Cardiac arrest & resuscitation

Amiodarone dose in patients with shockable out-of-hospital cardiac arrest

ResuscitationPublished Retrospective registry cohort study

Main finding · ROSC at ED arrival (estimated probability)Result — go to the resultAdjusted probability difference 6.6% CI 0.9–12.3

Authors' conclusion

In patients with shockable OHCA who received 5 or more defibrillation attempts, a dose of amiodarone 300 mg was associated with a similar survival compared with a total dose of amiodarone 450 mg.

Study context

Population
Patients with shockable out-of-hospital cardiac arrest (OHCA) who received 5 or more defibrillation attempts, Resuscitation Outcomes Consortium Cardiac Epidemiologic Registry (2011–2015)
Participants
910 patients
Exposure
Amiodarone 300 mg vs 450 mg
  • Amiodarone 300 mgn = 426
  • Amiodarone 450 mgn = 484reference
Outcome
ROSC at ED arrival (estimated probability)
Methodological detailsinverse probability weighting, multiple logistic regression
  • Inverse probability weighting
  • Multiple logistic regression

Main finding

As reported in the abstract

Adjusted probability difference

6.6%

CI 0.9–12.3

P = 0.0234

By group

Amiodarone 300 mg vs Amiodarone 450 mg
adjusted probability difference 6.6% (CI 0.9–12.3); P = 0.0234

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Amiodarone dose in patients with shockable out-of-hospital cardiac arrest. Resuscitation. Published 11 February 2025. doi:10.1016/j.resuscitation.2025.110534

Composed by AI from the published abstract and checked against it. How Briefs are made →

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