Evidence map›Paper›PMID 42125736›Full record

ArticleResuscitation plus2026

Cardiac Arrest Bundle of cARE Trial (CABARET): a feasibility randomised controlled study of a bundle of care intervention vs standard care.

James O M Plumb, James Raitt, Andrew Claxton, Julian Hannah, Craig Jackson, Helen Pocock, Peter Owen, Shona E Main, David B Sidebottom, Charles D Deakin

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. 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

10 authors.

James O M PlumbHampshire and Isle of Wight Air Ambulance, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
James RaittClinical & Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Andrew ClaxtonSouth Central Ambulance Service NHS Foundation Trust, Bicester, UK.
Julian HannahHampshire and Isle of Wight Air Ambulance, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Craig JacksonSouth Central Ambulance Service NHS Foundation Trust, Bicester, UK.
Helen PocockSouth Central Ambulance Service NHS Foundation Trust, Bicester, UK.
Peter OwenHampshire and Isle of Wight Air Ambulance, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Shona E MainDorset County Hospital NHS Foundation Trust, Dorset, UK.
David B Sidebottomert, Södertälje Hospital, Stockholm, Sweden.
Charles D DeakinSouth Central Ambulance Service NHS Foundation Trust, Bicester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Out-of-hospital cardiac arrest (OHCA) outcomes remain poor. Improving cerebral perfusion during cardiopulmonary resuscitation (CPR) to achieve better neurological outcomes is therefore a key priority. A bundled approach incorporating multiple CPR adjuncts has been proposed to enhance cerebral protection during OHCA. Methods: CABARET was a multicentre randomised feasibility trial, designed to evaluate the deliverability of a novel resuscitation bundle during OHCA. Patients were randomised on scene in a 1:1 ratio to either usual care (advanced life support according to European Resuscitation Council 2021 guidelines) or a bundled intervention comprising: (1) head-up position CPR (HUP-CPR), (2) mechanical chest compressions using the LUCAS-3 device, and (3) an impedance threshold device (ITD). Primary feasibility outcomes included recruitment and randomisation rates, protocol adherence, training efficacy, and data collection completeness. Results: All 32 of 32 planned patients were successfully recruited, representing 9.5% of potentially eligible OHCA cases. Three patients randomised to the intervention group did not receive the full bundle. Protocol adherence and training efficacy were high across participating sites. Data completeness was good overall, with the exception of peak end-tidal carbon dioxide measurements. Conclusions: The CABARET feasibility trial demonstrates that a head-up position and ITD CPR bundle can be delivered during OHCA with high fidelity and without impeding standard resuscitation care. Key insights regarding training, protocol compliance, and operational logistics provide a robust foundation for the design and conduct of a definitive randomised controlled trial.

Indexed as

Head up CPR (HUP-CPR)Impedance threshold device (ITD)Neuroprotective CPR bundle

Identifiers

PMID42125736
PMCPMC13158616

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.