Cardiac arrest & resuscitation
Resuscitation of out-of-hospital cardiac arrest in China: A systematic review and Utstein-style data analysis based on the Chain of Survival
Authors' conclusion
A low probability of first aid at multiple points is linked to poor survival following OHCA.
Study context
- Population
- Chinese patients with out-of-hospital cardiac arrest (OHCA)59 Chains
- Participants
- 233,376 patients
- Comparison
- OHCA survival across prespecified Chain of Survival scenarios
- Outcome
- Survival to discharge
- Follow-up
- Discharge
Methodological detailsrandom-effects model
- Random-effects model
Pooled result
As reported in the abstract
Survival to discharge, by scenario
- Resuscitation attempted by a bystander vs Resuscitation attempted by emergency medical service (EMS): P = 0.025
- Resuscitation attempted by a bystander vs In-hospital treatment: P = 0.301
- Values listed in the order of the four prespecified scenarios
Further pooled results
| Outcome | RR (95% CI) | |
|---|---|---|
| Survival to discharge, witnessed arrest vs unwitnessed controlsWitnessed arrest vs No witnesses · pooled; I2 = 0, P for I2 = 0.583; increase 1.97 times · markedly increasing trend | 2.97 (1.47–6.02) | |
| Survival to discharge, witnessed arrest vs unwitnessed controlsWitnessed with bystander resuscitation vs No witnesses · pooled; I2 = 0, P for I2 = 0.593; increase 6.79 times · markedly increasing trend | 7.79 (3.40–17.84) | |
| 0.050.21520Relative risk (log scale) |
Bystander resuscitation received, bystander defibrillation and EMS response time
- Patients receiving bystander resuscitation
- 4.8 % (1.6 %-8.2 %)
- Bystander defibrillation
- 0
- Median EMS response time
- 9-15 minutes
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Resuscitation of out-of-hospital cardiac arrest in China: A systematic review and Utstein-style data analysis based on the Chain of Survival. Resuscitation. Published 16 October 2023. doi:10. 1016/ j. resuscitation. 2023. 109974
Composed by AI from the published abstract and checked against it. How Briefs are made →