ArticleJournal of the American Heart Association2025
Effect of Cardiac Arrest Center Protocol Implementation on Survival After Nontraumatic Out-of-Hospital Cardiac Arrest.
Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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Who cites it
3 citing papers in PubMed.
- Association between destination hospital level and outcomes in out-of-hospital cardiac arrest patients under a dispatch-guided transport system: a population-based study in Nagoya, Japan.Resuscitation plus · 2026Article
- Letter to the Editor: 250th cardiac arrest center certification in Germany.Clinical research in cardiology : official journal of the German Cardiac Society · 2025Article
- The Time Is Ripe for Cardiac Arrest Centers and Regionalized Cardiac Arrest Networks: Insights From the Cardiac Arrest Survival Score.Journal of the American Heart Association · 2025Article
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11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence on the effect of treatment at a cardiac arrest center (CAC) on clinical outcomes is incomplete and conflicting. The aim was to evaluate the effect of treatment at a CAC on survival after out-of-hospital cardiac arrest.
methodsFor this retrospective cohort study, data from all 790 consecutive patients admitted to our center from January 2018 to May 2023 after nontraumatic out-of hospital cardiac arrest were analyzed. All CAC protocols were completely introduced in October 2020. The primary end point was death or unfavorable neurological outcome (cerebral performance category 3-5) at 90 days. Patients were stratified by Cardiac Arrest Survival Score.
resultsWe compared 432 patients (54.7%) managed before to 358 patients (45.3%) after full CAC implementation. Their median age was 68 (interquartile range, 56-78) years before and 67 (interquartile range, 55-78) thereafter. Cardiac Arrest Survival Score was significantly higher before CAC introduction (median, 28.9% [interquartile range, 8.78-59.9]) than after (6.9% [interquartile range, 1.1-23.3];
conclusionsCoordinated and specialized treatment in a certified CAC may not impact outcomes in patients with low survival probability after nontraumatic out-of-hospital cardiac arrest, but appears to improve survival in patients with intermediate and high survival probability.
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