Evidence map›Paper›PMID 39006133›Full record

ArticleResuscitation plus2024

Pre-hospital care after return of spontaneous circulation: Are we achieving our targets?

I A Vos, F G Lucassen, B W J Bens, B Dercksen, R Postma, E M F Jorna, J C Ter Maaten, M M R F Struys, E Ter Avest

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Resuscitation plus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07239908 (Resuscitation Enhancement to Avoid Rearrest Through Evidence-based Strategies in Prehospital Post-resuscitation Care), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT07239908 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Resuscitation Enhancement to Avoid Rearrest Through Evidence-based Strategies in Prehospital Post-resuscitation Care

TypeinterventionalSponsorSiriraj HospitalRan2025 to 2028Enrolled318ConditionsOut-of-hospital Cardiac Arrest (OHCA)ArmsPrehospital post cardiac arrest care protocol
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

9 authors.

I A VosDepartment of Acute Care, University Medical Centre Groningen, University of Groningen, The Netherlands.
F G LucassenDepartment of Acute Care, University Medical Centre Groningen, University of Groningen, The Netherlands.
B W J BensDepartment of Acute Care, University Medical Centre Groningen, University of Groningen, The Netherlands.
B DercksenDepartment of Anaesthesiology, University Medical Centre Groningen, University of Groningen, The Netherlands.
R PostmaDepartment of Anaesthesiology, University Medical Centre Groningen, University of Groningen, The Netherlands.
E M F JornaKijlstra Ambulancezorg, Drachten, Friesland, The Netherlands.
J C Ter MaatenDepartment of Acute Care, University Medical Centre Groningen, University of Groningen, The Netherlands.
M M R F StruysDepartment of Anaesthesiology, University Medical Centre Groningen, University of Groningen, The Netherlands.
E Ter AvestDepartment of Acute Care, University Medical Centre Groningen, University of Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Early restoration of normal physiology when return of spontaneous circulation (ROSC) is obtained after an out-of-hospital cardiac arrest (OHCA) reduces the risk of developing post-cardiac arrest syndrome (PCAS). This study aims to investigate if (and to which extent) this can be achieved within the scope of practice of standard emergency medical services (EMS) crews. Methods: A prospective mixed-methods quantitative and qualitative cohort study was performed including adult patients with a non-traumatic OHCA presented to a university hospital emergency department (ED) in the Netherlands after pre-hospital ROSC was obtained. Primary endpoint was the percentage of patients with deranged physiology post-ROSC in whom EMS crews were able to reach recommended treatment targets. Results: During a 32-month period, 160 patients presenting with ROSC after OHCA were included. Median (IQR) pre-hospital treatment duration was 40 (34-51) minutes. When deranged physiology was present (n = 133), it could be restored by EMS crews in 29% of the patients. Although average etCO Conclusion: Deranged physiology after an OHCA is commonly encountered, and often difficult to treat within the scope of practice of regular EMS crews. Involvement of advanced critical care teams with a wider scope of practice at an early stage may contribute to a better outcome for these patients.

Indexed as

emergency medical services (EMS)out-of-hospital cardiac arrest (OHCA)Post-resuscitation care

Identifiers

PMID39006133
PMCPMC11246053

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Registered trials

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