Evidence map›Paper›PMID 40896575›Full record

ArticleResuscitation plus2025

Challenges in resuscitation and survival factors of in-hospital cardiac arrest with suspected cardiovascular etiology: A multicenter retrospective study in Beijing, China.

Ya Zhang, Yao Ding, Yang Yu, Yuan Ma, Ziyue Xiao, Jianting Su, Jing Wang, Xiaojie Liu, Jingcan Wang, Zaihua Wei and 1 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

11 authors.

Ya ZhangDepartment of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.167 North Lishi Road, Xicheng District, Beijing, China.
Yao DingDepartment of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.167 North Lishi Road, Xicheng District, Beijing, China.
Yang YuDepartment of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.167 North Lishi Road, Xicheng District, Beijing, China.
Yuan MaThe First Clinical Medical College, Lanzhou University, No.1, Donggangxi Road, Chengguan District, Lanzhou, Gansu Province, China.
Ziyue XiaoDepartment of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.167 North Lishi Road, Xicheng District, Beijing, China.
Jianting SuStatistics Center, Beijing Center for Diseases Prevention and Control, No. 16, Hepingli Middle Street, Dongcheng District, Beijing, China.
Jing WangStatistics Center, Beijing Center for Diseases Prevention and Control, No. 16, Hepingli Middle Street, Dongcheng District, Beijing, China.
Xiaojie LiuDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, No.16 Jiangsu Road, Qingdao, Shandong Province, China.
Jingcan WangDepartment of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.167 North Lishi Road, Xicheng District, Beijing, China.
Zaihua WeiStatistics Center, Beijing Center for Diseases Prevention and Control, No. 16, Hepingli Middle Street, Dongcheng District, Beijing, China.
Hushan AoDepartment of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.167 North Lishi Road, Xicheng District, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aim: Cardiovascular disease affects both the elderly and younger populations, with cardiogenic arrest being the leading cause of in-hospital cardiac arrest (IHCA). The prognosis of IHCA related to cardiovascular diseases remains uncertain. This study aims to explore the characteristics, outcomes, and survival factors of IHCA with suspected cardiovascular etiology. Methods and Results: This retrospective study investigated IHCA suspected to be of cardiovascular origin among adult patients across multiple hospitals in Beijing, China, from January 2022 to December 2023. A total of 791 arrests were recorded, with a median age of 70 years (IQR 61-79), and 65.1 % were male. Ventricular fibrillation/pulseless ventricular tachycardia was the initial rhythm in 46.8 % of cases. Of the 791 patients, 394 (49.8 %) achieved return of spontaneous circulation (ROSC), and 302 (38.2 %) had more than one arrest during hospitalization. Ultimately, 130 patients (16.4 %) survived to hospital discharge. Multivariable Cox regression showed that ROSC without mechanical circulatory support (HR: 2.68; 95 % CI 1.58-4.56), shockable initial rhythm (HR: 1.52; 95 % CI 1.06-2.17), and a duration of cardiopulmonary resuscitation (CPR) of ≤ 30 min (HR: 1.82; 95 % CI 1.13-2.93) were independently associated with a higher likelihood of survival to discharge. In contrast, multiple CPR episodes (HR: 0.53; 95 % CI 0.36-0.76), prolonged hospital stays (HR: 0.90; 95 % CI 0.88-0.93), and IHCA in urban centers (HR: 0.60; 95 % CI 0.42-0.87) were linked to poorer survival. Conclusions: Among patients with suspected cardiovascular-related IHCA, both the proportion of shockable initial rhythms and ROSC rates were high; however, survival to discharge remained low.

Indexed as

CardiovascularIn-hospital cardiac arrestOutcomeResuscitation

Identifiers

PMID40896575
PMCPMC12391814

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.