Cardiac arrest & resuscitation

Trends in the incidence and outcomes of cardiopulmonary resuscitation-induced consciousness in out-of-hospital cardiac arrest: a retrospective study

ResuscitationPublished Retrospective cohort study

Main findingResult — go to the resultOdds ratio 2.71 95% CI 2.38–3.09

Authors' conclusion

Over the 16-year study period, the annual incidence of CPRIC increased, and patients with CPRIC found to have better OHCA survival outcomes.

Study context

Population
Adults (≥16 years) with Out-of-hospital Cardiac Arrest (OHCA), Victorian Ambulance Cardiac Arrest Registry, 2008–2024
Participants
43,402 OHCA events
Exposure
Cardiopulmonary resuscitation induced consciousness (CPRIC) vs no CPRIC
  • CPRICn = 1,438
Outcome
Incidence and trends of CPRIC; association of CPRIC with survival to hospital discharge
Methodological detailsregistry-linked
  • Registry-linked

Main finding

As reported in the abstract

Odds ratio

2.71

95% CI 2.38–3.09

Events by group

CPRIC

3.3%

1438

CPRIC vs No CPRIC
OR 2.71 (95% CI 2.38–3.09)
Annual incidence of CPRIC increased over time (IRR)
1.083 (95% CI 1.07-1.10)
Incidence increased across all arrest rhythms
P < 0.001 for all

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Survival to hospital discharge by CPRIC phenotype (subgroup)CPRIC interfering vs No CPRIC2.36 (2.04–2.74)
Survival to hospital discharge by CPRIC phenotype (subgroup)CPRIC non-interfering vs No CPRIC4.09 (3.17–5.29)

Factors associated with CPRIC

Younger age, calendar year, cardiac aetiology, public location, witnessed arrest, initial shockable rhythm and mechanical CPR independently associated with CPRIC

ROSC and survival to hospital admission

CPRIC associated with ROSC and survival to hospital admission

Original publication

Trends in the incidence and outcomes of cardiopulmonary resuscitation-induced consciousness in out-of-hospital cardiac arrest: a retrospective study. Resuscitation. Published 4 September 2026. doi:10.1016/j.resuscitation.2026.111287

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