Evidence map›Paper›PMID 38347550›Full record

Trial reportTrials2024

Effect of resuscitative endovascular balloon occlusion of the aorta in nontraumatic out-of-hospital cardiac arrest: a multinational, multicenter, randomized, controlled trial.

Hee Eun Kim, Sheng-En Chu, You Hwan Jo, Wen-Chu Chiang, Dong-Hyun Jang, Chin-Hao Chang, So Hee Oh, Hsuan-An Chen, Seung Min Park, Jen-Tang Sun and 1 more

2 registry-linked trialsAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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.

NCT06031623 narecruitingnot on this map

Effect Of Resuscitative Endovascular Balloon Occlusion of the Aorta in Non-Traumatic Out-of-Hospital Cardiac Arrest (REBOA); A Multinational, Multicenter Randomized Controlled Trial

TypeinterventionalSponsorSeoul National University HospitalRan2023 to 2026Enrolled234ConditionsCardiopulmonary ArrestArmsREBOA
NCT07573566 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Abdominal Aortic Tourniquet Application for Non-Traumatic Out-of-Hospital Cardiac Arrest

TypeinterventionalSponsorKlinikum Klagenfurt am WörtherseeRan2026 to 2027Enrolled5ConditionsCardiac Arrest (CA), Out-of-hospital Cardiac Arrest (OHCA), Asystole, Pulseless Electrical ActivityArmsAbdominal Aortic Junction Tourniquet in non-traumatic out-of-hospital cardiac arrest
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

11 authors.

Hee Eun Kim *Department of Emergency Medicine, Seoul National University Bundang Hospital, 13620, 82, Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.
Sheng-En Chu *Department of Emergency Medicine, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nan-Ya South Rd, Ban-Qiao Dist., New Taipei City, Taiwan.
You Hwan JoDepartment of Emergency Medicine, Seoul National University Bundang Hospital, 13620, 82, Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.
Wen-Chu ChiangDepartment of Emergency Medicine, National Taiwan University Hospital Yun-Lin Branch, Yunlin, Taiwan.
Dong-Hyun JangDepartment of Emergency Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Chin-Hao ChangNational Taiwan University Hospital Statistical Consulting Unit, Taipei, Taiwan.
So Hee OhMedical Research Collaborating Center, SMG-SNU Boramae Medical Center Seoul, Seoul, Republic of Korea.
Hsuan-An ChenDepartment of Emergency Medicine, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nan-Ya South Rd, Ban-Qiao Dist., New Taipei City, Taiwan.
Seung Min ParkDepartment of Emergency Medicine, Seoul National University Bundang Hospital, 13620, 82, Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.
Jen-Tang Sun *Department of Emergency Medicine, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nan-Ya South Rd, Ban-Qiao Dist., New Taipei City, Taiwan. tangtang05231980@gmail.com.
Dong Keon Lee *Department of Emergency Medicine, Seoul National University Bundang Hospital, 13620, 82, Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea. stolenegg@gmail.com.ORCID http://orcid.org/0000-0003-0490-1837

Funding

Far Eastern Memorial Hospital PI20230002National Research Foundation of Korea NRF-2022R1F1A1074361Seoul National University Bundang Hospital 02-2023-0029
6 · The paper itself

Abstract

backgroundOut-of-hospital cardiac arrest (OHCA) is a significant public health issue worldwide and is associated with low survival rates and poor neurological outcomes. The generation of optimal coronary perfusion pressure (CPP) via high-quality chest compressions is a key factor in enhancing survival rates. However, it is often challenging to provide adequate CPP in real-world cardiopulmonary resuscitation (CPR) scenarios. Based on animal studies and human trials on improving CPP in patients with nontraumatic OHCA, resuscitative endovascular balloon occlusion of the aorta (REBOA) is a promising technique in these cases. This study aims to investigate the benefits of REBOA adjunct to CPR compared with conventional CPR for the clinical management of nontraumatic OHCA.

methodsThis is a parallel-group, randomized, controlled, multinational trial that will be conducted at two urban academic tertiary hospitals in Korea and Taiwan. Patients aged 20-80 years presenting with witnessed OHCA will be enrolled in this study. Eligible participants must fulfill the inclusion criteria, and written informed consent should be collected from their legal representatives. Patients will be randomly assigned to the intervention (REBOA-CPR) or control (conventional CPR) group. The intervention group will receive REBOA and standard advanced cardiovascular life support (ACLS). Meanwhile, the control group will receive ACLS based on the 2020 American Heart Association guidelines. The primary outcome is the return of spontaneous circulation (ROSC). The secondary outcomes include sustained ROSC, survival to admission, survival to discharge, neurological outcome, and hemodynamic changes. DISCUSSION: Our upcoming trial can provide essential evidence regarding the efficacy of REBOA, a mechanical method for enhancing CPP, in OHCA resuscitation. Our study aims to determine whether REBOA can improve treatment strategies for patients with nontraumatic OHCA based on clinical outcomes, thereby potentially providing valuable insights and guiding further advancements in this critical public health area.

trial registrationClinicalTrials.gov NCT06031623. Registered on September 9, 2023.

Indexed as

Balloon OcclusionCardiopulmonary ResuscitationEndovascular ProceduresOut-of-Hospital Cardiac ArrestAnimalsAortaHemodynamicsHumansResuscitationCardiac arrestCardiopulmonary resuscitationOut-of-hospital cardiac arrestREBOAResuscitative endovascular balloon occlusion of the aorta

Identifiers

PMID38347550
PMCPMC10863125

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Registered trials

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.