Evidence map›Paper›PMID 41189158›Full record

Observational studyMedicine2025

Evaluating the impact of emergency interventions and geographical disparities on out-of-hospital cardiac arrest outcomes: A retrospective analysis from Poland.

Mariusz Goniewicz, Kamil Bednarz, Juan Gómez-Salgado, Ahmed M Al-Wathinani, Dorota Lasota, Krzysztof Goniewicz

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 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. Review
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.

Mariusz GoniewiczDepartment of Emergency Medicine, Medical University of Lublin, Lublin, Poland.
Kamil BednarzDepartment of Emergency Medicine, Medical University of Lublin, Lublin, Poland.
Juan Gómez-SalgadoDepartment of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain.ORCID 0000-0001-9053-7730
Ahmed M Al-WathinaniDepartment of Emergency Medical Services, Prince Sultan bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0002-7905-1497
Dorota LasotaDepartment of Experimental and Clinical Pharmacology, Medical University of Warsaw, Warsaw, Poland.
Krzysztof GoniewiczDepartment of Security, Polish Air Force University, Deblin, Poland.ORCID 0000-0003-4368-6850

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Out-of-hospital cardiac arrest (OHCA) is a global health challenge, with survival outcomes highly dependent on timely and effective emergency interventions. This study evaluates the impact of defibrillation, intubation, and intravenous pharmacotherapy on achieving return of spontaneous circulation (ROSC) in OHCA cases, with a focus on geographical and etiological variability. This retrospective analysis included 4361 OHCA cases recorded in the Lublin Voivodeship, Poland, between 2014 and 2017. Data from medical records were analyzed using Chi-square tests and logistic regression to assess associations between emergency interventions and ROSC. The primary outcome was achieving ROSC, while independent variables included intervention types, geographical location, and OHCA etiology. The study population consisted of 4361 OHCA patients, with a mean age of 68 years; 60.4% were male. ROSC was achieved in 41.8% of cases. Defibrillation significantly improved ROSC rates (P < .001), with notable success disparities between urban centers (52.94%) and rural areas (33%). Intubation positively influenced ROSC (P = .0226), particularly in cases with unknown etiology, while the impact of intravenous pharmacotherapy was less statistically significant (P = .078). Geographic and resource disparities significantly affected intervention effectiveness. Timely defibrillation, effective airway management, and tailored emergency protocols are critical for improving OHCA outcomes. Expanding public access to defibrillators, addressing disparities in emergency medical services training and resource allocation, and integrating predictive analytics in emergency response planning are recommended. Future research should validate these findings using prospective designs and evaluate advanced technologies in diverse settings.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesHealthcare DisparitiesOut-of-Hospital Cardiac ArrestAgedAged, 80 and overElectric CountershockFemaleHumansMaleMiddle AgedPolandRetrospective StudiesReturn of Spontaneous Circulationcardiac arrestcardiovascular diseasedefibrillationemergency medical servicesintubationreturn of spontaneous circulationsurvival rate

Identifiers

PMID41189158
PMCPMC12537217

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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.