Cardiac arrest & resuscitation

Comparative Effectiveness of Lidocaine and Amiodarone for Refractory Ventricular Fibrillation (VF)/Pulseless Ventricular Tachycardia (pVT) in Adult In-Hospital Cardiac Arrest: Insights from a Nationwide Multicenter Chinese Registry

ChestPublished Prospective registry cohort study

Authors' conclusion

We observed no significant differences in outcomes between the two agents

Study context

Population
Adults with in-hospital cardiac arrest (IHCA) and refractory VF/pVT receiving lidocaine or amiodarone, BASIC-IHCA registry, China, July 2019–December 2020of 32,545 adult IHCA cases
Participants
612 adults
Exposure
Lidocaine vs amiodarone for refractory VF/pVT
  • Lidocainen = 259
  • Amiodaronen = 353reference
Outcome
Survival to hospital discharge or 30 days
Follow-up
Hospital discharge or 30 days
Methodological detailsnationwide, multicentre, 40 hospitals, adjudicated cases, multilevel mixed-effects logistic regression, prespecified subgroup analyses
  • Nationwide
  • Multicentre
  • 40 hospitals
  • Adjudicated cases
  • Multilevel mixed-effects logistic regression
  • Prespecified subgroup analyses

Main finding

As reported in the abstract

  • Lidocaine vs Amiodarone: P = 0.31
  • Consistent exploratory subgroup findings

Observational data: associations, not effects.

Secondary outcomes

OutcomeP value
Sustained ROSCUnadjustedP = 0.38
Favourable neurological outcome (CPC 1/2) · discharge or 30 daysUnadjustedP = 0.22

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

Original publication

Comparative Effectiveness of Lidocaine and Amiodarone for Refractory VF/pVT in Adult In-Hospital Cardiac Arrest: Insights from a Nationwide Multicenter Chinese Registry. Chest. Published 21 September 2026. doi:10.1016/j.chest.2026.08.052

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

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