Evidence map›Paper›PMID 41583935›Full record

ArticleResuscitation plus2026

Dispatcher-assisted cardiopulmonary resuscitation for out-of-hospital cardiac arrest patients: a site-level analysis of the PAROS trial.

Fahad Javaid Siddiqui, Stephanie Fook-Chong, Nur Shahidah, David Pflug, Benjamin Sieu-Hon Leong, Sang Do Shin, Hyun Wook Ryoo, Hyun Ho Ryu, Chih-Hao Lin, Chan-Wei Kuo and 2 more

Abstract read
In one paragraph

Article in Resuscitation plus, 2026. 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

12 authors.

Fahad Javaid SiddiquiPre-hospital & Emergency Research Centre, Health Services Research and Population Health, Duke-NUS Medical School, Singapore.
Stephanie Fook-ChongPre-hospital & Emergency Research Centre, Health Services Research and Population Health, Duke-NUS Medical School, Singapore.
Nur ShahidahPre-hospital & Emergency Research Centre, Health Services Research and Population Health, Duke-NUS Medical School, Singapore.
David PflugEmergency Medical Services Department, Singapore Civil Defence Force, Singapore.
Benjamin Sieu-Hon LeongEmergency Medicine Department, National University Hospital, Singapore.
Sang Do ShinDepartment of Emergency Medicine, Seoul National University College of Medicine, Seoul, the Republic of Korea.
Hyun Wook RyooDepartment of Emergency Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, the Republic of Korea.
Hyun Ho RyuDepartment of Emergency Medicine, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, the Republic of Korea.
Chih-Hao LinDepartment of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chan-Wei KuoDepartment of Emergency Medicine, Chang-Gung Memorial Hospital, Linkou, Taoyuan, Taiwan.
Marcus Eng Hock OngDepartment of Emergency Medicine, Singapore General Hospital, Singapore.
PAROS Clinical Research Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The study aimed to examine the influence of contextual settings on the complex OHCA intervention outcomes thereby providing evidence to guide managers and policymakers in optimizing implementation strategies. Our secondary analysis of an international multi-site trial examined site-level effectiveness of comprehensive versus basic Dispatcher-Assisted CPR (DACPR) interventions on bystander CPR rates, hypothesizing site-specific variation and declining variability as an early sign. Methods: Using 2009-2018 data from the Pan-Asian Resuscitation Outcomes Study (PAROS), we compared monthly and quarterly trends in BCPR rates at selected PAROS sites before and after the intervention. Interrupted time series analysis was performed using regression of monthly BCPR rates for the pre- and post-intervention periods. Results: Six PAROS sites contributed 37,872 out-of-hospital cardiac arrest (OHCA) cases from January 2009 to June 2018. Comprehensive package sites showed consistent improvement in average monthly BCPR rates, with absolute increases ranging from 4.2 to 30.8 percentage points. Sharper post-intervention increases in DACPR rates were observed, indicated by positive site-wise regression coefficient differences (0.07-0.38). However, some sites experienced an initial post-intervention slowdown of the pre-existing trend. The two Basic package sites also improved their BCPR rates by 9.3 and 25.1 percentage points, though the shorter pre-intervention periods limited meaningful interpretation of the rate of change (0.22 & -0.33). Conclusion: Both intervention packages improved BCPR rates, with most sites showing steeper improvements post-intervention. However, variations in timing and magnitude between sites highlight differing levels of system readiness and implementation rigor. Reduced variability has been observed post-intervention.

Indexed as

Bystander CPRDispatcher-assisted cardiopulmonary resuscitationPAROSTelephone instructions

Identifiers

PMID41583935
PMCPMC12828423

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.