Evidence map›Paper›PMID 36425451›Full record

ArticleResuscitation plus2022

Prognosis of cardiac arrest in home care clients and nursing home residents: A population-level retrospective cohort study.

Fabrice I Mowbray, Aaron Jones, Ryan P Strum, Luke Turcotte, Farid Foroutan, Kerstin de Wit, Andrew Worster, Lauren E Griffith, Paul Hebert, George Heckman and 4 more

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

Article in Resuscitation plus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 15% 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, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

14 authors at 8 institutions in 1 country.

Fabrice I MowbrayDepartment of Health Research Methods, Evidence and Impact, McMaster University, 175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada.
Aaron JonesDepartment of Health Research Methods, Evidence and Impact, McMaster University, 175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada.
Ryan P StrumDepartment of Health Research Methods, Evidence and Impact, McMaster University, 175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada.
Luke TurcotteBruyere Research Institute, 85 Primrose Ave., Ottawa, ON 85K1R 6M1, Canada.
Farid ForoutanTed Rogers Centre for Heart Research, University Health Network. 661 University Ave, Toronto, ON, Canada.
Kerstin de WitDivision of Emergency Medicine, Department of Medicine, McMaster University, 1280 Main St W, Hamilton, ON L8S 4L8, Canada.
Andrew WorsterDivision of Emergency Medicine, Department of Medicine, McMaster University, 1280 Main St W, Hamilton, ON L8S 4L8, Canada.
Lauren E GriffithDepartment of Health Research Methods, Evidence and Impact, McMaster University, 175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada.
Paul HebertBruyere Research Institute, 85 Primrose Ave., Ottawa, ON 85K1R 6M1, Canada.
George HeckmanSchool of Public Health Science, Faculty of Applied Science, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada.
Dennis T KoInstitute for Clinical and Evaluative Sciences, G1-06 2075 Bayview Ave, Toronto, ON M4N 3M5, Canada.
Connie SchumacherSchool of Nursing, Faculty of Applied Health Sciences, Brock University, 1812 Sir Isaac Brock Way, St. Catherine's, ON LS2 3A1, Canada.
Anastasia GayowskyInstitute for Clinical and Evaluative Sciences, G1-06 2075 Bayview Ave, Toronto, ON M4N 3M5, Canada.
Andrew P CostaDepartment of Health Research Methods, Evidence and Impact, McMaster University, 175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada.
Impact · CAMcMaster University · CAUniversity of Waterloo · CABrock University · CAInstitute for Clinical Evaluative Sciences · CASunnybrook Health Science Centre · CAUniversity Health Network · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To evaluate the prognosis of 30-day survival post-cardiac arrest among patients receiving home care and nursing home residents. Methods: We conducted a population-level retrospective cohort study of community-dwelling adults (≥18 years) who received cardiac arrest care at a hospital in Ontario, Canada, between 2006 to 2018. We linked population-based health datasets using the Home Care Dataset to identify patients receiving home care and the Continuing Care Reporting System to identify nursing home residents. We included both out-of-hospital and in-hospital cardiac arrests. We determined unadjusted and adjusted associations using logistic regression after adjusting for age and sex. We converted relative measures to absolute risks. Results: Our cohort contained 86,836 individuals. Most arrests (55.5 %) occurred out-of-hospital, with 9,316 patients enrolled in home care and 2,394 residing in a nursing home. When compared to those receiving no support services, the likelihood of survival to 30-days was lower for those receiving home care (RD = -6.5; 95 %CI = -7.5 - -5.0), with similar results found within sub-groups of out-of-hospital (RD = -6.7; 95 %CI = -7.6 - -5.7) and in-hospital arrests (RD = -8.7; 95 %CI = -10.6 - -7.3). The likelihood of 30-day survival was lower for nursing home residents (RD = -7.2; 95 %CI = -9.3 - -5.3) with similar results found within sub-groups of out-of-hospital (RD = -8.6; 95 %CI = -10.6 - -5.7) and in-hospital arrests (RD = -5.0; 95 %CI = -7.8 - -2.1). Conclusion: Patients receiving home care and nursing home residents had worse overall prognoses of survival post-cardiac arrest compared to those receiving no pre-arrest support, highlighting two medically-complex groups likely to benefit from advance care planning.

Indexed as

Cardiac arrestHome careNursing homePrognosisSurvival

Identifiers

PMID36425451
PMCPMC9678982
OpenAlexW4309240294

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.