Evidence map›Paper›PMID 42677481›Full record

ArticleCirculation2026

Correlation Between EMS Agency Rates of Survival to Hospital Admission and Hospital Survival Outcomes for Cardiac Arrest.

Tanawat Attachaipanich, Saket Girotra, Kevin F Kennedy, Bryan F McNally, Paul S Chan

Abstract read
In one paragraph

Article in Circulation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Tanawat AttachaipanichUniversity of Missouri-Kansas City, Kansas City, MO (T.A., P.S.C.).ORCID 0000-0002-1514-4061
Saket GirotraUniversity of Texas-Southwestern Medical Center, Dallas, TX (S.G.).ORCID 0000-0002-4784-4513
Kevin F KennedySaint Luke's Mid America Heart Institute, Kansas City, MO (K.F.K., P.S.C.).
Bryan F McNallyDepartment of Emergency Medicine, Emory University School of Medicine and the Emory University Rollins School of Public Health, Atlanta, GA (B.F.M.).ORCID 0000-0003-3532-1931
Paul S ChanUniversity of Missouri-Kansas City, Kansas City, MO (T.A., P.S.C.).ORCID 0000-0002-5185-3367

Funding

Reducing Ethnic-racial Disparities in Cardiac Arrest Survival Outcomes (RED-CASO)R01HL160734 · NHLBI · SAINT LUKE'S HOSPITAL · PI CHAN, PAUL SHEUNG-YAN, GIROTRA, SAKET · 2022 to 2025
$2.6M
Improving Quality in Cardiac Arrest via Resuscitation academy Training: The IQ-CART studyR01HL178638 · NHLBI · SAINT LUKE'S HOSPITAL · PI Paul Sheung-Yan Chan · 2025 to 2026
$1.1M
NHLBI NIH HHS R01 HL160734NHLBI NIH HHS R01 HL178638
6 · The paper itself

Abstract

backgroundSurvival to hospital admission for out-of-hospital cardiac arrest is an important resuscitation outcome to gauge emergency medical service (EMS) agency performance. However, its correlation with EMS rates of survival to hospital discharge and favorable neurological survival is unclear.

methodsUsing the Cardiac Arrest Registry to Enhance Survival (CARES), we identified adults with nontraumatic out-of-hospital cardiac arrests during 2 periods: 2015 through 2019 (before the COVID-19 pandemic) and 2022 through 2024 (after the peak pandemic years). Multivariable hierarchical logistic regression was used to derive EMS agency-level risk-standardized survival rates for hospital admission, hospital discharge, and favorable neurological survival during each period. We then assessed the correlation between EMS agency rates of survival to admission versus discharge and favorable neurological survival using weighted linear regression, and whether the correlations differed by neighborhood income (above versus below median household income) and race and ethnicity (categorized as predominantly White [>80% of residents], majority Black or Hispanic [>50% of residents], or integrated).

resultsA total of 544

conclusionsEMS agency rates of survival to hospital admission are strongly correlated with their rates of survival to hospital discharge and favorable neurological survival. These findings support the use of survival to hospital admission as a performance metric for EMS systems.

Indexed as

favorable neurological survivalout-of-hospital cardiac arrestSocial Vulnerability Indexsurvival to hospital admissionsurvival to hospital discharge

Identifiers

PMID42677481
PMCPMC13536967

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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.