Acute cardiac care & resuscitationCohort study
Factors associated with hospital transport in emergency medical services-attended out-of-hospital cardiac arrest
- retrospective, population-based cohort study
Authors' conclusion
Hospital transport after out-of-hospital cardiac arrest was associated with both recognizable markers of potential reversibility and decision-maker-patient sex dyads. Non-transported out-of-hospital cardiac arrest constituted a substantial proportion of emergency medical services-attended arrests in this system.
Study context
- Population
- Emergency medical services-attended non-traumatic adult out-of-hospital cardiac arrests in Hsinchu City and Hsinchu County, Taiwan, from January 1, 2022, to December 31, 2024eligible, among 3504 emergency medical services-attended out-of-hospital cardiac arrests · non-transported out-of-hospital cardiac arrests 2,299 · transported 1,040
- Participants
- 3,339 arrests
- Exposure
- factors associated with the decision to transport after emergency medical services recognition of out-of-hospital cardiac arrest
- non-transported out-of-hospital cardiac arrestsn = 2,299
- transportedn = 1,040
Main finding
As reported in the abstract
Non-transported vs transported out-of-hospital cardiac arrests
Observational data: associations, not effects.
Further findings
| Outcome | Estimate |
|---|---|
| Hospital transport (multivariable analysis) — witnessed arrest vs more than 8 h | adjusted odds ratio 1.754 |
| Hospital transport (multivariable analysis) — bystander cardiopulmonary resuscitation vs more than 8 h | adjusted odds ratio 2.191 |
| Hospital transport (multivariable analysis) — hypertension vs more than 8 h | adjusted odds ratio 1.406 |
| Hospital transport (multivariable analysis) — less than 2 h vs more than 8 h · last known normal condition | adjusted odds ratio 7.073 |
| Hospital transport (multivariable analysis) — 2-8 h vs more than 8 h · last known normal condition | adjusted odds ratio 3.244 |
| Hospital transport (multivariable analysis) — unknown vs more than 8 h · last known normal condition | adjusted odds ratio 2.278 |
| Hospital transport (multivariable analysis) — age · inversely associated | adjusted odds ratio 0.969 per year |
| Hospital transport (multivariable analysis) — malignancy vs more than 8 h · inversely associated | adjusted odds ratio 0.638 |
| Hospital transport (multivariable analysis) — prior cerebrovascular accident vs more than 8 h · inversely associated | adjusted odds ratio 0.623 |
| Hospital transport (multivariable analysis) — arrest at home vs more than 8 h · inversely associated | adjusted odds ratio 0.320 |
Hospital transport by decision-maker-patient sex dyad
- Compared with male decision-maker/male patient dyads, transport odds were higher in all other decision-maker-patient sex dyads
Original publication
Factors associated with hospital transport in emergency medical services-attended out-of-hospital cardiac arrest. Resuscitation. Published 10 April 2026. doi:10.1016/j.resuscitation.2026.111088
Summarised from the published abstract; every number is checked against it