Evidence map›Paper›PMID 41450519›Full record

SynthesisFrontiers in public health2025

Racial disparities, comorbidities, and low body mass index reduce survival after cardiopulmonary resuscitation: a systematic review and meta-analysis.

Zifan Du, Shuai Ma, Yali Tong, Pengfei Zhao, Zetao Chen, Haojun Fan, Shike Hou, Bin Fan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in public health, 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

8 authors.

Zifan DuSchool of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Shuai MaSchool of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Yali TongSchool of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Pengfei ZhaoSchool of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Zetao ChenSchool of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Haojun FanSchool of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Shike HouSchool of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Bin FanSchool of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: CPR is crucial for the management of cardiac arrest. However, the impacts of certain individualized factors, such as different ethnicities, body weights, and medical histories, on the efficacy of CPR remain unclear. This meta-analysis clarifies the associations between three individualized factors and the outcomes of CPR, aiming to optimize resuscitation strategies. Methods: We systematically searched eight databases-PubMed, Web of Science, Scopus, Embase, Cochrane Library, VIP, Wan Fang, and CNKI-for studies that explored the associations between ethnicity, past medical history, body mass index (BMI), and CPR outcomes. Separate meta-analyses were then conducted for each of these three individualized factors. Results: Eleven studies evaluated ethnicity, nine assessed medical history, and eight analyzed BMI. White patients exhibited significantly higher survival rates than Black patients (OR = 1.36, 95% CI [1.22-1.50], Discussion: This study demonstrates that ethnicity differences, pre-existing comorbidities, and low BMI can affect survival rates after CPR. These results are of great significance for clinical practice, suggesting that it is necessary to reduce inequalities in the distribution of medical resources in response to racial differences, optimize disease management for patients with comorbidities, and incorporate underweight status into high-risk assessment. Future research should further explore the underlying mechanisms and expand to more regions, so as to provide evidence for the construction of a personalized resuscitation medicine system and the formulation of guidelines. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42025558162, identifier PROSPERO (CRD42025558162).

Indexed as

Body Mass IndexCardiopulmonary ResuscitationComorbidityHealth Status DisparitiesHeart ArrestRacial GroupsEthnicityHumansbody mass indexcardiopulmonary resuscitationethnicityindividualized factorsmeta-analysispast medical historysurvival rate

Identifiers

PMID41450519
PMCPMC12728053

What OpenQuestion holds

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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.