Cardiac arrest & resuscitation

Outcome assessment for out-of-hospital cardiac arrest patients in Singapore and Japan with initial shockable rhythm

Crit CarePublished Secondary analysis of two out-of-hospital cardiac arrest (OHCA) databases

Authors' conclusion

This observational study found that the outcomes for patients with initial shockable rhythm but who did not obtain ROSC on hospital arrival in Singapore were lower than expected from Osaka.

Study context

Population
Adult (18–74 years) OHCA patients with initial shockable rhythmSG-PAROS, analysed
Participants
1,789 participants
Comparison
SG-PAROS vs Osaka-CRITICAL
  • SG-PAROSn = 1,789
Primary endpoint
Favorable neurological outcome:
  • Observed vs risk-adjusted expected
  • OE ratio
Methodological detailsobservational study, machine learning-based prediction model, observed-expected ratio
  • Observational study
  • Machine learning-based prediction model
  • Observed-expected ratio

Primary result

As reported in the abstract

Favourable neurological outcome, observed vs expected (OE ratio) by status on hospital arrival

Return of spontaneous circulation (ROSC) on hospital arrival: OE ratio (95% CI); observed at the same level as expected

0.905

0.784–1.036

Continued cardiac arrest, shockable rhythm on hospital arrival: OE ratio (95% CI); lower than expected

0.369

0.258–0.499

Continued cardiac arrest, nonshockable rhythm on hospital arrival: OE ratio (95% CI); lower than expected

0.137

0.065–0.235

Original publication

Outcome assessment for out-of-hospital cardiac arrest patients in Singapore and Japan with initial shockable rhythm. Crit Care. Published 12 September 2023. doi:10.1186/s13054-023-04636-x

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

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