Cardiac arrest & resuscitation

The prevalence of sustained electrical capture during prehospital transcutaneous pacing: a multicenter observational study

ResuscitationPublished Multicentre observational cohort study

Authors' conclusion

We found that sustained electrical capture during prehospital TCP was uncommon and associated with pre-TCP heart rate, pacing current, and body weight.

Study context

Population
Patients receiving prehospital transcutaneous pacing (TCP), 2017–2024
Participants
299 patients
Outcome
Prevalence of sustained electrical capture during prehospital TCP
Methodological detailsmulticenter, 4 EMS agencies
  • Multicenter
  • 4 EMS agencies

Main finding

As reported in the abstract

Sustained electrical capture, of 299 patients

29

9.7%

Observational data: associations, not effects.

Further findings

OutcomeEstimate
Factors associated with sustained electrical capture (multivariable)Weight · n = 208; lower weight → higher oddsaOR 0.95 per kg (CI 0.93–0.98)
Factors associated with sustained electrical capture (multivariable)Pre-TCP heart rate · n = 297; lower heart rate → higher oddsaOR 0.96 per bpm (CI 0.93–0.99)
Factors associated with sustained electrical capture (multivariable)Delivered current · n = 208; higher current → higher oddsaOR 1.25 per 10 mA (CI 1.08–1.45)

Original publication

The prevalence of sustained electrical capture during prehospital transcutaneous pacing: a multicenter observational study. Resuscitation. Published 22 December 2025. doi:10.1016/j.resuscitation.2025.110934

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