Acute cardiac care & resuscitation
Survival and neurological outcomes among OHCA patients in middle- and high-income countries in the Asia-Pacific
Main finding · Survival with favorable neurological outcomes (cerebral performance category score)Result — go to the resultAdjusted odds ratio 9.05 95% CI 6.27–13.72Authors' conclusion
In the PAROS cohort, high-income countries outperform middle income countries in post-OHCA neurological outcomes. Further research is needed to obtain better quality data in middle-income countries and expand reach into low-income countries.
Study context
- Population
- Adult non-traumatic OHCA cases with resuscitation attempted in the PAROS dataset, Asia-Pacific region, 2009–2018 (pediatric, pronounced dead at scene, unknown on-scene survival status, no resuscitation attempted and traumatic cases excluded)OHCA cases included, out of 207,450 PAROS cases between 2009–2018
- Participants
- 168,967 cases
- Exposure
- Country income status
- High-income countriesn = 165,404
- Middle-income countriesn = 3,563reference
- Outcome
- Survival with favorable neurological outcomes (cerebral performance category score)
Methodological detailssensitivity analyses
- Sensitivity analyses
Main finding
As reported in the abstract
Adjusted odds ratio
9.05
95% CI 6.27–13.72
By group
High-income countriesvs Middle-income countries
AOR 9.05 (95% CI 6.27–13.72)
Observational data: associations, not effects.
Further findings
- Results remained consistent throughout sensitivity analyses
Original publication
Survival and neurological outcomes among OHCA patients in middle- and high-income countries in the Asia-Pacific. Resuscitation. Published 24 March 2025. doi:10.
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