Cardiac arrest & resuscitation

Filtered electrocardiogram combined with end-tidal carbon dioxide for the identification of patients’ cardiac arrest status during uninterrupted chest compressions in cardiopulmonary resuscitation

ResuscitationPublished Diagnostic accuracy study

Authors' conclusion

Our findings suggest that the fEEt strategy might potentially help clinicians identify real time cardiac arrest status during ongoing chest compressions.

Study context

Population
Cardiac arrest patients during cardiopulmonary resuscitation at a tertiary hospital in China575 segments analysed
Participants
51 patients
Comparison
fEEt strategy vs traditional assessment
Outcome
Consistency and accuracy of fEEt-classified cardiac arrest status (ROSC, shockable rhythm, PEA, asystole) vs traditional assessment
Methodological detailssingle-centre, prospective observational
  • Single-centre
  • Prospective observational

Performance

As reported in the abstract

Agreement with traditional assessment
Test or modelKappa, return of spontaneous circulation (ROSC)Kappa, shockable rhythmKappa, pulseless electric activity (PEA)Kappa, asystole
fEEt0.6950.7040.5350.574

fEEt

Kappa, return of spontaneous circulation (ROSC)0.695
Kappa, shockable rhythm0.704
Kappa, pulseless electric activity (PEA)0.535
Kappa, asystole0.574
Good consistency for ROSC and shockable rhythm
P < 0.001
Moderate consistency for PEA and asystole
P < 0.001

Further findings

OutcomefEEt
Decision to stop chest compressions (ROSC/shockable = cessation; PEA/asystole = continue)
Kappa0.656
Decision to stop chest compressions (ROSC/shockable = cessation; PEA/asystole = continue) — Good consistency with traditional assessments
p < 0.001

Original publication

Filtered electrocardiogram combined with end-tidal carbon dioxide for the identification of patients’ cardiac arrest status during uninterrupted chest compressions in cardiopulmonary resuscitation. Resuscitation. Published 1 December 2025. doi:10.1016/j.resuscitation.2025.110913

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

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