Association between destination hospital level and outcomes in out-of-hospital cardiac arrest patients under a dispatch-guided transport system: a population-based study in Nagoya, Japan.

Akihiro Kato, Asako Matsushima, Momoko Sugiyama, Akito Kubota, Kazunori Imai, Toshiyasu Miura, Yasumasa Ode

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.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Akihiro KatoDepartment of Emergency and Critical Care, Nagoya City University Graduate School of Medical Sciences, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi 464-8547, Japan.

Asako MatsushimaDepartment of Emergency and Critical Care, Nagoya City University Graduate School of Medical Sciences, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi 464-8547, Japan.

Momoko SugiyamaDepartment of Emergency and Critical Care, Nagoya City University Graduate School of Medical Sciences, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi 464-8547, Japan.

Akito KubotaDepartment of Emergency and Critical Care, Nagoya City University Graduate School of Medical Sciences, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi 464-8547, Japan.

Kazunori ImaiDepartment of Emergency and Critical Care, Nagoya City University Graduate School of Medical Sciences, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi 464-8547, Japan.

Toshiyasu MiuraDepartment of Emergency and Critical Care, Nagoya City University Graduate School of Medical Sciences, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi 464-8547, Japan.

Yasumasa OdeDepartment of Emergency and Critical Care, Nagoya City University Graduate School of Medical Sciences, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi 464-8547, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The relationship between destination hospital level and outcomes in out-of-hospital cardiac arrest (OHCA) patients remains controversial. To examine the association between transport to critical care medical centers and outcomes, we analyzed all city-wide data from Nagoya City, where the initial hospital request is made without consideration of initial cardiac rhythm. Methods: This retrospective cohort study included 12,663 OHCA patients in Nagoya City between April 2019 and March 2025. Patients were classified by destination hospital: critical care medical center ( Results: In the critical care medical center and other hospital groups, favorable one-month neurological outcome rates were 1.9% versus 1.7% ( Conclusion: Under a dispatch-guided transport system, transport to critical care medical centers was not associated with favorable neurological outcomes in either rhythm group. These findings do not establish a preferred transport strategy, although selected patients may have better outcomes at these centers.

Indexed as

Critical care medical centerDestination hospitalDispatch-guided transportOut-of-hospital cardiac arrestRefractory shockable rhythm

Identifiers

PMID42820032

DOI10.1016/j.resplu.2026.101482

PMCPMC13625888

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