Evidence map›Paper›PMID 39740944›Full record

Observational studyBMJ open2024

Comparison of neurological outcomes between out-of-hospital cardiac arrest due to anaphylaxis and cardiac causes: a nationwide population-based observational study.

Kaiho Hirata, Takuyo Chiba, Kazuki Hosono, Haruka Tsuji, Shunya Ikeda, Takashi Shiga

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Kaiho HirataDepartment of Emergency Medicine, International University of Health and Welfare Narita Hospital, Narita, Chiba, Japan kaihouhirata@gmail.com.ORCID http://orcid.org/0009-0006-4251-639X
Takuyo ChibaDepartment of Emergency Medicine, International University of Health and Welfare Narita Hospital, Narita, Chiba, Japan.
Kazuki HosonoDepartment of Emergency Medicine, International University of Health and Welfare Narita Hospital, Narita, Chiba, Japan.
Haruka TsujiDepartment of Emergency Medicine, International University of Health and Welfare Narita Hospital, Narita, Chiba, Japan.
Shunya IkedaDepartment of Health Policy and Management, International University of Health and Welfare, Narita, Japan.
Takashi ShigaDepartment of Emergency Medicine, International University of Health and Welfare Narita Hospital, Narita, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the neurological outcomes of out-of-hospital cardiac arrest due to anaphylaxis (OHCA-A) and cardiac causes (OHCA-C).

designRetrospective observational study.

settingJapanese nationwide dataset from 2012 to 2021.

participantsIn total, 153 890 patients were included in this study, of which 331 had OHCA-A and 153 559 had OHCA-C. OUTCOME MEASURES: The primary outcome was a favourable neurological outcome 1 month after cardiac arrest. The secondary outcome was survival at 1 month.

resultsPatients with OHCA-A had a significantly higher favourable neurological outcome rate (24.2% vs 11.7%, p<0.001) and higher survival rate at 1 month (33.2% vs 16.1%, p<0.001) than patients with OHCA-C. Multivariable logistic regression analysis revealed that OHCA-A was associated with higher odds of favourable neurological outcomes (adjusted OR (adj OR): 1.86; 95% CI 1.34 to 2.59) and survival at 1 month (adj OR: 2.43; 95% CI 1.78 to 3.31). Similarly, the propensity score-matched cohort showed favourable neurological outcomes in patients with OHCA-A (OR: 2.91; 95% CI 1.83 to 4.65).

conclusionCompared with OHCA-C, OHCA-A is associated with favourable neurological outcomes and warrants more aggressive resuscitation efforts.

Indexed as

AnaphylaxisOut-of-Hospital Cardiac ArrestAdultAgedCardiopulmonary ResuscitationFemaleHumansJapanLogistic ModelsMaleMiddle AgedNervous System DiseasesPropensity ScoreRetrospective StudiesSurvival RateCardiopulmonary ResuscitationEmergency Service, HospitalOut-of-Hospital Cardiac Arrest

Identifiers

PMID39740944
PMCPMC11749445

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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.