Cardiac arrest & resuscitation

Association of rescue breathing with outcomes in adult suffocation-related cardiac arrest

ResuscitationPublished Retrospective cohort study

Authors' conclusion

In suffocation-related OHCA, the type of bystander CPR was not associated with improved neurological recovery.

Study context

Population
Adults with witnessed suffocation-related out-of-hospital cardiac arrest (OHCA), excluding cardiac-origin cases and those treated by EMS personnel, All-Japan Utstein Registry 2005–2023
Participants
76,774 adults
Exposure
CCV-CPR or No cardiopulmonary resuscitation (CPR) vs CC-CPR by bystanders
  • CC-CPRn = 39,451reference
  • CCV-CPRn = 8,182
  • No CPRn = 29,141
Outcome
Favorable neurological status
Follow-up
One month
Methodological detailsInverse probability of treatment weighting (IPTW)-adjusted, nationwide registry, prespecified subgroup analyses
  • IPTW-adjusted
  • Nationwide registry
  • Prespecified subgroup analyses

Main finding

As reported in the abstract

1 month

CC-CPR

1.5%

Each group vs CC-CPREstimate (95% CI)
No CPRIPTW-adjusted
aOR 1.20(1.04–1.38)
CCV-CPRIPTW-adjusted; no significant difference
OR 1.01(0.78–1.32)

Observational data: associations, not effects.

Secondary outcomes

One-month survival — CC-CPR
8.3%
Return of spontaneous circulation (ROSC) — CC-CPR
19.9%

One-month survival

No significant difference for CCV-CPR vs CC-CPR

ROSC

No significant differences for ROSC

Subgroup and sensitivity analyses (multiple imputation)

Findings consistent in subgroup and sensitivity analyses

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

Original publication

Association of rescue breathing with outcomes in adult suffocation-related cardiac arrest. Resuscitation. Published 26 June 2026. doi:10.1016/j.resuscitation.2026.111189

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

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