SynthesisScientific reports2023
Impact of community-based interventions on out-of-hospital cardiac arrest outcomes: a systematic review and meta-analysis.
Synthesis in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
What it found
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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.
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.
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Who cites it
41 citing papers in PubMed.
- Adaptation of the CONOCES-BLS scale to citizens: evidence of content validity and preliminary psychometric evaluation.Resuscitation plus · 2026Article
- Age-Dependent Benefit of ECPR in OHCA: An Interaction Analysis.Chonnam medical journal · 2026Article
- Improving Perceptions, Knowledge, and Skills of Bystander CPR and AED use in the Mandarin-Speaking Immigrant Community.Journal of immigrant and minority health · 2026Article
- Reevaluating basic life support termination criteria using post-arrival data in Japanese out-of-hospital cardiac arrest patients.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026Article
- Effectiveness of Online Training on Cardiopulmonary Resuscitation and Automated External Defibrillator Use in Simulations With Rural Populations: Quasi-Experimental Community Intervention Study.JMIR public health and surveillance · 2026Article
- Extracorporeal Membrane Oxygenation in Refractory Cardiac Arrest: Current Evidence, Clinical Pathways and Future Directions.Life (Basel, Switzerland) · 2026Review
- Racial and Geographic Disparities in Automated External Defibrillator Use During EMS Encounters in the United States.Healthcare (Basel, Switzerland) · 2026Article
- Clinical Impact of the Transient Return of Spontaneous Circulation Before Extracorporeal Cardiopulmonary Resuscitation in Patients with Refractory Out-of-Hospital Cardiac Arrest: A Nationwide Observational Study.Journal of clinical medicine · 2026Article
- Sudden cardiac arrest in young adults: A comprehensive systematic review of epidemiology, aetiology and preventive strategies.Heart international · 2026Review
- Mortality trends related to cardiac arrest in patients with diabetes mellitus aged 25 and older across the United States: an analysis using the CDC WONDER database from 1999 to 2024.Archives of medical science : AMS · 2026Article
- Climate Extremes and Healthcare Access: Assessing the Impact of Severe Weather Events on Emergency Motorcycle Ambulance Availability.Risk management and healthcare policy · 2026Article
- Implementation of high-performance CPR by basic life support (BLS) personnel: a pilot study in Thailand.Resuscitation plus · 2026Article
- Medical Student Perspectives on Female Anatomical Representation in CPR Training.Advances in medical education and practice · 2026Article
- In-hospitalWorld journal of critical care medicine · 2025Article
- Experiences, challenges, and best practices of dispatcher-assisted cardiopulmonary resuscitation: a scoping review.Internal and emergency medicine · 2025Article
- Integrating Telemedical Supervision, Responder Apps, and Data-Driven Triage: The RuralRescue Model of Personalized Emergency Care.Journal of personalized medicine · 2025Article
- FirstCPR: A pragmatic community organisation-based cluster randomised trial to increase community training and preparedness to respond to out-of-hospital cardiac arrest.Resuscitation plus · 2025Article
- Cost-effectiveness of a community first responder system for out-of-hospital cardiac arrest in Belgium.Open heart · 2025Article
- Gaps in Public Access Defibrillation: Analysis of International Legislation.JACC. Advances · 2025Article
- Barriers and facilitators to global access to life-saving skills training: an international cross-sectional survey.BMJ open · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Survival following out-of-hospital cardiac arrest (OHCA) remains low, typically less than 10%. Bystander cardiopulmonary resuscitation (CPR) and bystander-AED use have been shown to improve survival by up to fourfold in individual studies. Numerous community-based interventions have been implemented worldwide in an effort to enhance rates of bystander-CPR, bystander-AED use, and improve OHCA survival. This systematic review and meta-analysis aims to evaluate the effect of such interventions on OHCA outcomes. Medline and Embase were systematically searched from inception through July 2021 for studies describing the implementation and effect of one or more community-based interventions targeting OHCA outcomes. Two reviewers screened articles, extracted data, and evaluated study quality using the Newcastle-Ottawa Scale. For each outcome, data were pooled using random-effects meta-analysis. Of the 2481 studies identified, 16 met inclusion criteria. All included studies were observational. They reported a total of 1,081,040 OHCAs across 11 countries. The most common interventions included community-based CPR training (n = 12), community-based AED training (n = 9), and dispatcher-assisted CPR (n = 8). Health system interventions (hospital or paramedical services) were also described in 11 of the included studies. Evidence certainty among all outcomes was low or very low according to GRADE criteria. On meta-analysis, community-based interventions with and without health system interventions were consistently associated with improved OCHA outcomes: rates of bystander-CPR, bystander-AED use, survival, and survival with a favorable neurological outcome. Bystander CPR-14 studies showed a significant increase in post-intervention bystander-CPR rates (n = 285 752; OR 2.26 [1.74, 2.94]; I
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