Cardiac arrest & resuscitation

The effect of recognition on survival after out-of-hospital cardiac arrest and implications for biosensor technologies

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Unwitnessed OHCA account for the majority of OHCAs, yet survival is dismal.

Study context

Population
Emergency Medical Services (EMS)-assessed out-of-hospital cardiac arrest (OHCA), British Columbia Cardiac Arrest Registry (2019–2020), excluding EMS-witnessed, terminal illness or do-not-resuscitate6,314 EMS-treated, 5098 EMS-untreated
Participants
11,412 participants
Exposure
Unwitnessed vs bystander-witnessed OHCA
  • Unwitnessedn = 8,879reference
  • Bystander-witnessedn = 2,533
Outcome
Survival to hospital discharge
Methodological detailsregistry-based, mediation analysis, bootstrap logistic regression modelling
  • Registry-based
  • Mediation analysis
  • Bootstrap logistic regression modelling

Main finding

As reported in the abstract

Proportion of bystander-witness benefit attributable to recognition
84% (95% CI: 72, 86)

Observational data: associations, not effects.

Further findings

Modelled additional survivors among previously unwitnessed cases

If all bystander witnessed
1198
If recognized without interventions
912

Original publication

The effect of recognition on survival after out-of-hospital cardiac arrest and implications for biosensor technologies. Resuscitation. Published 13 July 2023. doi:10.1016/j.resuscitation.2023.109906

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

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