kaplan-Meier method) was performed.

resultsIn total, 268 patients were analyzed, including 26 patients in the 20-64 age group, 33 patients in the 65-74 age group, 70 patients in the 75-84 age group, and 139 patients in the ≥85 age group. The overall 3-month survival rate was 5.6% (15/268). The 3-month survival rates were 3.8% (1/26) in the 20-64 age group, 15.2% (5/33) in the 65-74 age group, 8.6% (6/70) in the 75-84 age group, and 2.2% (3/139) in the ≥85 age group. The overall 12-month survival rate was 2.6% (7/268). Of the 7 patients who survived for 12 months, 3 received ventilation management and 5 received tube or intravenous feedings at 3 months. These survivors were still receiving ventilation assistance and tube feedings in the hospital and had not been discharged at 12 months.

conclusionsThe prognosis of choking-induced cardiac arrest was extremely poor when patients were not resuscitated before hospital arrival. Those who survived were mostly dependent on assistive devices. Additionally, none of the survivors dependent on assistive devices had discontinued the use of the devices at the long-term follow-up.

Indexed as

Airway ObstructionReturn of Spontaneous CirculationAdultHeart Arrest, InducedHospitalsHumansMiddle AgedPrognosisYoung AdultCardiac arrestChokingClinical courseLong-term prognosisResuscitation

Identifiers

PMID35794516
PMCPMC9258190
OpenAlexW4283832567

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Registered trials

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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.