Acute cardiac care & resuscitation
Poorer survival after out-of-hospital cardiac arrest among cancer patients: a population-based register study
Authors' conclusion
Cancer is associated with poorer 30-day survival after OHCA.
Study context
- Population
- Adults (≥18 years) with out-of-hospital cardiac arrest (OHCA), Swedish Register of Cardiopulmonary Resuscitation2,894 (10%) with cancer
- Participants
- 30,163 adults
- Exposure
- Cancer vs no previous cancer diagnosis
- All cancersn = 2,894
- Outcome
- 30-day survival
- Follow-up
- 30 days
Methodological detailspopulation-based, national registries
- Population-based
- National registries
Main finding
As reported in the abstract
Each group vs controlsAdjusted odds ratio (CI)
All cancers
0.57(0.49–0.66)
Locoregional cancer
0.68(0.57–0.82)
Metastasized cancer
0.24(0.14–0.40)
Observational data: associations, not effects.
Further findings
Return of spontaneous circulation (ROSC), by cancer stage
- Locoregional cancer: no statistically significant difference in ROSC vs controls
- Metastasized cancer: poorer chance of ROSC
30-day survival, by cancer site
- Lower 30-day survival vs controls for lung, gynaecological and haematological cancers
Original publication
Poorer survival after out-of-hospital cardiac arrest among cancer patients: a population-based register study. Eur Heart J Acute Cardiovasc Care. Published 20 May 2023. doi:10. 1093/ ehjacc/ zuad053
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