Cardiac arrest & resuscitation

Survival and neurological outcomes among OHCA patients in middle- and high-income countries in the Asia-Pacific

ResuscitationPublished Prospective cohort study

Main finding · Survival with favourable neurological outcome (CPC score)Result — go to the resultAOR for better neurological outcome 9.05 95% CI 6.27–13.72

Authors' conclusion

In the PAROS cohort, high-income countries outperform middle income countries in post-OHCA neurological outcomes.

Study context

Population
OHCA cases in the Asia-Pacific, Pan-Asian Resuscitation Outcomes Study (PAROS) dataset 2009–2018; pediatric, pronounced dead at scene, unknown on-scene survival status, no resuscitation attempted and traumatic cases excludedof 207,450 PAROS cases
Participants
168,967 cases
Exposure
High-income vs middle-income countries
  • High-income countriesn = 165,404
  • Middle-income countriesn = 3,563reference
Outcome
Neurological outcomes (cerebral performance category score)
Methodological detailsmultivariable logistic regression, multinational registry (PAROS), sensitivity analyses
  • Multivariable logistic regression
  • Multinational registry (PAROS)
  • Sensitivity analyses

Main finding

As reported in the abstract

Survival with favourable neurological outcome (CPC score)

AOR for better neurological outcome

9.05

95% CI 6.27–13.72

By group

High-income vs Middle-income
aOR for better neurological outcome 9.05 (95% CI 6.27–13.72)

Observational data: associations, not effects.

Further findings

Results remained consistent throughout sensitivity analyses

Original publication

Survival and neurological outcomes among OHCA patients in middle- and high-income countries in the Asia-Pacific. Resuscitation. Published 24 March 2025. doi:10.1016/j.resuscitation.2025.110592

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