Cardiac arrest & resuscitation

Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac arrest (ARREST): a UK prospective, multicentre, parallel, randomised clinical trial

LancetPublished Randomised controlled trial

Primary result · 30-day mortalityResult — go to the resultUnadjusted RR for survival 1.00 95% CI 0.90–1.11

Authors' conclusion

In adult patients without ST elevation, transfer to a cardiac arrest centre following resuscitated cardiac arrest in the community did not reduce deaths.

Study context

Population
Adults (≥18 years) with return of spontaneous circulation after OHCA without ST elevation, London, UK411 and 412 in primary analysis
Participants
862 adults
Comparison
Expedited delivery to a cardiac arrest centre vs standard care
  • Cardiac arrest centren = 431
  • Standard caren = 431reference
Primary endpoint
All-cause mortality
Follow-up
30 days
Methodological detailsprospective, parallel, multicentre, open-label, superiority
  • Prospective
  • Parallel
  • Multicentre
  • Open-label
  • Superiority

Primary result

30-day mortality

Unadjusted RR for survival

1.00

95% CI 0.90–1.11

P = 0.96

Events by treatment group

Cardiac arrest centre vs Standard care
unadjusted RR for survival 1.00 (95% CI 0.90–1.11); P = 0.96

As reported in the abstract

Safety

Serious adverse events (none deemed related to the trial intervention)

  • Serious adverse events (none deemed related to the trial intervention): ITT population (414 vs 413)

Original publication

Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac arrest (ARREST): a UK prospective, multicentre, parallel, randomised clinical trial. Lancet. Published 27 August 2023. doi:10.1016/s0140-6736(23)01351-x

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