Cardiac arrest & resuscitation
Intra-arrest transport versus continued on-scene resuscitation in patients with out-of-hospital cardiac arrest by first documented rhythm: a nationwide cohort study using time-dependent propensity score sequential matching
Authors' conclusion
Intra-arrest transport and continued on-scene resuscitation showed similar survival among patients with shockable rhythms, whereas continued on-scene resuscitation was associated with better survival among patients with nonshockable rhythms.
Study context
- Population
- Adults with out-of-hospital cardiac arrest (OHCA) in Japan, 2021–2022, in shockable and nonshockable first-rhythm cohorts13,826 shockable
- Exposure
- Intra-arrest transport vs Continued on-scene resuscitation
- Outcome
- Survival at one month or discharge from the hospital within one month
- Follow-up
- One month
Methodological detailstime-dependent propensity score sequential matching, prospective population-based registry
- Time-dependent propensity score sequential matching
- Prospective population-based registry
Main finding
As reported in the abstract
Survival at one month or discharge within one month, by first rhythm
Intra-arrest transport vs Continued on-scene resuscitationCorrected RR (CI)P value
Shockable cohort
1.03(0.96–1.10)
P = 0.443Nonshockable cohort
0.84(0.78–0.89)
P < 0.001Observational data: associations, not effects.
Further findings
Subsequent transport in the continued on-scene resuscitation group
- More than 90% of patients initially assigned to continued on-scene resuscitation later underwent intra-arrest transport
Original publication
Intra-arrest transport versus continued on-scene resuscitation in patients with out-of-hospital cardiac arrest by first documented rhythm: a nationwide cohort study using time-dependent propensity score sequential matching. Crit Care. Published 22 December 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →