Evidence map›Paper›PMID 38084207›Full record

ArticleJACC. Advances2023

Bystander CPR and Long-Term Survival in Older Adults With Out-of-Hospital Cardiac Arrest.

Paul S Chan, Robert Merritt, Bryan McNally, Anping Chang, Rabab Al-Araji, Minaz Mawani, Ki Ok Ahn, Saket Girotra

Open access · diamondAbstract read
In one paragraph

Article in JACC. Advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Paul S ChanSaint Luke's Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, Missouri, USA.
Robert MerrittCenters for Disease Control and Prevention, Atlanta, GA, USA.
Bryan McNallyDepartment of Emergency Medicine, Emory University and Rollins School of Public Health, Atlanta, Georgia, USA.
Anping ChangCenters for Disease Control and Prevention, Atlanta, GA, USA.
Rabab Al-ArajiEmory University and Rollins School of Public Health, Atlanta, Georgia, USA.
Minaz MawaniUniversity of Georgia College of Public Health, Atlanta, GA, USA.
Ki Ok AhnDepartment of Medicine, Hanyang University College of Medicine and Myongji Hospital, Seoul, South Korea.
Saket GirotraUniversity of Texas-Southwestern, Dallas, Texas, USA.
Centers for Disease Control and Prevention · USEmory University · USGeorgia College & State University · USMyongji Hospital · KRSaint Luke's Hospital · USThe University of Texas Southwestern Medical Center · US

Funding

Reducing Ethnic-racial Disparities in Cardiac Arrest Survival Outcomes (RED-CASO)R01HL160734 · NHLBI · SAINT LUKE'S HOSPITAL · PI CHAN, PAUL SHEUNG-YAN, GIROTRA, SAKET · 2022 to 2025
$2.6M
Peripheral Artery Disease: Long-term Survival & Outcomes Study (PEARLS)R01HL166305 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Saket Girotra · 2023 to 2026
$2.5M
Peripheral Artery Disease: Long-term Survival & Outcomes Study (PEARLS)R56HL158803 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI GIROTRA, SAKET · 2021 to 2021
$633k
NHLBI NIH HHS R01 HL160734NHLBI NIH HHS R01 HL166305NHLBI NIH HHS R56 HL158803
6 · The paper itself

Abstract

backgroundMost studies on bystander cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) have focused on in-hospital or short-term survival.

objectivesThe purpose of this study was to examine the association between bystander CPR and long-term survival outcomes for OHCA.

methodsWithin the Cardiac Arrest Registry to Enhance Survival, we identified 152,653 patients with OHCA ≥65 years of age or older. Using multivariable hierarchical logistic regression, we first examined the association between bystander CPR and in-hospital survival. Then, among those surviving to discharge and linked to Medicare files, we evaluated the association between bystander CPR and long-term mortality over 5 years using multivariable Cox regression.

resultsOverall, 58,464 (38.3%) received bystander CPR. Patients receiving bystander CPR were more likely to have an OHCA that was witnessed, in a public location, and with an initial shockable rhythm. Bystander CPR was associated with a 24% higher likelihood of surviving to hospital discharge (10.2% vs 5.5%; adjusted relative risk: 1.24 [95% CI: 1.19-1.29];

conclusionsIn older adults with OHCA, bystander CPR was associated with higher rates of in-hospital survival. This survival benefit was not attenuated by competing mortality risks but increased in magnitude after hospital discharge.

Indexed as

cardiac arrestCPRolder patientssurvival

Identifiers

PMID38084207
PMCPMC10713355
OpenAlexW4386688456

What OpenQuestion holds

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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.