Evidence map›Paper›PMID 38605720›Full record

ArticleCritical care explorations2024

Ransomware Cyberattack Associated With Cardiac Arrest Incidence and Outcomes at Untargeted, Adjacent Hospitals.

Thaidan T Pham, Theoren M Loo, Atul Malhotra, Christopher A Longhurst, Diana Hylton, Christian Dameff, Jeffrey Tully, Gabriel Wardi, Rebecca E Sell, Alex K Pearce

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Cyber-resilient Intensive Care Unit: Ransomware is a Patient-safety Crisis-A Resource-stratified Approach for India.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
    Article
  6. 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

10 authors at 2 institutions in 1 country.

Thaidan T PhamDepartment of Medicine, University of California San Diego, San Diego, CA.
Theoren M LooIndependent Researcher, San Diego, CA.
Atul MalhotraDepartment of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine & Physiology, University of California San Diego, San Diego, CA.
Christopher A LonghurstDepartment of Medicine, Division of Biomedical Informatics, University of California San Diego, San Diego, CA.
Diana HyltonDepartment of Anesthesiology, University of California San Diego, San Diego, CA.
Christian DameffDepartment of Medicine, Division of Biomedical Informatics, University of California San Diego, San Diego, CA.
Jeffrey TullyDepartment of Anesthesiology, University of California San Diego, San Diego, CA.
Gabriel WardiDepartment of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine & Physiology, University of California San Diego, San Diego, CA.
Rebecca E SellDepartment of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, WA.
Alex K PearceDepartment of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine & Physiology, University of California San Diego, San Diego, CA.
University of California, San Diego · USUniversity of Washington · US

Funding

Implementation of Continuum of Care Sepsis Phenotyping and Risk StratificationK23GM146092 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Gabriel Wardi · 2022 to 2026
$898k
Modeling Cyber Attack Impacts on Patient OutcomesK08EB032477 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAMEFF, CHRISTIAN · 2022 to 2023
$327k
NIBIB NIH HHS K08 EB032477NIGMS NIH HHS K23 GM146092NIGMS NIH HHS L30 GM155915
6 · The paper itself

Abstract

objectivesHealthcare ransomware cyberattacks have been associated with major regional hospital disruptions, but data reporting patient-oriented outcomes in critical conditions such as cardiac arrest (CA) are limited. This study examined the CA incidence and outcomes of untargeted hospitals adjacent to a ransomware-infected healthcare delivery organization (HDO). DESIGN SETTING AND PATIENTS: This cohort study compared the CA incidence and outcomes of two untargeted academic hospitals adjacent to an HDO under a ransomware cyberattack during the pre-attack (April 3-30, 2021), attack (May 1-28, 2021), and post-attack (May 29, 2021-June 25, 2021) phases.

interventionsNone. MEASUREMENTS AND MAIN

resultsEmergency department and hospital mean daily census, number of CAs, mean daily CA incidence per 1,000 admissions, return of spontaneous circulation, survival to discharge, and survival with favorable neurologic outcome were measured. The study evaluated 78 total CAs: 44 out-of-hospital CAs (OHCAs) and 34 in-hospital CAs. The number of total CAs increased from the pre-attack to attack phase (21 vs. 38;

conclusionsUntargeted hospitals adjacent to ransomware-infected HDOs may see worse outcomes for patients suffering from OHCA. These findings highlight the critical need for cybersecurity disaster planning and resiliency.

Indexed as

cardiac arrestcyberattackcybersecurityoutcomesransomware

Identifiers

PMID38605720
PMCPMC11008621
OpenAlexW4394683203

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.