Evidence map›Paper›PMID 41598755›Full record

ReviewJournal of clinical medicine2026

A Critical Review on Misleading Evidence in Cardiac Arrest Trials-Why Less Complexity Does Not Result in Better Outcomes.

Andreas Schäfer, Tobias J Pfeffer, Johann Bauersachs, Vera Garcheva

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Andreas SchäferCardiac Arrest Centre, Department of Cardiology and Angiology, Hannover Medical School, D-30625 Hannover, Germany.ORCID 0000-0003-3206-6162
Tobias J PfefferCardiac Arrest Centre, Department of Cardiology and Angiology, Hannover Medical School, D-30625 Hannover, Germany.ORCID 0000-0002-9130-9470
Johann BauersachsCardiac Arrest Centre, Department of Cardiology and Angiology, Hannover Medical School, D-30625 Hannover, Germany.
Vera GarchevaCardiac Arrest Centre, Department of Cardiology and Angiology, Hannover Medical School, D-30625 Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past two decades, advanced airway management, early coronary angiography, and therapeutic hypothermia have shaped post-out-of-hospital cardiac arrest (OHCA) care. However, recent large randomized trials have challenged these strategies and created substantial uncertainty leading to relevant guideline changes. This review focuses on the trials that ultimately influenced current guideline recommendations by downgrading previous recommendations. We determine how structural limitations may have affected the validity and interpretation of their results. The review critically evaluates the methodological design and execution of those trials. Despite neutral findings from recent randomized trials, use of advanced airway management during resuscitation, coronary angiography in patients with a high likelihood of acute coronary occlusion, and therapeutic hypothermia for comatose OHCA survivors still play a relevant role in post-resuscitation management.

Indexed as

Hannover Cardiac Resuscitation Algorithm (HaCRA)out-of-hospital cardiac arrestpost-resuscitation caresupraglottic airwaytherapeutic hypothermia

Identifiers

PMID41598755
PMCPMC12841792

What OpenQuestion holds

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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.