Evidence map›Paper›PMID 42251862›Full record

ArticleActa anaesthesiologica Scandinavica2026

Early Versus Late Wake-Up Call After Out-Of-Hospital Cardiac Arrest: Protocol for a Multicenter Randomized Comparison Within the Danish Out-of-Hospital Cardiac Arrest (DANOHCA) Trial.

Anders Morten Grejs, Jesper Kjaergaard, Jo Bønding Andreasen, Bodil Steen Rasmussen, Christian Hassager, Martin Abild Stengaard Meyer, Lars Peter Kloster Andersen, Henrik Schmidt, Simon Moelstroem, Sören Möller and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Acta anaesthesiologica Scandinavica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05895838 (The Danish Out-of-Hospital Cardiac Arrest Study - a Randomized, Placebo-controlled, Double-blind, Multi Center Trial), which is not on this 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.

NCT05895838 phase3recruitingnot on this map

The Danish Out-of-Hospital Cardiac Arrest Study - a Randomized, Placebo-controlled, Double-blind, Multi Center Trial

TypeinterventionalSponsorChristian HassagerRan2023 to 2027Enrolled1,000ConditionsOut-Of-Hospital Cardiac Arrest, Post-Cardiac Arrest SyndromeArmsDexamethasone, Backrest elevation, Early wakeup call, Olanzapine
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

13 authors.

Anders Morten GrejsDepartment of Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-8850-2982
Jesper KjaergaardDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0000-0001-5244-0399
Jo Bønding AndreasenDepartment of Anaesthesiology and Intensive Care, Aalborg University Hospital, Aalborg, Denmark.ORCID https://orcid.org/0000-0002-6615-4438
Bodil Steen RasmussenDepartment of Anaesthesiology and Intensive Care, Aalborg University Hospital, Aalborg, Denmark.ORCID https://orcid.org/0000-0003-2190-145X
Christian HassagerDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-1199-0981
Martin Abild Stengaard MeyerDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-6312-2457
Lars Peter Kloster AndersenDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-0053-2560
Henrik SchmidtDepartment of Anaesthesiology and Intensive Care, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0003-1080-3344
Simon MoelstroemDepartment of Anaesthesiology and Intensive Care, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0002-2778-8075
Sören MöllerEpidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0003-0858-4269
Christhopher TorpDepartment of Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.ORCID https://orcid.org/0009-0001-8340-198X
Steffen ChristensenDepartment of Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.ORCID https://orcid.org/0000-0001-6149-7186
Jacob Eifer MoellerDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-2873-5845

Funding

Central Denmark Region Health Research FoundationDanish Heart Association 2023-12401Novo Nordisk Foundation NNF22OC0079649
6 · The paper itself

Abstract

backgroundSurvivors of out-of-hospital cardiac arrest (OHCA) who remain comatose after return of spontaneous circulation are routinely sedated and mechanically ventilated during early post-resuscitation care. Although prolonged sedation has traditionally been considered necessary, contemporary normothermia-based temperature control allows earlier wake-up call. The optimal timing of an early wake-up call remains unknown and may influence overall mortality, neurological recovery, duration of mechanical ventilation, and length of hospital stay.

methodsThe Danish Out-of-Hospital Cardiac Arrest (DANOHCA) trial (clinicaltrials.gov identifier: NCT05895838; and euclinicaltrials.eu, identifier: 2024-515,997-28-00) is an investigator-initiated, multicenter, randomized clinical trial using a 2 × 2 × 2 × 2 factorial design evaluating four interventions in patients resuscitated from OHCA. The present protocol describes the comparison of an early versus late wake-up call strategy. Adult patients (≥ 18 years) with presumed cardiac-cause of OHCA, sustained return of spontaneous circulation, and persistent unconsciousness on intensive care unit admission are randomized 1:1 to early wake-up call (≤ 6 h after randomization) or late wake-up call (28-36 h after randomization). Wake-up call includes interruption of sedation, assessment of neurology, and may be followed by extubation if predefined neurological and respiratory criteria are fulfilled. The primary endpoint is days alive and out of hospital within 30 days after randomization. Analyses will follow a modified intention-to-treat principle. PERSPECTIVES: Optimizing post-resuscitation care remains a cornerstone in managing comatose cardiac arrest survivors and improving outcomes. We hypothesize that sedation for 28-36 h leads to more days alive outside of the hospital in 30 days compared to sedation for ≤ 6 h.

trial registrationEudraCT number: 2016-003265-26; EU CTIS no 2024-515997-28-00; ClinicalTrials.gov identifier: NCT05895838.

Indexed as

Out-of-Hospital Cardiac ArrestCardiopulmonary ResuscitationComaDenmarkHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicRespiration, ArtificialTime Factorsout‐of‐hospital cardiac arrestpost cardiac arrest carepost resuscitationsedationwake‐up call

Identifiers

PMID42251862
PMCPMC13242949

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Registered trials

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.