Evidence map›Paper›PMID 40636080›Full record

ArticleResuscitation plus2025

Epidemiology and outcomes of out-of-hospital cardiac arrests treated by an anaesthetist-staffed emergency medical service: a 3-year registry analysis in The Friuli-Venezia-Giulia region.

Carlo Pegani, Alberto Peratoner, Manila Andrian, Laura Magagnin, Luca Gambolò, Alice Pravisani, Michele Zuliani, Serena Rakar, Cristina Lutman, Alessio Della Mattia and 6 more

Abstract read
In one paragraph

Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

16 authors.

Carlo PeganiPrehospital Emergency Medical Service, Department of Anaesthesia and Intensive Care, Cattinara Hospital, University of Trieste, Trieste, Italy.
Alberto PeratonerPrehospital Emergency Medical Service, Department of Anaesthesia and Intensive Care, Cattinara Hospital, University of Trieste, Trieste, Italy.
Manila AndrianRegional Emergency Medical Dispatch Centre, Central Regional Health Agency, Udine, Italy.
Laura MagagninPrehospital Emergency Medical Service, Santa Maria degli Angeli, Pordenone, Italy.
Luca GambolòSIMED-Società Italiana di Medicina e Divulgazione Scientifica, Parma, Italy.
Alice PravisaniIntensive Care Unit, Santa Maria degli Angeli, Pordenone, Italy.
Michele ZulianiDepartment of Anaesthesia and Intensive Care, Health Integrated Agency of Friuli Centrale, Udine, Italy.
Serena RakarCardiovascular Department, Cattinara Hospital, University of Trieste, Trieste, Italy.
Cristina LutmanCardiovascular Department, Health Integrated Agency of Friuli Centrale, Udine, Italy.
Alessio Della MattiaCardiovascular Department, Santa Maria degli Angeli, Pordenone, Italy.
Katya FabrettoCardiovascular Department, Santa Maria degli Angeli, Pordenone, Italy.
Annarita TullioDepartment of Medicine (DMED), University of Udine, Udine, Italy.
Giuseppe StirparoSIMED-Società Italiana di Medicina e Divulgazione Scientifica, Parma, Italy.
Erik Roman PognuzDepartment of Medical Science, Intensive Care Unit, University Hospital of Cattinara, Department of Anaesthesia, University of Trieste, Trieste, Italy.
Giuseppe RistagnoDepartment of Pathophysiology and Transplantation, University of Milan, Italy.
FVG-OHCA registry network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Out-of-hospital cardiac arrest (OHCA) presents significant regional variations in incidence, management, and survival rates. The Friuli-Venezia-Giulia (FVG) region in northeastern Italy has established a cardiac arrest registry to evaluate epidemiological trends and the effectiveness of its emergency medical service (EMS) interventions. This study analyses EMS-treated OHCAs over a three-year period, focusing on patient characteristics, resuscitation practices, and survival outcomes. Methods: A retrospective cohort study was conducted using prospectively collected data from the FVG-OHCA registry between January 2021-December 2023. All adult OHCAs where resuscitation was attempted by EMS were included. Demographics, OHCA characteristics, bystander interventions, EMS response and treatments, and outcomes were analysed. Logistic regression was used to identify factors associated with survival to hospital admission, six-month survival, and good neurological recovery (Cerebral Performance Category (CPC) 1-2). Results: A total of 4,089 OHCA cases were recorded, with an incidence of 113/100,000 inhabitants/year. Although bystander CPR rate was 67%, public AED use was low (4.3%). Resuscitation was attempted by EMS in 48% of cases, and an advanced airway was placed in 75% of patients. Survival to hospital admission was 22.9%, while six-month survival was 9.7%, and 7.6% of patients had a CPC 1-2. Younger age, male gender, shockable rhythm, and public location were associated with long-term survival. High-quality bystander CPR, use of mechanical CPR, and advanced airway placement during CPR were associated only with survival to hospital admission. Conclusions: This study provides comprehensive insights into OHCA epidemiology and outcomes in the FVG region and emphasises the importance of early intervention, high-quality bystander CPR, and specialised prehospital care.

Indexed as

Cardiopulmonary resuscitationOutcomeOut-of-hospital cardiac arrestRegistrySurvival

Identifiers

PMID40636080
PMCPMC12240103

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.