Acute cardiac care & resuscitation

Association Between Capnographic Changes During Pulse Checks of Varying Durations and Clinical Outcomes During Cardiopulmonary Resuscitation: A Multicenter Study From Türkiye (CaPTuRe)

ResuscitationPublished multicenter, prospective, controlled, quasi-randomized study

Authors' conclusion

Pulse checks completed within 5 seconds were associated with more favorable capnographic dynamics and higher ROSC rates than those lasting 6-10 seconds. These findings are hypothesis-generating and warrant prospective validation.

Study context

Population
Cardiac arrest patients undergoing cardiopulmonary resuscitation (CPR), categorized by pulse check durationGroup A 124 · Group B 128
Participants
252 cardiac arrest patients
Comparison
Pulse checks ≤5 seconds vs >5 to ≤10 seconds
  • Group An = 124
  • Group Bn = 128reference

Primary result

As reported in the abstract

Capnographic parameters in ROSC vs non-survivors (Group A)

In Group A, patients with return of spontaneous circulation (ROSC) had markedly lower loss rates and shorter recovery times than non-survivors, together with higher pre- and post-CPR ETCO2 values

all p<0.001

Further findings

ROSC rate

P = 0.005

OutcomeOR (95% CI)P value
ROSC (logistic regression; pulse check duration as independent predictor)Higher odds of ROSC with Group A2.39 (1.347–4.242)P = 0.003

Correlations between capnographic parameters

Pre-CPR ETCO2 vs loss rate (strongly negative)
ρ=−0.770
Pre- vs Post-CPR ETCO2 (strongly positive)
ρ=0.96
Loss rate vs recovery time (strongly positive)
ρ=0.89

Original publication

Association Between Capnographic Changes During Pulse Checks of Varying Durations and Clinical Outcomes During Cardiopulmonary Resuscitation: A Multicenter Study From Türkiye (CaPTuRe). Resuscitation. Published 20 October 2026. doi:10.1016/j.resuscitation.2026.111358

Summarised from the published abstract; every number is checked against it

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