Cardiac arrest & resuscitation
The association of clinical, treatment, and demographic characteristics with rearrest in a national dataset
Authors' conclusion
This multiagency retrospective study found that factors associated with increased ischaemic burden following OHCA were associated with rearrest. Agency-level rearrest frequency was inversely associated with agency-level survival to home.
Study context
- Population
- Adults with non-traumatic OHCA achieving ROSC after EMS resuscitation, ESO datasets 2018–2021
- Participants
- 53,027 adults
- Outcome
- Prehospital rearrest (post-ROSC CPR, ≥ 1 mg adrenaline, defibrillation, or non-perfusing rhythm on hospital arrival)
Methodological detailsmultiagency, national dataset
- Multiagency
- National dataset
Main finding
As reported in the abstract
Rearrest
Rearrest incidence
16,116
30.4%
Observational data: associations, not effects.
Further findings
Agency-level rearrest rate vs survival to discharge home (agencies treating ≥ 30 patients)
- Inverse association
- R2 = −0.393, p < 0.001
Original publication
The association of clinical, treatment, and demographic characteristics with rearrest in a national dataset. Resuscitation. Published 7 February 2024. doi:10. 1016/ j. resuscitation. 2024. 110135
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