Cardiac arrest & resuscitation

Centralization of post-resuscitation care after out-of-hospital cardiac arrest at cardiac arrest centres: a Danish nationwide follow-up study

Crit CarePublished Nationwide cohort study

Main finding · 30-day mortality, effect of centralizationResult — go to the resultAbsolute risk reduction 7% 95% CI 2%–11%

Authors' conclusion

Centralization was associated with a significant reduction of the absolute 30-day mortality risk of 7% after accounting for regional differences, time-trends in patients, and OHCA characteristics.

Study context

Population
Consecutive adult out-of-hospital cardiac arrest (OHCA) patients with presumed cardiac cause admitted to a hospital, Denmark, 2007–2020
Participants
14,276 patients
Exposure
CACs vs non-CACs
Outcome
30-day mortality
Follow-up
30 days
Methodological detailsdifference-in-difference model with repeated cross-sections, adjusted for known covariates
  • Difference-in-difference model with repeated cross-sections
  • Adjusted for known covariates

Main finding

30-day mortality, effect of centralization

Absolute risk reduction

7%

95% CI 2%–11%

As reported in the abstract

Observational data: associations, not effects.

Further findings

Temporal trend in 30-day mortality, 2007 to 2020

CACs: 30-day mortality reduced from 66 to 47%
non-CACs: 30-day mortality reduced from 92 to 74%

Original publication

Centralization of post-resuscitation care after out-of-hospital cardiac arrest at cardiac arrest centres: a Danish nationwide follow-up study. Crit Care. Published 14 February 2026. doi:10.1186/s13054-026-05875-4

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