Acute cardiac care & resuscitationResearch article
Outcomes Following Impedance Threshold Device Use During Out-of-Hospital Cardiac Arrest
- nationally representative sample
- multivariate logistic regression
- adjusting for demographics and several potential confounders
Authors' conclusion
ITD use was associated with improved prehospital outcomes but worsened dispositional outcomes among patients experiencing OHCA, suggesting this device may prove beneficial early in resuscitation of OHCA patients.
Study context
- Population
- Adult, non-traumatic, OHCA scene runs from the 2024 ESO Data Collaborativepatient records, disposition outcomes available for 13,026 patients (23.3%)
- Participants
- 97,439 participants
- Comparison
- Impedance threshold device (ITD) only; ITD+ACD; neither device
- ITD onlyn = 13.1%
- ITD+ACDn = 1.6%
- no ITDn = 85.3%reference
Main finding
Return of spontaneous circulation (ROSC)
Adjusted odds ratio
1.09
CI 1.04–1.14
By group
ITD only vs no ITD
aOR 1.09 (CI 1.04–1.14)
As reported in the abstract
Further findings
| Outcome | ITD only | ITD+ACD | no ITD | aOR (CI) |
|---|---|---|---|---|
| Survival to discharge | 23.9% | Not reported in the abstract | 32.0% | 0.68 (.61, .76) |
Survival to discharge
- a similar pattern emerged for favorable neurologic outcome
ITD+ACD group
- The ITD+ACD group showed more extreme versions of the trends observed for ITD only
Original publication
Outcomes Following Impedance Threshold Device Use During Out-of-Hospital Cardiac Arrest. Resuscitation. Published 8 October 2026. doi:10.1016/j.resuscitation.2026.111340
Summarised from the published abstract; every number is checked against it