Evidence map›Paper›PMID 36460967›Full record

ArticleBMC cardiovascular disorders2022

Short- and long-term survival after out-of-hospital cardiac arrest in Kaunas (Lithuania) from 2016 to 2018.

Linas Darginavicius, Ilona Kajokaite, Nerijus Mikelionis, Jone Vencloviene, Paulius Dobozinskas, Egle Vaitkaitiene, Dinas Vaitkaitis, Asta Krikscionaitiene

Registry-linked trialAbstract read
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In one paragraph

Article in BMC cardiovascular disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04784117 (Out-of-hospital Cardiac Arrest Epidemiology and Outcomes in Kaunas 2016-2021), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04784117 completednot on this map

Out-of-hospital Cardiac Arrest Epidemiology and Outcomes in Kaunas 2016-2021

TypeobservationalSponsorLithuanian University of Health SciencesRan2016 to 2022Enrolled1,500ConditionsOut-Of-Hospital Cardiac ArrestArmsDispatcher protocol change
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

8 authors.

Linas DarginaviciusDepartment of Disaster Medicine, Lithuanian University of Health Sciences, Eiveniu 4-512, 50161, Kaunas, Lithuania. linas.darginavicius@lsmuni.lt.ORCID 0000-0002-2534-2838
Ilona KajokaiteKaunas Emergency Medical Service Station, Kaunas, Lithuania.
Nerijus MikelionisKaunas Emergency Medical Service Station, Kaunas, Lithuania.
Jone VenclovieneDepartment of Environmental Sciences, Faculty of Natural Sciences, Vytautas Magnus University, Kaunas, Lithuania.
Paulius DobozinskasDepartment of Disaster Medicine, Lithuanian University of Health Sciences, Eiveniu 4-512, 50161, Kaunas, Lithuania.
Egle VaitkaitieneDepartment of Disaster Medicine, Lithuanian University of Health Sciences, Eiveniu 4-512, 50161, Kaunas, Lithuania.
Dinas VaitkaitisDepartment of Disaster Medicine, Lithuanian University of Health Sciences, Eiveniu 4-512, 50161, Kaunas, Lithuania.
Asta KrikscionaitieneDepartment of Disaster Medicine, Lithuanian University of Health Sciences, Eiveniu 4-512, 50161, Kaunas, Lithuania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo studies analysing out-of-hospital cardiac arrest (OHCA) epidemiology and outcomes in Lithuania were published in the last decade.

methodsWe conducted a retrospective analysis of prospectively collected data. The incidence of OHCA and the demographics and outcomes of patients who were treated for OHCA between 1 and 2016 and 31 December 2018 at Kaunas Emergency Medical Service (EMS) were collected and are reported in accordance with the Utstein recommendations. Multivariable logistic regression analysis was used to identify predictors of survival to hospital discharge.

resultsIn total, 838 OHCA cases of EMS-treated cardiac arrest (CA) were reported (95.8 per 100.000 inhabitants). The median age was 71 (IQR 58-81) years of age, and 66.7% of patients were males. A total of 73.8% of OHCA cases occurred at home, 59.3% were witnessed by a bystander, and 54.5% received bystander cardiopulmonary resuscitation. The median EMS response time was 10 min. Cardiac aetiology was the leading cause of CA (78.8%). The initial rhythm was shockable in 27.6% of all cases. Return of spontaneous circulation at hospital transfer was evident in 24.9% of all cases. The survival to hospital discharge rate was 10.9%, and the 1-year survival rate was 6.9%. The survival to hospital discharge rate in the Utstein comparator group was 36.1%, and the 1-year survival rate was 27.2%. Five factors were associated with improved survival to hospital discharge: shockable rhythm, time from call to arrival at the patient less than 10 min, witnessed OHCA, age < 80 years, and male sex.

conclusionThis is the first OHCA study from Lithuania examining OHCA epidemiology and outcomes over a three year period. Routine OHCA data collection and analysis will allow us to track the efficacy of service improvements and should become a standard practice in all Lithuanian regions.

trial registrationThis research was registered in the clinicaltrials.gov database: Identifiers: NCT04784117, Unique Protocol ID: LITOHCA. Brief Title: Out-of-hospital Cardiac Arrest Epidemiology and Outcomes in Kaunas 2016-2021.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesOut-of-Hospital Cardiac ArrestAgedAged, 80 and overFemaleHumansLithuaniaMaleRetrospective StudiesEmergency medical servicesIncidenceOutcomesOut-of-hospital cardiac arrestPrehospital resuscitationSurvivalUtstein

Identifiers

PMID36460967
PMCPMC9719236

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